||OR Registered Nurse
Coordinated Health (CH) is a privately held, physician-owned acute-care hospital network in eastern Pennsylvania and western New Jersey. CH’s focused regional network has 1,200 employees at 17 sites with an ambulatory-based continuum of care. Access is provided
by specialty hospitals, ambulatory surgery centers, transitional care units, multi-specialty clinics and walk-in centers. Service lines include musculoskeletal care, cardiology, women’s health and immediate and primary care, endocrinology, rheumatology, and
general surgery. In Bethlehem, CH has exclusively earned the U.S. government’s new 5-star top CMS rating for hospital patient service, has earned top safety and patient satisfaction scores from HealthGrades.
- Performs the duties and responsibilities of a circulator and can function as a scrub.
- Prepares the OR for the patient by obtaining the proper equipment and supplies for the procedure by referring to the appropriate pick list.
- Utilizes aseptic technique to prepare each procedure. Checks all instrumentation and equipment prior to use.
- Anticipates the needs of the surgeon.
- Performs all sponge, needle, sharps and other required counts.
- Ensures the safe disposal of all sharps.
- Adheres to the principles of Standard Precautions as outlined in the Infection Control Manual.
- Uses supplies in a cost-effective manner. Does not open supplies until it is determined to be necessary.
- Participates in the evaluation of new products.
- Knowledgeable in regards to the computer system, demonstrating an ability to print schedules, access and change pick lists and preference cards.
- Demonstrates knowledge of and the ability to assist with the equipment and supplies related to emergent patient care, for example: the defibrillator and crash cart.
- Delivers and/or administers medications as ordered and performs appropriate identification, verification, labeling and documentation of medication administration.
- Responds to life-saving situations and according to nursing standards and protocols as well as hospital policy.
- Maintains an adequate inventory of supplies for all surgical procedures, maintains par levels, and orders supplies as per the policy of the facility.
- Cleans and maintains surgical instruments.
- Performs appropriate corrective action when necessary including removing broken equipment from use and sending them for repair as per the standards of the facility.
- Functions independently in the cleaning, disinfection, and sterilization of all equipment.
- Understands how to operate all of the sterilizers and washers in the facility and understands the principles behind each application.
- Acquires and maintains current knowledge in nursing practice.
- Interacts with and contributes to the professional growth of peers, colleagues, and others.
- Serves as a communication liaison and collaborates with the patient, family, health care team, and others in the conduct of professional nursing practice
- Uses research findings in evidence based practice.
- Considers factors related to safety, effectiveness, efficiency, environmental concerns, and cost in planning and delivering patient care.
During the surgical procedure OR Nurses can take the role of Circulating Nurse, with the following duties:
- Assists in positioning and responding to comfort/safety of patient
- Provides for accurate care and handling of specimens
- Observes and enforces strict standards of asepsis
- Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly
- Documents all care information concisely, accurately and completely, in a timely manner, and in the appropriate format
During the surgical procedure OR Nurses can take the role of Scrub Nurse with the following additional duties:
- Performs surgical scrub and is able to don gown and gloves utilizing aseptic technique.
- Gowns and gloves surgical team members utilizing aseptic technique.
- Sets up the sterile table and mayo stand with appropriate supplies, instruments, medications and solutions necessary for the surgical procedure.
- Selects and handles instruments and supplies used for the operation, passing them to surgeon.
During the surgical procedure the RN can take the role of Second Assistant with the following additional duties:
- Holds retractors or instruments as directed by the surgeon.
- Sponges or suctions operative site.
- Applies electro cautery to clamps on bleeders.
- Cuts suture material as directed by the surgeon.
- Connects drains to suction apparatus.
- Applies dressings to closed wound as directed by the physician.
During the surgical procedure OR Nurses can take the role of RN First Assistant, if qualified and under the direct supervision of the surgeon, with the following additional duties:
- Assist with positioning of the patient and have the ability and knowledge to appropriately use the equipment necessary to provide the positioning.
- Provide visualization of the operative site by the following:
- Packing with sponges
- Appropriate placement and securing of retractors with or without padding
- Digital manipulation of tissue
- Suctioning, irrigating, or sponging
- Manipulation of suture materials (e.g., loops, tags, running sutures)
- Proper use of body mechanics to prevent obstruction of the surgeon’s view
- Utilizing appropriate techniques to assist with permanent and temporary hemostasis
- Participating in volume replacement or auto transfusion techniques as appropriate
- Utilizing appropriate techniques to assist with closure/suturing
- Injection of local anesthetic per surgeon’s directive
- Selecting and applying appropriate wound dressings
- Secure drainage systems to tissue
Experience, Knowledge, and Education Requirements
- Registered Nurse with current license to practice in the State of Pennsylvania or seek Pennsylvania licensure through reciprocity.
- One year nursing experience preferred.
- Evidence of successful completion of ACLS
- Evidence of successful completion of BLS.
- CNOR preferred.
- Basic computer skills preferred.
- Each campus may have cross-functioning requirements.
- Works effectively with others.
- Possesses the ability to work under pressure.
Why Coordinated Health:
- The Coordinated Health Experience: Our teams are committed to treating every patient with respect and genuine compassion.
- Convenience: We work around our patient’s lives and busy schedules. Most of our facilities are open 7-days a week, with extended evening and weekend hours.
- Coordinated and Integrated Care: We work in close connection with CH physicians as well as outside referring providers to facilitate the delivery of care through a system wide electronic health record and PACs system. We provide the answers physicians
need to initiate treatment faster.
- World-Class Hospitals: Our hospitals and out-patient facilities work together as cross-functional teams. Our physicians are part of Coordinated Health’s multidisciplinary teams in: Orthopedics, Joint Replacement, Spine, Sports Medicine, Foot & Ankle, Hand
& Wrist, Gynecology, Breast Care, Cardiology, and Primary Care.
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