Fulltime Surgery Registered Nurse (RN)

FCMC; Charles City (IA); In loco; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

FCMC is seeking a skilled Surgery RN to deliver perioperative nursing care across neonatal to geriatric patients. You will collaborate with the surgical team to ensure safety, accuracy in charting, and optimal outcomes through all phases of care.

Responsibilities include educating patients pre-op, assisting during procedures, and ensuring proper discharge instructions. Iowa RN licensure and BLS/ACLS/PALS are required; 2+ years acute care experience is preferred.

Competenze

• Requires RN licensure in Iowa and active BLS/ACLS/PALS certifications.
• Minimum one year surgery experience preferred; two years acute care nursing experience required.

Mansioni

• Provide comprehensive perioperative nursing care for a broad age range of surgical patients.
• Assist surgeon and anesthesia team during procedures while maintaining sterile technique.
• Lead and document time-outs, patient charting, and post-op handoffs to PACU.

Conoscenze

Team collaboration

Patient education

Clinical judgment

Documentation

Formazione

Associate Degree in Nursing

Descrizione del lavoro

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Department:

Surgical Services: Pre-op, Post-op, PACU, Circulator Nursing

Description

Position Overview

The Surgery RN is responsible for providing comprehensive perioperative nursing care to surgical patients across all age groups — from neonates to geriatric. The RN collaborates with the surgical team to ensure patient safety, proper technique, and optimal surgical outcomes.

Essential Duties and Responsibilities

Nursing Process

• Provide pre-operative education to patients and families.
• Explain surgical principles, goals, and instructions.
• Utilize individualized teaching strategies.
• Confirm patient identity, chart completeness, and procedure site.
• Supervise care and staff in the assigned operating room.
• Assist the surgeon and anesthesia team during procedures.
• Maintain and ensure sterile technique and best practices.
• Participate in evaluating and improving standards of patient care.
• Identify and address inappropriate care practices.
• Mentor and supervise assigned personnel.
• Communicate effectively with staff and patients.
• Engage in ongoing professional education and development.
• Monitor and intervene in environmental safety concerns.
• Evaluate and suggest improvements for OR procedures, supplies, and equipment.
• Stay current with trends in perioperative nursing.

Same Day Surgery (SDS)

• Ensure completion of nursing assessments and consent forms.
• Confirm all pre-op orders are completed.
• Administer and document medications.
• Initiate IV lines and fulfill pre-op requirements.
• Document vital signs and pre-op data in the patient chart.
• Alert anesthesia and surgeons of abnormal pre-op results (e.g., labs, vitals, EKG).
• Complete discharge processes as per surgeon’s orders.
• Deliver clear discharge instructions and verify patient understanding.

Circulating Nurse Duties

• Prepare OR using surgeon preference cards.
• Assess and meet patient’s physical, emotional, and safety needs.
• Lead and document surgical time-out.
• Complete patient charting and OR records.
• Perform counts of sponges, sharps, and instruments with the scrub nurse.
• Label and dispatch specimens correctly.
• Document all medications used intraoperatively.
• Provide accurate post-op handoff to PACU nurse.
• Set up recovery area for incoming patients.
• Monitor patients during anesthesia recovery.
• Record vital signs and assess post-anesthesia condition.
• Address symptoms like pain or nausea.
• Communicate patient status to surgeon and anesthesia provider.
• Enter vital data into the patient record.
• Provide thorough hand-off reports.

General RN Responsibilities

• Report changes and updates in OR activity to appropriate team members.
• Notify staff of surgery schedule changes.
• Prepare surgical suites and equipment for upcoming procedures.
• Transport patients when available.
• Demonstrate proper use of standard precautions.
• Uphold infection control practices and hospital protocols.

Minimum Education and/or Experience Required

• Associate Degree in Nursing (minimum)
• Minimum one (1) year surgery experience preferred.
• Two (2) years acute care hospital nursing experience required.

Additional Qualifications

• Sound understanding of nursing theory and evidence-based practice
• Ability to make clinical judgments and assume responsibility
• Strong computer and documentation skills
• Legible handwriting and ability to print clearly
• Mandatory Reporter certified
• Team-oriented with effective communication skills
• Strong organizational and time management abilities
• Ability to handle difficult or emotional situations with tact and composure

Licensure/Certification Required

• Current RN license in the State of Iowa
• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Completion of Rhythm Interpretation Class
• IV Therapy Training

Physical/Cognitive Requirements

• Sit: Frequent
• Stand: Frequent
• Walk: Frequent
• Lift:
  • 10 pounds Frequent
  • 25 pounds: Occasionally
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Carry:
  • 10 pounds: Frequent
  • 25 pounds: Occasionally
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Push/Pull:
  • 10 pounds: Frequent
  • 25 pounds: Occasionally
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Squat/Kneel/Crouch: Frequent
• Climb: Occasionally
• Balance: Frequent
• Twist: Frequent
• Crawl: Occasionally
• Grasp/Grip: Frequent
• Talk: Frequent
• Hear: Frequent
• See: Constant

*Anything greater than 50 pounds- assist of two or more, or mechanical lift are required.

• Exposure to communicable diseases and bodily fluids
• Well-illuminated, climate-controlled environment
• Moderate noise level with occasional equipment operation
• Physical stamina for long periods of standing and patient care

Organizational Relationships:

Member of surgical services team