Registered Nurse (Flex) - Operating Room

One Brooklyn Health Brooklyn, NY 11212, US

Overview

In addition to general nursing, is responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations.

Responsibilities

Assesses patients at intervals as stated in policies and procedures.
Functions in the scrub and or circulating role during operative or other invasive procedures in accordance with scope of practice, credentials, privileges, education, and experience
Ensures the operative procedure is being performed on the correct patient and site, side and level by: Reviewing the operative schedule; Reviewing the operative consent; Verifying procedure site and side with patient; Resolving identified discrepancy with surgeon and patient, prior to the patient being taken to the operating room; and participating in the pre-procedure verification, per-incision “Time Out” and sign out process.
Develops an individualized perioperative patient plan of care. Implements the plan of care by: protecting the patient from injury caused by chemical, electrical, laser, mechanical, and thermal sources and extraneous objects; performing accounting procedures to protect the patient from unintended retained surgical items; performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level; managing the patient’s specimens in the appropriate manner; communicating the patient’s status to the appropriate parties throughout the continuum of care; administering medications safely and correctly; performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels; performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels;
Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure;
Actively involving the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process.
Documents nursing care accurately, completely, and legibly.
Collaborates effectively with other disciplines as appropriate.
Participates in quality review and performance improvement projects.
Uses problem-solving and conflict resolution skills to foster effective work relationships with team members.
All other duties as requested.

Qualifications

Education:

Internal & 1199 SEIU:

- Graduate of accredited nursing program(s).
- Bachelor's Degree in Nursing preferred.

Non 1199 SEIU Candidates:

- Bachelor’s Degree in Nursing.
- Master's Degree in Nursing, preferred.

Experience:

Minimum two (2) years' operating room experience.

Knowledge and Skills:

Critical thinking, math, and computer skills.
Works as a team player.
Demonstrates respect and professionalism in all interactions.
Excellent oral and communication skills.
Decision making and problem solving.
Able to read, write, see and hear English.

Licenses, Certifications:

Current NY State RN License required.
Basic Life Support (BLS) from the American Heart Association, required.
Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required.
Pediatric Advanced Life Support (PALS) from the American Heart Association, required.
Certified Nurse, Operating Room (CNOR) certification, preferred.

Physical Requirements:

Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
Position will be required to stoop, bend, lift and carry items weighing up to 35 pounds for routine performance of essential functions.
An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
Manual and finger dexterity, as well as hand and eye coordination.
Corrected vision and hearing to within normal range.
Frequently sitting at desk working on computer.
Ability to flex working hours.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.

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Job Responsibility Assesses the patient’s physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. 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Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubritus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure;1. Assesses the patient’s physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. 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Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubritus Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely Correctly identifies medication: action; dosage; side effects and implications for the patient; Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-hospital care; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties, as required. Physical Demands Constant – standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning. Frequent – Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs. Occasional – Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS, preferred. Additional Site-specific Qualification May Apply. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).