Registered Nurse Operating Room

Department of Veterans Affairs

The Perioperative Operating Room (OR) Registered Nurse (RN) is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/invasive procedure. The OR RN plans, directs, and coordinates the care of every patient undergoing operative and other invasive procedures, taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's well-being.

• The Operating Room Perioperative Registered Nurse assumes the following roles and responsibilities: 1. Functions in the role of circulator, scrub, pre-op holding, OR/SPS liaison, and charge nurse. Effectively plans/coordinates patient treatment, flow, and throughput with daily staffing resources; makes assignments and directs staff activities based on patient needs, acuity, staff competency and skill-mix. 2. Provides 1:1 patient care and competently manages patients with complex diagnosis requiring surgical intervention. 3. Manages critically ill patients where anesthesia or moderate sedation is needed or used. 4. Supervises allied health care providers and support personnel with appropriate authority. 5. Reviews the qualifications and competence of privileged providers/staff who provide patient care services. 6. Applies the nursing process (assessment, diagnosis, outcome identification, planning, implementation, and evaluation) to all aspects of patient care. 7. Performs duties of Service Leader/Alternate Service Leader as assigned with a comprehensive understanding of the assigned specialty. 8. Participates in the orientation of new personnel, assists staff in development of scrubbing and circulating skills to provide an optimal care environment for the patient. 9. Participates in training for self and others for professional development activities aligned with VA mission, goals, and objectives. 10.Demonstrates an ability to be flexible, organized and function under stressful situations, adjusts to the uneven workflow and changing priorities of the surgical suite. 11.Safely and effectively participates in the resuscitation of a patient during a code blue or rapid response situation, including the use of the biphasic defibrillator, when needed. 12. Handles multiple projects and duties simultaneously, prioritizing as needed. Identifies potential and actual problems involving resources and/or safety. 13.Inventories and reviews the surgical case cart contents with the selected surgeon's preference card, prior to the surgical huddle and/or surgical block huddle. 14.Participates in the Pre-Op Briefing "Huddle." 15.Communicates and anticipates the needs of the surgical team members (surgeons, anesthesia, residents, surgical technologists, health techs, anesthesia techs, etc.). 16.Communicates with Escort service and the Blood Bank for delivery, storage and return of blood and blood products. 17.Assures emergency equipment and supplies are always available. 18. Ensures detailed turnover with relief personnel for breaks, lunch relief and end of shift relief. 19. Conducts a post-operative debriefing with the attending surgeon at the end of the procedure. 20.Demonstrates competency with urinary catheter insertion and maintenance during procedures. 21. Demonstrates effective interpersonal communication skills and professional behaviors that promote cooperation and teamwork with internal and external customers. 22. Demonstrates leadership in safe work practices. 23. Monitors economic use of supplies and equipment. 24. Checks the autonomic dysreflexia kit, crash cart, defibrillators, and temperature and humidity of rooms where reusable medical equipment is stored as assigned. 25. Participates in shared governance, team meetings, and process improvement activities, monitors results, and advocates for self and staff compliance to regulatory requirements. 26. Uses knowledge and demonstrates leadership in using resources (services, equipment, and supplies) in collaboration with other departments and Nurse Managers to improve quality of patient care. 27. Actively participates in at least one unit based, nursing, or hospital-wide committee. 28. Demonstrates ability to utilize computer systems in the performance of daily duties. 29. Submits timely (within 24 hours) JPSR's in an SBAR format and notifies supervisor and provides details of JPSR. 30. Provides constructive and timely input on performance appraisals. 31. Achieves or maintains certification in perioperative nursing. 32. Performs other duties as assigned. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday-Friday, PM Shift, 0830-1900, 1030-1900, call required Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Available Permanent Change of Station (PCS): Not Available

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