Responsible for assessing, planning, and implementing the nursing care patients receive before, during and after surgery within the scope of practice as determined by the board of nursing in the state you are practicing within.
Circulating Nurse Duties:
- At the beginning of each surgery day, check oxygen cylinders and other essential equipment.
- Performs Narcotic Count with a second R.N. or Physician verifying count. Records count in Narcotic Log.
- Assists Scrub Nurse, with opening supplies for case.
- Verifies the patient's identity and necessary consent forms.
- Implements the plan of care by:Protecting the patient from injury by performing an individualized risk assessment;Performing interventions necessary to ensure that the patient's procedure is performed on thecorrect site, side, and level;Communicating the patient's current status to the appropriate parties throughout the continuum of care
- Prepares patient for procedure by doing pre-op check list, pre-op vitals, assists anesthesiologist in starting I.V. and gives pre-op meds and brings patients to O.R. and connects patient to EKG monitor, BP monitor, pulse oximeter and applies cautery grounding pad if needed.
- Administering and preparing medications safely and correctly;
- Nurse is responsible for helping to relieve patient’s apprehension before and during administration of I.V. sedation or anesthesia.
- Is to remain at patient’s side during induction of anesthesia and assists anesthesiologist or anesthetist when requested.
- Surgical Prep of the Area
- Makes available instruments and supplies needed during the operation.
- Performing interventions to maintain the patient's vital signs and respiratory status at or above baseline levels;
- Performing interventions to protect the patient from surgical site infection;
- Protect sedated and anesthetized patients by identifying safety hazards such as electrical, equipment, pressure points and by minimizing exposure to maintain privacy and body temperature.
- Expertise in safety principles, asepsis, sterile technique and universal precautions.
- During local or I.V. sedation cases, records vital signs.
- Counts sponges and needles and documents the count.
- Observing the patient throughout, recording significant conditions and reactions, and notifying the physician of patient's condition and reaction to drugs, treatments and significant incidents.
- Assists in transferring patient back to the Recovery Room.
- Assists clinical staff with post-operative questions from patients.
- Protecting the patient's rights, dignity, and privacy;
- Other duties may include. (For example; including, but not limited to): Participates in quality improvement activities. Assists Infection Control Coordinator with infection control duties including reviewing infection control policies and training staff on procedures.
- 2 years recent working experience as a RN in an Operating Room Setting in a circulating capacity (not including clinicals)
- Current Unencumbered RN license in state of practice.
- Current BLS (ACLS &/or PALS encouraged and in some facilities required)
- Current TB Screen
- Valid Identification/Driver's License
- Successful completion of a Background Check and Medely's screening process