Registered Nurse/ ASC

Job Description

Position Title: Registered Nurse

Reports to: Nurse Manager/ Administrator

FLSA Classification: Non-Exempt

Commonwealth Pain & Spine is a pain management network dedicated to improving the lives of our patients by treating their pain with the utmost respect and providing them with the most innovative, safe, responsible, and clinically proven pain relief possible. 

Our team of best-in-class physicians, administrators, and staff empathizes with the needs of our patients. We recognize that their pain is exhausting and debilitating and limits their quality of life. Relief from chronic pain is achievable in various degrees through our intelligent and multimodal team-based approach. Our entire team is committed to providing levels of patient satisfaction and overall clinical outcomes that far exceed the expectations of the medical community, referring physicians, and our customers.

Job Summary:

Nurse provides direct nursing care to patients in all perioperative areas; Pre-op, Operating Room, and Post Anesthesia Care Unit (PACU).

Job Duties and Responsibilities:

• Administer to the physical and emotional needs of patients and their families.
• Understand and interpret lab values, EKGs and x-ray reports.
• Understand and interpret medication administration orders, dosages and side effects.
• Provide prescribed medications and other pharmaceutical products in accordance with physicians’ orders.
• Initiates safe practices, and is knowledgeable about current center policies and procedures, as well as Indiana State Department of Health and CMS regulations.
• Provide assessment of patient positioning, and assessments of physical, mental, pain and psychosocial health status of the adult and geriatric patient.
• Assess and evaluates patient condition perioperatively, and communicates pertinent changes to the physician, anesthesia personnel, and the Nurse Manager / Administrator as indicated.
• Accurately documents care provided to the patient.
• Maintains a friendly, positive and caring attitude with all patients, physicians, and staff.
• Provide patient education during all phases of the patient’s experience at the Center.
• Ensure the equipment is functioning properly.
• Take an active role on committees within the organization.
• Identify actual and potential risks to patients and others and take action to minimize or eliminate risk and maximize safety in the facility.
• Ensure that Universal Precautions are followed throughout the patient’s perioperative course.
• Communicate with other health care team members to ensure continuity of care.
• Provide patient education during all phases of the patient’s experience in the Center.

PRE-OP DUTIES AND RESPONSIBILITIES:

• Prepare for arrival of patients to the Center by ensuring that proper supplies and equipment are available, and in working order.
• Admit patients and prepare patients for the procedure to be performed. Provide ongoing information to the patient and their caregiver to assure that they understand all procedure and feel as comfortable as possible.
• Perform daily crash cart checks prior to beginning the first scheduled procedure of each day.
• Perform nursing assessment of all patients and starts IVs or Saline Locks for patients having anesthesia.
• Confirm patients’ identity by using two (2) verifiers, i.e. name and date of birth prior to providing any patient care.
• Document medical history for all patients, including any allergies.
• Verify correct side and site for procedure to be performed with patient.
• Call patients prior to scheduled surgical procedures to obtain medical history and ensure preop lab work and EKG are within normal limits.

OPERATING ROOM DUTIES AND RESPONSIBILITIES:

• Check the accuracy of paperwork pre-operatively.
• Assess patients pre-operatively, or upon entrance into the operating room.
• Confirm patients’ identity by using two (2) verifiers, i.e. name and date of birth prior to providing any patient care.
• Confirm planned procedure, including side and site, with patient.
• Positions patient appropriately for procedure to be performed, per physician’s preference card and/or communication with physician or anesthesia personnel.
• Apply ground electrode for electrocautery if required for the procedure.
• Ensures Standard Universal Precautions and the principles of aseptic and sterile technique are used appropriately.
• Perform sponge and needle count with scrub person if indicated; records count on OR record accurately. Report closing counts to physician prior to leaving the OR.
• Perform “Time Out” with the OR staff prior to incision / injection.
• Accurately documents care of the patient on the OR record.
• Perform surgical prep per Center policy if indicated for procedure to be performed.

POST-OPERATIVE DUTIES AND RESPONSIBILITIES:

• Receive the patient from the Operating Room.
• Assess and evaluate the patient for recovery from anesthesia / sedation.
• Continuously monitors the patient during the recovery phase and documents the status of the patient and the care provided.
• Provide discharge instructions to the patient and / or caregiver, asking for confirmation of understanding.
• Perform a follow-up assessment by calling the patient the next business day following a surgical procedure.
• Clean stretchers/recliners per policy between patients.

**The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.**

Required Skills & Abilities:

• Current nursing license for the State of Indiana.
• Two (2) years’ related experience and/or training in perioperative areas (Pre-op, OR, PACU), or equivalent combination of education and experience.
• Current BLS and ACLS certification.
• Must be able to make quick assessments of patients and be able to handle emergency situations appropriately.
• Must be able to communicate effectively and have an ability to work compatibly with all physicians and staff. Possess strong organizational skills and a clear understanding of the importance of efficiency and cost effectiveness in an outpatient surgery center.
• Registered Nurse must have the knowledge and clinical skills to perform the job duties of a Pre-op, OR, and PACU nurse.

Education:

• Graduate of a fully accredited school of nursing.

Benefits: 

• Competitive compensation 

• License and DEA Reimbursement 

• Annual Education/CME reimbursement 

• Comprehensive Health/Vision/Dental insurance options 

• Great PTO Plan PLUS Paid Holidays 

• 401k and matching available 

Commonwealth Pain and Spine is an Equal Employment Opportunity Employer!

Working Conditions:

General working conditions include working inside in an office or clinical setting with comfortable temperatures year-round. There may occasionally be exposure to blood and body fluids, and policies are in place for Universal Precautions identifying risks and appropriate barrier protection.

Physical Requirements:

Physical requirements include visual acuity for chart review and equipment operation, the ability to stand/walk for up to eight (8) hours per day; bend, stoop, twist; assist patients in turning, rising from stretcher and recliners; assisting patients in and out of wheelchairs; assist with moving on and off the operating room table. Must be able to lift up to 100 pounds with assistance, and 50 pounds without assistance, and carry materials weighing up to 25 pounds.

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