RN, OR

• 4. Performs and maintains documentation.
• Document all aspects of patient care accurately and comprehensively, adhering to hospital protocols.
• Complete all documentation in regard to surgical implants, specialized equipment, and capturing all case charges (as applicable).

• 5. Communicates effectively.
• Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.
• Follows approved hand off report format when communicating patient information to other staff.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider.

• 6. Promotes and ensures patient and staff safety in all aspects of responsibilities.
• Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments prior to surgical procedure.
• Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self.
• Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves.
• Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.

• 7. Performs operating room specific tasks, as assigned.
• Prepare and maintain the operating room environment, ensuring all necessary instruments, equipment, and supplies are sterile and ready for use.
• Collaborate effectively with surgeons, anesthesiologists, and surgical team members to ensure seamless patient care.
• Assist in patient positioning, ensuring that all pressure points are padded, and patient is secured throughout the procedure.
• Demonstrates knowledge of treatments, policies/procedures, and surgical equipment.
• Responds to Patient/Family concerns and provides immediate interventions when possible.
• Provide emotional support to patients and their families throughout the surgical process, communicating with family during procedures as needed.
• Adapts to changes in workload and completes assignments while maintaining quality care.
• Initiates and performs duties that need to be completed although not directly assigned.
• Participate in quality improvement initiatives and maintain compliance with hospital, and regulatory standards.

• 8. Performs post-anesthesia Phase 1 recovery care, as assigned.
• Completes a thorough assessment upon entry to the recovery area, this includes but is not limited to:
• Vital signs, including pulse oximetry, heart rhythm/rate, BP, and pain assessment to ensure safety and comfort.
• Respiratory system: airway patency, breath sounds, oxygen saturation, and presence of artificial airway (as applicable).
• Cardiac system: heart sounds, peripheral pulses, capillary refill (monitor for hypotension, hypertension, and dysrhythmias.
• Neurologic function: LOC, ability to follow commands
• GI: bowel sounds (as applicable).
• Extremity sensation, muscular strength, and mobility (as applicable).
• Skin integrity
• Surgical site, including dressing and drains.
• All invasive lines and IV sites, and drainage tubes (as applicable).
• Administer medications and manage intravenous (IV) lines.
• Communicates care provided in recovery to RN completing Phase 2 care after surgery, per hospital policy.

9. Performs other duties as assigned.