Registered Nurse (RN) Staff - Surgery

Surgery Department (OR/CVOR; Operating Room) Registered Nurse (RN)

We are looking for nurses with a passion for Surgical Nursing and Patient Advocacy. Our BRMC OR/CVOR has 13 operating rooms and averages 650 cases per month. Our cases include General Surgery, Orthopedics, Neurological, Cardiovascular, Plastics, Ear Nose Throat (ENT), Urology and Gynecological (GYN) procedures. We have a highly skilled, dedicated team of patient advocates that work in an interdisciplinary team environment. New employees progress through an extensive orientation that uses the Association of Peri-operative Registered Nurses (AORN) Standards to guide our practice. All new nurses complete the AORN Peri-op 101 course, provided by the hospital, during the first six months of employment. One (1) year of AORN membership is also provided. All staff is encouraged to become active on our Unit Based Council to enable them to impact their own nursing practice and participate in our Magnet Journey to Excellence. We support professional advancement through certification and education. Come shadow Surgery and see if surgical nursing is a job fit for you!

SUMMARY: This position is filled by a registered nurse who, as a result of educational and in-depth clinical experience in surgical nursing, possesses the advanced knowledge and clinical skills necessary to provide expert nursing care; applies expert knowledge to act as a patient advocate, role model and leader; coordinates the care of patients within perioperative services; ensures quality focused and cost-effective care delivery outcomes. This registered nurse utilizes theory, research, and specialized knowledge to plan care for the surgical patient; functions within a collaborative practice to enhance quality of care; interprets, evaluates and communicates research findings; and participates in continuous learning and quality improvement activities.

Responsible and accountable for direct patient care for assigned patients in the perioperative unit and providing leadership within the nursing team. Responsible and accountable for the care given to the patient and for the decision regarding which nursing tasks can be safely delegated to licensed and unlicensed persons involved in patient care. Must be proficient in a wide variety of high-level nursing skills. Responsible for adhering to all standards of nursing care and promoting a team effort among co-workers. Responsible and accountable to know, own and energize the vision, mission, values and standards of the hospital.

To learn more about our benefits, please visit Baxter Health Careers – Benefits .

JOB REQUIREMENTS

Education: Graduate of an accredited school of nursing. Associate of Science in Nursing required.

Experience: Minimum one (1) year acute care experience preferred.

Certification: BLS certification required. ACLS and PALS within the first year of employment

License: Current Arkansas or Compact State RN license in good standing.

Safety Sensitive Designation:

This position is deemed safety sensitive in accordance with Arkansas Act 593 governing Medical Marijuana.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to perform the following: Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions. Ability to stand and walk, bend, squat, and twist up to or exceeding 8 to12 hours during shift(s). Occasionally requires lifting of 50 pounds or more of equipment. Occasionally lifts patients with assist 125 pounds or more. This job requires, at various times, the following physical activities; climbing, balancing, stopping, kneeling, crouching, reaching, standing, carrying, walking, pushing, pulling, lifting, finger dexterity, grasping, feeling, talking, and hearing, sometimes exerting in excess of 100 pounds of force. Spends eight hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse. Must be able to respond quickly in emergency situations of CPR and obtaining equipment. Must be able to handle critical and highly stressful situations with efficiency and composure. Has a keen sense of hearing and keen visual acuity to respond to critical changing patient situations from actual observations and/or equipment alarms. May be subject to inside environmental conditions, hazards (including electrical currents and exposure to high heat and chemicals) and infectious diseases. May have to function around prisoners or those in behavioral health crisis.

Baxter Regional Medical Center-Competency Based Job Description

Job Title: Staff Registered Nurse

Department: Perioperative Services

Operating Unit: Surgery

Reports To: Surgery Nurse Manager

Approved By: Human Resources

Approved Date: 12/2018

BRMC PURPOSE: To preserve BRMC as a comprehensive, independent, community-driven health system in order to optimize access to quality healthcare for patients in the communities we serve.

SUMMARY

This position is filled by a registered nurse who, as a result of educational and in-depth clinical experience in surgical nursing, possesses the advanced knowledge and clinical skills necessary to provide expert nursing care; applies expert knowledge to act as a patient advocate, role model and leader; coordinates the care of patients within perioperative services; ensures quality focused and cost-effective care delivery outcomes. This registered nurse utilizes theory, research, and specialized knowledge to plan care for the surgical patient; functions within a collaborative practice to enhance quality of care; interprets, evaluates and communicates research findings; and participates in continuous learning and quality improvement activities.

Responsible and accountable for direct patient care for assigned patients in the perioperative unit and providing leadership within the nursing team. Responsible and accountable for the care given to the patient and for the decision regarding which nursing tasks can be safely delegated to licensed and unlicensed persons involved in patient care. Must be proficient in a wide variety of high level nursing skills. Responsible for adhering to all standards of nursing care and promoting a team effort among co-workers. Responsible and accountable to know, own and energize the vision, mission, values and standards of the hospital.

BRMC COMPLIANCE RESPONSIBILITIES

Understands and adheres to BRMC’s standards as they appear in BRMC Lippincott Library.

Required to work with the compliance officer and the compliance committee to identify, report and resolve any compliance concerns in a timely manner.

JOB REQUIREMENTS

Education: Graduate of an accredited school of nursing. BSN preferred.

Licensure: Current Arkansas or Compact State RN license in good standing.

Experience: Minimum 1 year acute care or surgery experience is preferred.

Certifications: BLS required. ACLS within the first year of employment and PALS preferred.

Primary Source Verification:

Arkansas State Board of Nursing or NURSYS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation. While performing the duties of this job, the employee is required to perform the following: Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions. Ability to stand and walk, bend, squat, and twist up to or exceeding 8 to12 hours during shift(s). Occasionally requires lifting of 50 pounds or more of equipment. Occasionally lifts patients with assist 125 pounds or more. This job requires, at various times, the following physical activities; climbing, balancing, stopping, kneeling, crouching, reaching, standing, carrying, walking, pushing, pulling, lifting, finger dexterity, grasping, feeling, talking, and hearing, sometimes exerting in excess of 100 pounds of force. Spends eight hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse. Must be able to respond quickly in emergency situations of CPR and obtaining equipment. Must be able to handle critical and highly stressful situations with efficiency and composure. Has a keen sense of hearing and keen visual acuity to respond to critical changing patient situations from actual observations and/or equipment alarms. May be subject to inside environmental conditions, hazards (including electrical currents and exposure to high heat and chemicals) and infectious diseases. May have to function around prisoners or mental patients.

Work Environment

Hospital Setting

Position Type and Expected Hours of Work

This is a position in a hospital setting which is open 24hours a day, 365 days per year. Holidays and work during inclement weather will be required.

Essential Duties and Responsibilities:

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

• Participates in clinical management of surgical patients and demonstrates advanced clinical decision-making skills recognizing patient complications and addresses appropriately. Delivers patient care as appropriate within the scope of nursing.
• Ability to set up surgical room for assigned cases and manage all needed equipment including care, cleaning, troubleshooting and maintenance needs.
• Serves as patient advocate; promoting patient and family centered care.
• Develops and maintains a collaborative working relationship with all physicians and inter-disciplinary team members involved in the care of the surgical patient.
• Follows perioperative services shared governance hand off process and provides all vital information to next caregiver to ensure optimum patient outcomes.
• Participates in continuous learning and completes all assigned education on time.
• Participates in all quality improvement and patient safety initiatives including time out, instrument/sharps counts, laser safety, infection prevention, fire safety, emergency preparedness, codes and malignant hyperthermia.
• Prepare surgical rooms, sterile instruments, equipment or supplies and ensure that stock of supplies is maintained. Obtains needed supplies, equipment and medications throughout the case to support members of the surgical team.
• Maintain and ensure sterile environment during surgical cases including limiting traffic and reporting any breaks in technique.
• Maintain accurate, detailed reports and records using the EMR.
• Manages patient throughout surgical procedure including assessment/interview, transport, transfer, positioning, assisting anesthesia and surgical preps.
• Performs other related duties as assigned.

Job Competencies-Nursing

Technical/Professional Knowledge and Skills

Having achieved a satisfactory level of technical, functional, and/or professional skill or knowledge in position-related areas; keeping up with current developments and trends in areas of expertise; leveraging expert knowledge to accomplish results.

Managing Work

Effectively managing one’s time and resources to ensure that work is completed efficiently.

Adaptability

Maintaining effectiveness when experiencing major changes in work responsibilities or environment (e.g., people, processes, structure, or culture); adjusting effectively to change by exploring the benefits, trying new approaches, and collaborating with others to make the change successful.

Safety Advocacy

Taking responsibility for conditions that affect patients’, own, and others’ safety; identifying conditions that might cause health or safety hazards and taking action to remove those hazards.