Registered Nurse, RN| Specialty Training Program - Operating Room

POSITION SUMMARY

Pay range: $45.61/hr - $68.49/hr

 

 The intended start date for the Fall Nurse Residency cohort is April 2024. *Note that this date may be adjusted based on operational needs.

 

The Registered Nurse (RN) resident under the Specialty Training Program provides compassionate, evidence-based, and efficient care to individuals, families, communities, and patient populations. The Residency Programs are designed to build on the educational foundation of the novice RN. Every participant in the program is responsible for providing safe, holistic care to patients throughout the continuum of this program which is designed to offer up to 6 months of didactic learning and clinical practice preceptorship to achieve the programs core objectives.

 

KEY RESPONSIBILITIES – 

Performed majority of the time -- :

·       Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals.

·       Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships.

·       Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods.  

·       Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.

·       Uses an evidence-based decision-making process to determine the patient’s priority goals and care activities.

·       Protects and advocates for patient safety, health and wellbeing.

·       Keeps the patient as the focus when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care.

·       Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate.

·       Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.

·       Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality, and rights.

 

Department specific responsibilities during each orientation:

 

Operating Room (OR)

• The perioperative nurse, in partnership with other members of the perioperative team provides comprehensive surgical care to patients throughout the lifespan on both a routine and emergent basis.
• The perioperative RN is responsible for assessing patient risks and needs in the perioperative environment to ensure the safest possible surgical experience. RNs, upon completion of the specialty training program, will be competent in the roles of circulator and scrub nurse.
• The OR RN is responsible for planning, coordinating and documenting activities including but not limited to the following: strong observation and communication skills, excellent knowledge of aseptic and sterile techniques, vigilant surveillance of sterile field to prevent contamination, strong surgical conscious with the ability to identify and correct issues in real time, proper positioning techniques to maximize surgical visualization while protecting patient from injury, assessment and preparation for fire risk, assessment and prevention of physical and chemical burn risk, understanding of pathophysiology and response to surgical emergencies such as malignant hyperthermia, hemorrhage or laryngospasm, comfort with handling blood and specimens, assist with intubation and various intravascular lines, understanding of medical gasses and their uses, ability to function calmly in a high stress environment, often under time pressure, ability to change direction/plan rapidly, ability to maintain focus and strong attention to detail, ability to sit and stand for long periods of time, physical stamina to be moving/walking for extended periods of the day and to reach high or low to the ground as needed, and understanding of cleaning practices in OR’s. The nurse will need to learn the differences in instrumentation and have basic mechanical abilities.

 

Performed occasionally but critical to successful performance of the job:

·       Attends and participates in staff meetings, Unit Based Council meetings, in-services and continuing education opportunities.

·       Participates in clinical looping within other departments, e.g. radiology, laboratory, blood bank, and other nursing units, etc.

·       Participates in the Quality Improvement process to help make decisions that focus on the patient/customer and what is best for the organization.

·       Follows correct procedures in unusual and emergent procedures/ situations.

Decision making and budget responsibilities (e.g. impact limited to the employee, entire unit or organization-wide):

·       Decision making impacts the employee and the wellbeing of the patient.

·       Promotes cost effectiveness through the proper use and conservation of supplies and equipment. Identifies cost saving measures.

Assigned direct reports (not limited to the ones listed). If not applicable, please enter N/A:

·       N/A

JOB SPECIFICATIONS

Education:

Required

·       Bachelor or Master of Science in Nursing.

·        Associate Degree in Nursing candidates must enroll in a BSN program within 2 years of hire date and complete the program within 4 years of hire date.

Preferred

·       N/A

Experience:

Required

·       N/A

Preferred

·       Previous work in a healthcare environment.

Licenses, Certifications and/or Registrations:

Required

·       Current licensure as a registered nurse by the Oregon State Board of Nursing.

·       American Heart Association Healthcare Provider BLS.

Preferred

·       Advanced Cardiac Life Support certification (ACLS) for ED, ICU, and Cath Lab Resideny Programs

·       Pediatric Advanced  Life Support certification (PALS) for ED Residency Program

·       Neonatal Resuscitation Program (NRP) for NICU and L&D Residency Programs

Job Related Skills, Abilities and Behaviors:

Required

·       Demonstrates excellent customer service skills

·       Demonstrates knowledge and understanding of rules/regulations established by governmental and regulatory agencies.

·       Practices effective communication and interpersonal skills including written, verbal, and non-verbal.

·       Utilizes a problem-solving process to make decisions related to patient care and unit activity

·       Develops skills in use of hospital computerized information/ordering system.

·       Demonstrates proper, professional appearance and personal conduct.

·       Must clearly speak, write and communicate in the English language.

·       Demonstrates high level of technical proficiency with equipment and instrumentation used for surgical procedures.

·       Effectively manages the utilization of supplies.

·       Maintains HIPAA compliance and other patient confidentiality policies.

·       Follows policies for disposal of hazardous waste and sharps, use of personal protective equipment.

·       Displays an in-depth knowledge of specialty procedures and instrumentation/equipment.

·       Respects and advocates for patients/significant other’s rights.

·       Performs or appropriately delegates all independent functions as defined in the Oregon Nurse Practice Act0..

·       Creates an environment in which diversity is encouraged and honored.

Preferred

·       Bilingual skills a plus.

Other:

Required

·       Standby call required for certain department RN positions: Surgery, PACU, Endoscopy, Cardiac Cath Lab

Additional Posting Information

Employees must be fully vaccinated against COVID-19 or obtain an approved exception prior to start date.Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

Salary : $46