SECTION 1: Job Summary (Summary of the basic functions of the position)

Registered Nurse who provides prescribed medical treatment and personal care services to patients in

clinic with a focus on surgical procedures. Under the clinical supervision of a licensed medical provider;

assists in examination and treatment of patients under direction of Physician by performing the following

duties:

SECTION 2: Duties and Responsibilities (Responsibilities necessary to accomplish job functions)

• Interviews patients, takes patients' history, and records all information on patients' charts.


• Explains procedures and treatments to patient to gain cooperation, understanding, and allay apprehension. Maintains awareness of comfort and safety needs of patient.


• Prepares patient(s) for physical exam/surgery by:
  
  
  
  • Properly identify the patient and cross check it with the chart and name band
  
  
  • Operative consent obtained
  
  
  • Photo consent obtained
  
  
  • Vital signs obtained
  
  
  • Pain and Anxiety levels assessed and documented
  
  
  • Level of Consciousness assessed and documented
  
  
  • Assess the need for sedation & obtain order from physician
  
  
  • Administer medications as directed by physician
  
  
  • Proper documentation of any controlled substances
  
  
  • Prepare the surgical site
  
  
  • Placement of sterile drapes
  
  
  
  


• Assists provider(s) as needed with patient care, including physical exam/surgery; hands instruments and materials to doctor as directed.


• Sets up examination rooms and surgical suite(s) for appropriate procedures, assembles and uses such equipment as electrocautery, dermabrader, and other equipment as needed.


• Inspects sterile items prior to opening and lay supplies out on sterile field in an organized manner


• Dresses wounds as instructed by provider.


• Draws up medications that are to be used on sterile field following safety protocol of right dose, right patient, right route, expiration date – done in cooperation with and in the presence of a provider.


• Observes patient, records significant conditions and reactions, and notifies supervisor or Physician of patient's condition and reaction to drugs, treatments, and significant incidents.


• Assist physician with surgical procedure while maintaining sterile field


• Assess the patient’s condition throughout the surgery according to intraoperative and postoperative monitoring policies and notify physician of any indication of distress.


• Initiates a patient education plan according to the individualized needs of the patient, as prescribed by provider, including patient and family instruction, includes verbal care instructions, pamphlets, instruction sheets, etc.


• Remains present in the OR with the patient until recovery and discharge guidelines have been metsee corresponding policies


• Accurately records all pertinent information in patients’ chart timely.


• Responds to emergency situations based upon nursing standards, policies, procedures, and protocol by having knowledge of equipment and supplies and is familiar with their location


• Maintains examination and surgical suite(s), cleans rooms after each patient, and sterilizes equipment.


• Inventories all medical supplies, maintains appropriate supply inventory in examination and surgical suite(s), stocks examination rooms and surgical suite(s) with all needed equipment and supplies.


• Maintains solutions by expiration date, restocks examination room(s) and surgical suite(s) with solutions.


• Adheres to all OSHA regulations and universal precautions, including waste and sharps disposal. Maintains knowledge of OSHA regulations and use of universal precautions as appropriate


• Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.


• Performs other duties that may be necessary or in the best interest of the organization.