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At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!

FTE: 1.000000

Shift: Days

Location: RIVERSIDE MEDICAL CENTER

 

Summary:

The registered nurse in the OR department is responsible for the administration of the total nursing care within the OR physical environment, administrative structure and according to established policies and procedures. Provides optimum patient care through performance and or leadership of subordinate personnel. The RN uses the nursing process to assess the patient, identify desired outcomes, formulates nursing diagnosis, chooses a plan of care, implemnts or delegates inveterventions and evaluates outcomes of the care provided. Among many of the responsibilities, the nurse manages patient positioning, antimicrobial skin preparation, medications, implants, specimens, warming devices, and surgical counts.

Experience/Education Requirements:

Graduation from an approved school of nursing, BSN preferred.  As of 1/1/18 must obtain BSN with 4 years of hire or transfer.Completion of RMC mandatory inservices, upon hire and yearly.Completion of 6 hours of continuing education per year desirableCompletion of 6-12 week minimum basic OR orientation with the OR department orientation with preceptors and continued orientation with preceptors.

License or Certification Requirements:

Current RN License with the Illinois State Board of Examiners.Current CPR training preferred

 

Responsibilities:

Actively reviews the patient's chart and addresses all outstanding issues for IP/OPSDetects and collects comprehensive data and identifies patterns pertinent to the patient's health and unique situation.Effects changes through engagement, involvement, and participation of peers and colleagues, leading others where they need to be rather than where they want to go (American Nurses Credentialing Center [ANCC]).Evaluates one's own nursing practice in relation to the Illinois Nurse Practice Act and professional practice standards guidelines.Implements the identified care plan based on the nursing process, out nursing mission and philosophy, and our organization's missionAssists in room turnover and preparation for cases and terminal cleaning at the end of the day.Completes damp dusting and outdating as assigned before the end of the month.  Removes all expired items from circulation.Maintains knowledge of proper use of the equipment and reports malfunctioning devises and takes it out of service and reports it to the desk facilitator.Mentors others in all aspects of nursing practice and participates in precepting of new nurses.Promotes team work through and inclusion of staff in every interaction and training.Proper handling and verification with the surgeion.  Places OR Specimen sticker on all specimen containers excluding culturettesUnderstanding of isolation precautions and protocols for the OR, gowning and gloving as appropriate with proper signage and cart placed outside the OR room

Responds to call as assigned within the 30 minute response time. Is mindful to relieve previous shift on time.

Take assigned call weeknights (1-2 days), weekends (every 3rd to 5th weekend) and holidays on a rotation basis. 

 Follows proper medication administration following the 7 rights. Verifying expiration date with scrub staff and ensuring proper labeling as it is being given onto the sterile field.

 Maintains aseptic technique through gowning and gloving.

 Assists surgeon by second scrubbing into cases and passing instruments and draping appropriately.

 Opens sterile supplies properly and helps to set up the back table

 Recognizes instruments and trays and can help to identify what is needed in a specific procedure

 Assists surgeon by second scrubbing into cases and passing instruments and draping appropriately.

Attained the proper training to effectively scrub in cases or has actively sought out training.

 Responds to constructive criticism by making strides to improve and grow in their nursing skills.

 Identifies areas of personal/professional growth and seeks out additional training.

 Works collaboratively with entire OR team to ensure safe patient care and open communication while maintaining a positive and professional attitude.

 Adheres to policies and procedures and maintains up to date on changes.

Remains supportive of changes related to process improvement. Actively participates in staff discussions by providing solutions and suggestions to improve processes.

Reviews the communication book updates when unable to attend morning meeting.

Promotes team work and the inclusion of new staff or other staff training in one’s specialty.

Utilizes the “CUS” acronym and observes and reports pertinent patient information to the charge nurse or circulating RN.

Ensures patient safety is the primary priority.

Mentors others with strict adherence to policy, procedures, and behaviors.

Understands and utilizes the error reporting system is not punitive, but a tool to promote process improvement

Understands that role is not limited to what is listed in the job description and that team work is defined by doing whatever is necessary to promote efficiencies and provide safe patient care.

 

 

Credentials:
Essential:
* Registered Nurse

 

Education:
Essential:
* BACHELOR SCIENCE NURSING

 

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

 

Other information:

Exposure/Sensory Requirements:

Exposure to:
Chemicals: Disinfectants, No Tox, Steris Sterilant, glutaraldehyde
Video Display Terminals: Average
Blood and Body Fluids: Extreme potential for exposure with each surgical procedure.  Universal precautions followed on all procedures greatly reducing the risk to the OR personnel.
TB or Airborne Pathogens: Extreme potential for exposure with each surgical procedure.  Universal precautions followed on all procedures greatly reducing the risk to the OR personnel.
Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Required to communicate with surgeons, anesthesia personnel, patients and co-workers.
Vision: Required to assist surgeons with scrubbing and circulating.  Many OR procedures require keen visual observation because of the size of suture material used/instrumentation used.  It is necessary to perform patient assessment, medical administrations, observe video monitors, etc.
Smell: Helpful to note presence of incontinence, vomitus, blood; electrical/fire safety.
Hearing: Necessary to hear patient's concerns, to hear surgeons during procedures, to hear intercom for help in a room, hear alarms, i.e., fire, code 99, etc.
Touch: Necessary to comfort patients, hand instruments during procedures necessary to operate controls on equipment.

Activity/Lifting Requirements:

Average Hours per Week:  6-40

Variable for 24 hour coverage

Percentage of time during the normal workday the employee is required to:

Sit: 10%
Twist: 4%
Stand: 40%
Crawl: 0%
Walk: 25%
Kneel: 1%
Lift: 10%
Drive: 0%
Squat: 1%
Climb: 1%
Bend: 30%
Reach above shoulders:  3%
The weight required to be lifted each normal workday according to the continuum described below: 
Up to 10 lbs: Frequently
Up to 20 lbs: Frequently
Up to 35 lbs: Frequently
Up to 60 lbs: Occasionally
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required
Describe and explain the lifting and carrying requirements.(Example: the distance material is carried; how high material is lifted, etc.):

Lifting of patients off their beds that are unable to move independently is done with assistive lifting equipment.  Horizontal movement of patients to and from carts/beds who are unable to move independently is done with assistive lifting equipment.  Lifting equipment - carry 25'-150' waist high (IV bags, patient trays).  Carry charts 25'-150' waist high.  Filled laundry bags are filled half full so as not to weigh over 35 lbs.  Carry fire extinguishers up or down 3-4 flights of stairs and several yards in an emergency.
Maximum consecutive time (minutes) during the normal workday for each activity:
Sit:  30
Twist: 15 
Stand: 60
Crawl: 0
Walk: 10
Kneel: 0
Lift: 5
Drive: 0
Squat: 2
Climb: 1
Bend: 15
Reach above shoulders: 2

Repetitive use of hands (Frequency indicated):  
Simple grasp up to 10 lbs. Normal weight: < 5#
Pushing & pulling - 50-200 lbs:  Occasionally
Fine Manipulation: Typing in computer, omnicell, using pens to chart, drawing up meds in syringe and administration, starting IVs.
Leg Strength - up to 50 lbs:  Occasionally-(repetitive use of foot or feet in operating machine control:  utilized in positioning beds during transport; x-ray, surgery or in an emergency situation from floor to floor, locking beds or cardiac chairs.)

Environmental Factors & Special Hazards

Environmental Factors (Time Spent)
Inside hours: 8-10
Outside hours : 0

Temperature: Normal Range
Lighting: Average
Noise levels: Average
Humidity: Normal Range
Atmosphere: Odors

Special Hazards: Mechanical, Electrical, Chemical - Laser plumes, steris machine sterilant, flash sterilizer-steam, bovies, other electrical equipment, glutaraldehyde, compressed air tanks, O2, CO2, Nitrous
Protective Clothing Required: X-ray aprons, thyroid shields, gowns, gloves, masks, shoe covers, goggles, face shields.