Registered Nurse - Operating Room Job at Nebraska Methodist Health System
Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.
Job Summary:
Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
Schedule:
- 36 or 24 hours per week
- No call required
- Must work Saturdays and Sundays 7am-7pm
Responsibilities:
Essential Job Functions
1. Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
- Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
2. Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
- Include data from the patient/significant other(s) in the assessment as appropriate.
- Prioritize data collection according to patient's immediate needs.
- Use assessment findings in discharge planning.
- Participates in surgical time-out, fire risk assessment, and case summary for each operative procedure.
- Wears appropriate Personal Protection Equipment (PPE) and follows standard and policy for attire in the Operating Room (OR).
- Identifies, labels and handles specimens according to facility policy and procedure, including hand-off situations and disposition of specimen.
- Applies base knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology for optimal surgical patient care.
- Implement a plan of care:
- Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
- Assist with patient positioning. Communicate any pre-op assessment that may impact the position.
- Performs counts according to facility policy and procedure during procedures and hand-off situations to protect the patient from unintended retained surgical items.
- Performs interventions to maintain patient normothermia during the operative procedure.
- Performs interventions to protect the patient from surgical site infection.
- Applies the principles of asepsis and sterile technique during the surgical procedure.
- Provides care for all patient populations (i.e. pediatric, adolescent, geriatric) as needed, identifying specific needs of population.
- Act as patient advocate and maintain privacy and confidentiality of individuals and health information.
3. Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)
- Collaborate with providers and other clinical disciplines as appropriate.
- Provide teaching specific to the patient's health care problem.
- Care plan reflects continuing care needs and/or referrals for discharge/transfer.
4. Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).
- Is familiar with, and follows, nursing protocols and standards of care for their unit.
- Use current knowledge in nursing practice based on standards and research literature.
5. Evaluate patient care to determine response to care/interventions for optimal patient outcome.
- Monitor outcomes and documents patient response to interventions.
- Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
- Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
- Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
- Recognize and address patient and family capabilities and limitations (physical and mental).
6. Performs technical skills competently and independently to assure patient safety (autonomy).
- Able to competently perform technical skills independently.
- Is accountable to learn new skills and equipment within areas' specifications and time frame.
- Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
- Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
- Know location and operation of emergency equipment and supplies.
- Performs surgical scrub role, adhering to all essential functions demonstrated in that role.
- Demonstrates proper use of instruments, equipment, suturing, and stapling devices.
- Actively performs time out procedure and case summary: assuring participation of all team members.
7. Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)
- Communicate effectively to solve problems at the personal and unit level.
- Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
- Take pride in the unit by active participation in restocking and maintaining a clean environment.
- Maintain a professional appearance, behavior, and work environment.
- Maintain competence in area of experience.
- Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
- Adapts to change in a positive, professional manner.
- Adjusts hours to meet patient services when cases are more or less than scheduled.
- Maintains compliance with the department call coverage.
8. Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)
- Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
- Communicate to appropriate personnel regarding unresolved issues.
- Work within the scope of practice as defined by State Nurse Practice Act.
- Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
- Delegate tasks according to the scope of practice and job descriptions of personnel utilized during the operative procedure.
- Demonstrates an ongoing awareness of, and participation in the Performance Improvement program. Is alert to potential performance improvement problems and actively participates in solving such problems.
9. Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
- Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
- Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
- Right communication (clear, concise, correct, complete).
- Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
10. Fiscally accountable.
- Act professionally responsible for human and other resources.
- Charge accurately for use of supplies and equipment according to policy.
11. Safely Administers Medications.
- Checks patient's allergies before administering any medications.
- Administers medication safely and correctly.
- Obtains, prepares and administers IVs and blood products according to nursing policy and procedure.
- Observes and documents patient's response to pertinent medications.
- Responds to emergent medication reactions in a competent manner.
- Assures medications are all labeled on back table.
12. Participate in ongoing planning, implementation and initiation of new Operating Room staff and students.
- Facilitate the clinical orientation of the orientee.
- Facilitate socialization into the work team.
- Assists the orientee in identifying learning needs and implementing a developmental plan.
- Provides learning experiences, facilitates new experiences based on case availability and available mentors.
- Coordinates orientee's patient assignments to ensure completion of learning needs.
- Evaluate the care planning and documentation by the orientee.
- Evaluate the organizational skills of the orientee.
- Evaluates orientee informally on a daily basis, completes evaluation forms and assists staff development nurse and service leader in discussions and mentoring for success.
- Assists orientee in completion of skill checklist, orientation checklist and map.
13. Meets the requirement set forth by the Nursing Career Advancement Program (NCAP) for a NCAP Level RN II staff in the areas of Quality, Service, People, Stewardship/Resource Utilization and Continuous Learning.
- Portfolio is reviewed at annual performance review meeting and submitted to the Practice Council for determination of recertification or advancement.
Schedule:
Saturday and Sunday 7 a -7p
Job Description:
Job Requirements
Education
- Bachelors of Science in Nursing (BSN) or Master’s Degree in Nursing (MSN) from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).
- For MFH Surgery Main: Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science Degree in Nursing (ASN) or Bachelor of Science in Nursing (BSN) required.
- Bachelor of Science in Nursing (BSN) preferred.
- For NMH Oncology: Electrocardiogram (EKG) course required.
- For NMH Ortho Neuro: National Institute of Health Stroke Scale (NIHSS) certification training required by the completion of orientation.
- Successful completion of annual mandatory education requirements.
Experience
- If the specialty is not listed, prior experience is required:
- Experience required:
- MJE Radiation Oncology: 3 to 5 years hospital or office experience with emphasis in oncology or med/surg nursing.
- NMH Palliative Care: Minimum 2 years related experience in RN role.
- NMH IV Team: 3 to 6 months on-the-job training in order to learn proper techniques and special equipment:
- Experience preferred:
- MFH Surgery Main: 2 to 5 years previous inpatient nursing experience and previous surgical experience.
- MJE Surgery Main: Previous surgical experience.
- MJE Behavioral Health Psych IP: 1 year hospital experience.
- NMH IV Team: Venipuncture experience.
License/Certifications
- Required:
- Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure.
- Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
- Preferred:
- Certification(s) in area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
- NMH & MWH & MFH Surgery Main: Certified Perioperative Nurse (CNOR)
- NMH & MWH & MJE Surgery Main: American Heart Association Advanced Cardio Life Support (ACLS).
- Rehabilitation: Certified Rehabilitation RN (CRRN) and Gerontological Nursing Certification (GERO.BC)
- NMH Oncology: ONS/ONCC Chemotherapy Immunotherapy Certificate Course and Oncology Certified Nurse (OCN).
Skills/Knowledge/Abilities
- Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
- Ability to multi-task and prioritize work assignments.
- Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
Physical Requirements
Weight Demands
- Medium Work - Exerting up to 50 pounds of force.
Physical Activity
- Occasionally Performed (1%-33%):
- Climbing
- Crawling
- Kneeling
- Sitting
- Frequently Performed (34%-66%):
- Balancing
- Carrying
- Crouching
- Distinguish colors
- Keyboarding/typing
- Lifting
- Pulling/Pushing
- Repetitive Motions
- Stooping/bending
- Twisting
- Constantly Performed (67%-100%):
- Grasping
- Hearing
- Reaching
- Seeing/Visual
- Speaking/talking
- Standing
- Walking
Job Hazards
- Not Related:
- Electrical Shock/Static
- Rare (1-33%):
- Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
- Occasionally (34%-66%):
- Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
- Equipment/Machinery/Tools
- Explosives (pressurized gas)
- Hazardous Drugs (exposure risks, personal protective equipment required)
- Frequent (67%-100%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
- Mechanical moving parts/vibrations
About Methodist:
Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.
Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.
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