Registered Nurse Trainee - Operating Room - Day/Evening

Registered Nurse Trainee - Surgical Services - Full time

Registered Nurse with operating room experience or completion of Operating Room RN Trainee Program.  WellSpan's Intraprocedural Skills Execution (WISE) program provides formal learning opportunities to all perioperative Novice Nurse hires at WellSpan. Per AORN a Novice Perioperative RN is “any registered nurse who has not worked in the perioperative environment before, including a new graduate, an experienced nurse from another area of nursing, or a nurse with previous perioperative experience who has not maintained basic competency” (AORN, 2022). The program’s goal is to assist in decreasing the theory-practice gap by providing foundational learning, increasing confidence, knowledge, and competence; while improving professional interdisciplinary communication; and nurse retention rates in the perioperative environment at WellSpan.  

Registered Nurse - Surgical Services

• 11 OR Suites including Cystoscopy and Obstetrics Suites.
• The schedule is based on opening seven to eight operating rooms Monday – Friday from 7am – 3:30pm or 7am – 5:30 pm.  Run 8 rooms per day until 3:30 and go down to 5 rooms per day at 3:30-7:30.
• Minimal staffing for each OR is one RN and one or two scrub persons, either RNs, CSFAs, Surg Techs and LPNs also scrub.
• Call: Seven days a week: on RN and two Surgical Technicians, 3:30pm – 7am. Saturday: one RN and two Surgical Technicians, 3:30pm – 7am (work 0700-1530 or 0700-1930) Then there is call to follow that shift. One RN and on Surgical Technician on call from 7am – 7am, second call.
• Unit provides a wide variety of surgical specialties including orthopedics, general, vascular, neurosurgery, ENT, plastics, OB/GYN, urology and Robotics. The unit is also responsible for urgent/emergent cases and cesarean sections 24 hours a day, seven days a week.
• RN orientation includes a comprehensive Relias program.
• Advanced robotic surgery (Da Vinci Xi ) 
• Full time (average 80 hours biweekly)
• Shift: 8-hour day/evening
• Weekends as needed
• Eligible for weekend differential

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation.  Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities
Job Class Specifics
1.    Demonstrates safe medication practice.
2.    Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
3.    Completes chart check to ensure no missed orders. 
4.    Accurately transcribes physician’s orders.
5.    Demonstrates therapeutic communication skills.
6.    Demonstrates ability to assess patient education needs and use of patient education resources.
7.    Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
8.    Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
9.    Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
10.    Responds to delays in a calm manner.  Apologizes for inconveniences and gives alternatives.
11.    Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
12.    Uses effective problem-solving skills to plan patient care.
13.    Identifies critical factors evidencing changes in patient condition and responds appropriately.
14.    Completes and documents discharge assessment against plan of care goals.
15.    Initiates and maintains Intravenous Therapy according to IV standards. 
16.    Responds appropriately to emergency situations. 
17.    Utilizes proper body mechanics to prevent injury to self and others.  Safely positions, transfers and transports patients.
18.    Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff. 

Surgical Services - OR: 
1.   Identifies the patient prior to admission to the OR, assesses and identifies operative site.
2.   Assesses the H&P and Anesthesia Assessment forms for information which will require adjustment to the standard protocol such as obesity, deafness, diabetes, etc.
3.   Completes continuous patient assessment during surgery, reporting abnormalities to the surgeon or Anesthesiology personnel immediately.
4.   Report