RN OR Full-time

Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.   

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

Personalized care together with advanced technology is what it means to be Community Strong

Responsibilities

The Operating Room Registered Nurse  is responsible  and  accountable  for  the  delivery  of patient  care utilizing the Nursing Process.  She/he implements the Nursing Service standards of care and practice, as appropriate to the ages of the patients served and the areas of clinical practice. Exhibits critical thinking in the assessment, planning, prioritization, delivery and evaluation of patient care. Documents data collection  and identifies individualized   patient/significant   other learning needs and implements appropriate measures to meet needs. Demonstrates knowledge, respect and sensitivity of patient's rights.  Serves as a patient advocate.  Assures confidentiality of patient information.  Maintains effective communication with staff, physicians, patients and families, also within the unit and with other departments.  Utilizes opportunities for clinical learning and participates in continuing education activities to meet established requirements and for own professional development.  Inspect room to ensure room is ready for appropriate surgical procedure. Check patients chart prior to surgery to ensure proper consent, identification, and medical chart is present. Mark correct surgery site. Available to anesthesia during intubation. Ensure correct surgical instrument or any other foreign matter.  Responsible for calling time out before surgery.  Anticipates the needs of surgeon, anesthesiologist and scrub nurse.  Performs scrub nurse duties as assigned. Position will work at both the Dobbs Ferry and Andrus Pavilions.

Qualifications

Bachelor’s Degree in Nursing preferred. Currently licensed and registered to practice as a Registered Professional Nurse in New York. Operating Room experience required.

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Job Summary Follows the nursing process from preoperative holding area to PACU; communicates with surgeon and anesthesia care provider about relevant patient medical/surgical history and medication allergies; pulls supplies, instruments, and equipment needed for surgical case; opens surgical case with scrub technologist, maintaining aseptic technique; counts with scrub technologist prior to incision; performs the Time Out; is at the patient’s side during induction and intubation and extubation; safely positions patient with health care team; obtains additional supplies, instruments, and equipment as needed; performs final counts and makes sure they are correct; accurately documents and charges patient; gives report to PACU nurse with anesthesia care provider; performs biological testing for OR autoclaves, knowledgeable of immediate use steam sterilization policies and principles. Follows recommended practices of AORN. Essential Functions The Perioperative Registered Nurse is responsible for providing quality nursing care utilizing the nursing process as reflected in AORN Standards of Perioperative Nursing Practice. Perioperative nursing practice includes, but is not limited to the role of scrub person, circulator, clinical coordinator and educator. Provides Safe and Appropriate Nursing Care to Patients Utilizing the Nursing Process and Demonstrates the Ability to Perform Clinical/Technical and Administrative Tasks Coordinates use of instruments, supplies and equipment for intraoperative phase based on patient’s needs and surgeon’s preference card Systematically assesses the health status of the patient and records health data Assesses knowledge level of patient preoperatively and provides basic teaching related to procedure and monitoring Is proactive in the Time Out process to be sure the patient’s procedure is performed on the correct site, side, and level Establishes nursing diagnoses; plans, implements, and evaluates nursing interventions – initiates changes when appropriate Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources Performs interventions to protect patient from surgical site infections Maintains patient’s normothermia Properly labels specimens and requisition forms Demonstrates flexibility and adaptability to changes as they occur Adheres to hospital policy for sponge counts, sharps, and instrument counts; protects patient from retained surgical items Provides education consistent with the patient/family’s learning abilities and preferences; evaluates outcomes Effectively Communicates with Physicians, Co-workers, Patients, Families Reports pertinent observations regarding patients to physicians and other health care team members Hand-off report is given accurately and concisely; hand-off paperwork is completed Documentation on the patient’s medical record is accurate, complete and concise to ensure continuity in the provision and coordination of patient care Patient advocate – ethical and moral decision making per patient or family member’s wishes Uses problem solving and conflict resolution skills to foster effective work relationships with team members Patient Safety Completes the Pre-Procedure form so that problems can be anticipated and corrected prior to the patient entering the OR Maintains National Patient Safety Goals, including participation in the Time Out process Verifies, coordinates and carries out physicians orders/preferences accurately Coordinates interdepartmental transfers smoothly and efficiently Coordinates interdepartmental activities related to SCIP measures to ensure timely efficient care Communicates and coordinates with coordinator and other nurses to ensure timely discharge, patient satisfaction, and quality care along the continuum of care Practices Standard Precautions Demonstrated knowledge of and practices department safety procedures, including safe handling of equipment and hazardous substances Responds to emergency situations to promote optimal patient outcomes by recognizing changes in the patient’s health status Initiates incident reports appropriately Administers Medications in an Accurate and Timely Manner Follows the 5 “rights” when administering medications (patient, route, time, dose, med) after checking for allergies Uses 2 patient identifiers before administering medications Initiates and effectively maintains IV therapy Participates in Quality Improvement Acts as a resource and mentor for others Verbalizes unit specific quality improvement projects Verbalizes hospital-wide quality improvement initiatives Collects, interprets or relays quality improvement data for the unit Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. 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