Surgery Registered Nurse

Fillmore-County-Hospital; Geneva (NE); On-site; USD 65,000 - 90,000; Full time

Job summary

Fillmore County Hospital is seeking a Registered Nurse for the Operating Room. You will perform comprehensive perioperative care, support sterile technique, and advocate for patients during surgical procedures.

The role requires Nebraska RN licensure, BLS, and ideally one year of surgery experience in a rural setting; ACLS preferred. On-call weeknights and weekends are required for OR staff, with hours 7:00 a.m. to 3:30 p.m. on weekdays.

Qualifications

• Graduate from an approved school/college of nursing.
• Must be licensed as a Registered Nurse in Nebraska.
• Minimum one year of surgery experience in a rural health setting.
• Basic Life Support (BLS) required; ACLS preferred.

Responsibilities

• Perform nursing care using the nursing process to assess, plan, intervene and evaluate patient care.
• Provide safe, therapeutic care during surgical intervention with sterile technique.
• Document assessments, interventions and outcomes, ensuring accurate shift handoffs.
• Communicate effectively with the health team and report changes promptly.
• Administer medications and monitor safety; follow HIPAA and privacy policies.

Skills

Surgical nursing

Nursing process

Patient education

HIPAA compliance

Team communication

Emergency readiness

Education

Bachelor's degree in Nursing

RN license Nebraska

BSN preferred

ACLS preferred

Tools

IV pumps

Monitors

EMR systems

Job description

Operating Room hours are approximately 7:00 a.m. to 3:30 p.m., Monday-Friday. On-call hours are required on weeknights and weekends for OR staff.POSITION PURPOSE:Provides, prescribes, delegates and coordinates nursing care with other health care providers to meet holistic needs of patients.QUALIFICATIONS:Graduate from an approved school/college of nursingCurrently licensed as a Registered Nurse license in the State of NebraskaMinimum one year surgery experienceMinimum one year experience in rural health nursingBasic Life Support (BLS)Bachelors degree in nursing preferredAdvanced Cardiac Life Support (ACLS) preferredGENERAL REQUIREMENTS:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:Ability to add, subtract, multiply, and divideAbility to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, safety rulings, operational and maintenance and organizational policies / proceduresAbility to write reports and correspondenceAbility to effectively present information to patients, families, employees, health care providers, etc...Ability to work cooperatively and communicate effectively to maintain good working relationships with staff and health care providersAbility to work with skill in identifying problems; making frequent decisions regarding method of performanceEQUIPMENT, TOOLS, MATERIALS:CalculatorComputer and printerFax and copy machineGeneral office materials/suppliesInformation SystemsTelephone systemAll Patient Care EquipmentIV pumps, lifts, beds, monitors, computers, glucometers, oximeters, pneumatics, CPM, etc.SECURITY/ACCESS:Will have access to the facility 24 hours a day.Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.Essential Job Duties and Responsibilities1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes.Performs complete admission assessment, including full body system analysis and home med reconciliation process for med-surgical, obstetrical, newborn, pediatric, ER and outpatients.Performs patient/family teaching for assessed knowledge deficits.Evaluates patient progress toward desired outcomes prior to discharge.Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.2. Implements and provides safe and therapeutic care for patients during surgical intervention.Utilizes and assures principles of sterile technique based on knowledge and observation of practice.Demonstrates knowledge of surgical techniques, terminology, and use of equipment.Acts as a patient advocate even in the face of criticism or non-compliance.Maintains a quiet therapeutic environment in the OR.Anticipates needs of the surgical team.Maintains an orderly neat, organized and stocked work area.Sets priorities based on changes in patient status, potential problems and unusual occurrences.Assists in change process for improvement in regulatory compliance, infection control, patient safety, customer service or employee satisfaction.Demonstrates the safe practice of medication administration.3. Performs and maintains documentation.Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.Completes shift end check with another nurse prior to leaving duty.4. Communicates effectively.Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfactions needs and recommendations for meeting identified outcomes.Follows approved shift report format when communicating patient information.Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.5. Promotes and ensures patient safety in performance of all responsibilities.Administers medications, treatments and procedures in a timely and safe manner according to physician orders and nursing policy, (including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments).Demonstrates proficient technical/clinical skills and operational knowledge of equipment on unit.Informs and involves manager regarding patient care issues in a timely and appropriate manner.Utilizes proper body mechanics, transfer/lifting techniques and appropriate equipment to minimize fall risk to patient and injury to self.6. Follows HIPAA regulations and ensures that the confidentiality of patients medical, personal, financial records, employee records, and organizational records is maintained.7. Participates in FCH committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations.8. Complies with the state and federal regulatory requirements related to the performance of FCH operations and requirements of the FCH Compliance Program. Including but not limited to:The Compliance Policy.Completes all mandatory on-line training annually and as assigned.All department and organization-wide policies.Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Nebraska regulations and discusses concerns appropriately to ensure compliance.9. Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops.Seeks opportunities for continued growth and performance improvement.Always maintains a professional appearance and manner.Dependable and completes work in a timely manner.Demonstrates an understanding and emphasis on quantity, quality and knowledge of duties and tasks.10. Performs other duties as assigned.Essential Standards of Service Excellence1. Abides by Fillmore County Hospitals Standards of Professional Courtesy and Respect which include:Communication & InteractionCustomer Service & RespectTeamworkTelephone CommunicationSafety, Pride &OwnershipProfessional Appearance2. Abides by Fillmore County Hospitals Core Values 1-12 which include:AuthenticityIntegrityAwarenessCouragePerseveranceFaithPurposeVisionFocusEnthusiasmServiceLeadershipESSENTIAL WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical Activity Not Applicable Occasionally Frequent ContinuousSitting XStanding XWalking XClimbing XDriving XLifting (floor to waist level) 30 lbs. 50 lbs. 10 lbs.Lifting (waist level and above) 30 lbs. 50 lbs. 10 lbs.Lifting (shoulder level and above) 30 lbs. 50 lbs. 10 lbs.Carrying objects XPush/Pull 300 lbs. 200 lbs. 0 lbsTwisting XBending XReaching forward XReaching overhead XSquat/kneel/crawl XWrist position deviation XPinching/fine motor activities XKeyboard use/repetitive motion XTaste XTalk XSmell XSensory Requirements Not Applicable Accurate 20/40 Very Accurate 20/20Near Vision XFar Vision X Not Applicable Yes NoColor Discrimination X Not Applicable Accurate Minimal ModerateDepth Perception XHearing XEnvironment Requirements Not Anticipated Reasonably AnticipatedOccupational Exposure Risk Potential XBloodborne Pathogens XChemical XAirborne Communicable Disease XExtreme Temperatures XRadiation XUneven Surfaces or Elevations XExtreme Noise Levels XDust/Particulate Matter XOther (List) XShift Requirements 8 hrs/day 10 hrs/day 12 hrs/day Other (varied)Usual workday hours X Not Applicable Yes NoRegular, punctual attendance for assigned shifts XAvailable to work overtime X