RN OR Other
Sonoma Valley Hospital

RN - Operating Room Circulator (Per Diem)

Sonoma Valley Hospital Sonoma, CA 95476, US
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Overview

The Operating Room RN Circulator plans and performs all nursing care for patients who will undergo surgery and other invasive procedures. They provide nursing care from assessment to outcome evaluation. With this role, the RN Circulator is usually the single advocate for patient safety during operative procedures. The RN Circulator assists the team in creating and maintaining a comfortable and safe environment for the patient and observes the team from a wide perspective to provide safety within the period of the operation. 

Responsibilities

The circulating nurse is the patients primary advocate while they are undergoing surgery and are unable to speak for themselves. Must use critical thinking, nursing judgement, and integrity to speak up for the patient when needed.

 

Provides a safe and comfortable environment for surgery. Ensures patient is positioned and secured on the O.R. table in a neutral position advantageous for the surgery ensuring all limbs are in anatomical position, and skin is free of pulling, pinching, or shearing forces.

 

Prepares O.R. suite for surgery. Ensures all needed surgical and emergency equipment is present and operational before bringing patient into the room. Has all medications prepared and surgical counts performed with the surgical scrubbed person. 

 

Communicates with surgical team, surgeons, anesthesiologist, scrub techs, and coordinators to ensure all surgical needs have been anticipated and met before bringing patient into the operating room.

 

Conducts safety checks along the surgical continuum to ensure patient's chart is complete and accurate. Checks history and physicals, doctors orders, consents, and  preference cards, and charts completely and timely all info in ORM.

 

Ensures all members participate in surgical TIME OUT before start of procedure to ensure everyone is informed and ready to perform the correct procedure on the correct patient and all important information relative to the patient can be discussed before starting.

 

Acts as unsterile member of the surgical team. Brings all anticipated needed supplies and equipment into room before case and stocks the cabinets for quick retrieval. Acts as runner to get any need supplies that are not located inside of the surgical room.

 

Assists anesthesiologist with blocks, arterial lines, hanging blood products, induction, and intubation.  Fill supplies in anesthesia carts and turns over anesthesia machine when anesthesia tech is not available.

 

Dispenses medications to surgical technologist, surgeons, and anesthesiologists in a safe manner, verifies correct dosage, strength, route, and expiration date. Verifies patients allergies and home medications to ensure safety.

 

Provides conscious sedation for procedures as needed. Screens patients to ensure they are candidates for sedation. Monitors patient's vital signs and response to sedation medications. Monitors for over-sedation and gives reversal medications as needed.

Qualifications

Education: Current RN License; BSN preferredExperience: Minimum 1 year in Operating Room EnvironmentLicenses & Certifications: Current California RN license, ACLS; BLSRequired Skills & Knowledge: Excellent written and verbal communication skills, must have the ability to read and comprehend written instructions to interpret medical orders and medical records. Able to utilize deductive reasoning, common sense and critical thinking to problem solve and demonstrate the ability to make independent, appropriate judgments based upon evidence based practice.

Compensation

Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package.

Minimum:

USD $68.93

Maximum:

USD $94.78

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ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $66.03 - $99.04 Work Shift: 10 Hour (days) (United States of America) Scheduled Weekly Hours: 40 Job Description Summary: The Utilization Review Nurse is responsible for completion of admission, concurrent and retrospective reviews for designated health plans. This function includes appropriate application of standardized criteria and concurrent documentation. As appropriate, the UR nurse will assess for clinical stability and coordinate transfer back to Marin General for continued care when patients are admitted to non-contracted hospitals. The UR nurse is also responsible for initial RAC review prior to submission to Physician Advisor and will appeal medical necessity denials. Denials submitted to the case management department from Patient Financial Services will be reviewed to determine if the medical record has sufficient medical necessity documentation prior to a written appeal. The UR nurse will escalate cases to the Medical Director (as necessary) to ensure the provision of appropriate and effective patient care. Job Requirements, Prerequisites and Essential Functions: EDUCATION Bachelor of Science degree in Nursing preferred EXPERIENCE 1. Three (3) or more years of experience in an acute patient care setting preferably in medical/surgical or critical care. 2. Substantial recent experience in utilization review and/or discharge planning in an acute care setting is strongly preferred. 3. Experience in applying evidence based criteria related to utilization management. 4. Experience using case management software LICENSURE AND CERTIFICATIONS Registered Nurse Required at hire Basic Life Support Required at hire PREREQUISITE SKILLS 1. Must have the ability to read, write, and follow English verbal and written instructions, and have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills. 2. Able to carry out review function and access medical records. 3. Must have the ability to work independently with a minimum of direction, anticipate and organize work flow, prioritize and follow through on responsibilities. 4. Utilization review/discharge planning services appropriate to patients with complex 5. Strong attention to detail and accuracy is required. 6. Must have the ability to work in a high volume case load environment and deal effectively with rapidly changing priorities. 7. Demonstrated ability to work constructively with a broad spectrum of health care professionals is required. 8. Must be assertive and creative in problem solving, system planning and management. 9. Proficient computer skills are required including use of Electronic Health Record. Microsoft Office Suite Products. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.