Job Summary

Provides direct and indirect patient care in the Perioperative care setting. Assesses patients, using nursing judgement and appropriate screening protocols to determine unmet healthcare needs. Applies nursing diagnoses to define unmet needs. Organizes interventions to address identified needs, including facilitating referrals, obtaining medical orders, or providing education and case management support for the patient. Effectively communicates identified needs and care plan with the multidisciplinary care team including surgeons, anesthetists, pharmacists, social workers, case management, and more. Evaluates the effectiveness of interventions and adjusts the care plan accordingly.

Essential Functions

• Perform patient assessment considering needs specific to the standard of care for patient’s age. Uses appropriate screening tools effectively.
• Demonstrates understanding of pathophysiology, disease processes, and treatment standards. Applies nursing diagnoses to identified needs.
• Formulates a care plan based upon identified needs and facilitates interventions and referrals as appropriate.
• Performs interventions in a competent manner, applying evidence-based standards of care and protocols to guide actions. Knowledgeable regarding medications, indications, interactions, and contraindications, considering age of the patient and their clinical condition. Evaluates effectiveness of all interventions.
• Ability to care for patients across the perioperative continuum, including pre-anesthesia screening, pre-operative preparation, intra-operative circulation, post-operative monitoring, and discharge.
• Formulates individualized teaching plans, evaluating effectiveness of learning. Patient and family interactions are professional.
• Familiar with Policies, Procedures, and Protocols. Care and Documentation meets current standards of practice and complies with all such guidelines.
• Other duties as assigned to support the overall effectiveness of the department and organizational performance in accordance with Curry Health Network's Mission, Vision, and Shared Values.

Minimum Job Requirements

• Current Unencumbered Oregon State Registered Nurse Licensure is required. BSN Preferred.
• Current BLS, ACLS, PALS (or ENPC), and TNCC (Emergency Nurse Association) or ATCN are required; NRP Advanced (American Heart Association) and STABLE certifications are preferred. (May obtain PALS or ENPC and TNCC or ATCN within 6 months of hire).
• Minimum of 1 year experience in perioperative setting required. Demonstrated competency in OR circulation is required.

Required Knowledge, Skills & Abilities

• Computer skills are required, specifically using MS Office (Word, Excel, Outlook); prior use of an Electronic Medical Record (EMR) for documenting in patient records is preferred.
• Excellent communication skills, clinical judgment, critical thinking, and organizational skills.
• A demonstrated ability to work well in high pressure situations is required.
• Represent the organization in a positive and professional manner.

Physical Requirements

Physical Demands

On-the-job time is spent in the following physical activities:

• None of the time: taste or smell
• Up to 1/3 of the time: Sit, stoop, kneel, crouch or crawl
• Up 2/3 of the time and more: Stand, Walk, Talk or Hear, Use Hands to finger, handle or feel, reach with hands and arms

This job requires that weight be lifted, or force be exerted as follows:

• None of the time: more than 100 pounds
• Up to 1/3 of the time: up to 100 pounds
• From 1/3 to 1/2 of the time: up to 10 pounds
• Up to 2/3 of the time and more: no requirement

Work Environment

This job requires exposure to the following environmental conditions:

• None of the time: Extreme heat/cold; Wet/humid; fumes/airborne particles; work with explosives; vibration; outdoor weather
• Up to 1/3 of the time: near moving mechanical, risk of Radiation
• From 1/3 to 1/2 of the time: no requirement

The typical noise level for the work environment is: very quiet to moderate noise.

Hearing requirements: ability to hear alarms on equipment, patient call and instructions.

This job requires the following repetitive motion actions:

• From 1 – 2 hours per day: firm/heavy grasping
• From 3 – 4 hours per day: no requirement
• From 5 – 6 hours per day: no requirement
• From 7+ hours per day: fine dexterity, repetitive use of hands, grasping simple, light

This is designated as a hard to fill position. Please refer to policy HR-A37.