Responsible for surgical preparation of surgical procedures.

1. Checks daily assignment.
2. Reviews surgical preference lists to clarify surgical routine and update preference lists as needed.
3. Utilize resources to obtain needed supplies for the case.
4. Checks table(s) for complete readiness for each procedure.  Ensures all items needed for the case are present:
   • Obtains physician’s special instruments and sutures prior to start of the case.

Ensures communication made to surgeon prior to the start of the case if any supplies and/or equipment are unavailable

Responsible for the set-up of sterile instruments, supplies, and equipment on assigned procedures.

1. Demonstrates, maintains, identifies, and corrects any breaks in aseptic technique while setting up the case as well as during the surgical procedure.
2. Demonstrates knowledge and dexterity in handling of special supplies and equipment and assures its proper functioning. Is knowledgeable of the specifics of the surgical procedure and able to perform these tasks in an organized and efficient manner.
3. Effectively communicates pertinent information to relief personnel so as to provide safe continuity of care

Promotes an environment of cooperation and teamwork.

1. Attendance is prompt and regular.
2. Effectively communicates with all health team members in a timely and courteous manner.
3. Shares pertinent information with Charge Nurse.
4. Willing to share knowledge with others.
5. Demonstrates flexibility and adaptability to change.
6. Takes only allotted time for breaks and lunch according to the policy.
7. Returns borrowed equipment to proper room so that co-workers do not have to spend time locating it.
8. Under the surgeon’s supervision, assists with suctioning secretions, holding retractors, assisting with skin closure, cutting sutures and irrigating wounds.
9. Circulates for operative procedures under supervision of R.N.

Assists with patient care at the end of the surgical procedure.

1. Operative site is prepared.
   • Cleanses operative site.
   • Connects drainage tubes to appropriate devices.
   • Assists and/or applied sterile dressing.
2. Assists with patient transfer to bed/stretcher.

• Covers soiled gloves with clean exam gloves.
• Assists with transfer with adequate number of assistants present.
• Responsible for knowing and using good body mechanics.

1. Processes case cart.

• Disassembles table(s) contents and instruments, and places in proper receptacles for cleaning.
• Sends (appropriate) instruments to CSR and/or clean up room for terminal cleaning.
• Disposes of trash and linen appropriately.
• Assists in expediting case turnaround time.
• Assists with cleaning of tables, floors, etc

Promotes safe environment for patient and all health care members.

1. Instruments, sharps, and sponges are counted according to policy.
2. Identifies and transfers surgical specimens according to O.R. policy.
3. Performs safety check on all equipment (power instruments, etc.) for proper assembly, completeness and operation before it is used.
4. Correctly prepares and labels medications including dosages and percentages to be used during the case according to type of procedure to be done and/or doctor’s preference card.
5. Keeps operative field free of unused instruments, equipment, and sharps.
   • Receives instruments from surgeon.
   • Keeps instruments clean by wiping blood and tissue from instruments.
   • Removes unnecessary articles from the operative field.

Follows universal precautions according to hospital policy

Professional Development - Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues and others.

1. Participates in 75% of staff meetings and 75% of council meetings as appropriate.  Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care.
2. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital.  Acts as a resource, educator and preceptor for staff and nursing students.

• Dress code of the Operating Room is followed.
• Volunteer’s assistance as a resource and/or preceptor in assigned areas.
• Assists in the orientation of new personnel.

1. Maintains competency in POC (point of care) testing for unit specific nursing practice.
2. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day).  Submits required tests and paperwork in a timely manner without management interventions.
3. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis.
4. Participation in professional advancement program is encouraged.
5. Prepares for certification specific to work area of professional practice when eligible.
6. Participation in chosen professional organizations, conferences and research is encouraged.
7. Evaluates nurse-sensitive outcomes and participates in performance improvement initiatives.
8. Participation in community service activities is encouraged.
9. Participation in research activities is encouraged.
10. Functions as a Patient Advocate.
    • Is aware of physical and emotional needs at all times and gives appropriate care and comfort.
    • Will assist any patient in need, not just those assigned to his/her care.

Protects patient’s dignity while anesthetized by avoiding unnecessary exposure.

Protects patient’s privacy by insuring confidentiality of chart and history.

Puts proper patients’ welfare above person consideration; admits to errors and takes proper steps to correct.

Productivity – Understands factors related to cost and effective outcomes when planning and implementing patient care.

1. Initiates care in a timely manner, manages workload effectively.
2. Understands and maintains awareness of fiscal responsibility by utilizing staff, time, equipment, and supplies appropriately.

UNIT POPULATION SERVED COMPETENCY

Evidence exists that The Christ Hospital staff considers the special needs and behaviors of the specific patient populations served, associates demonstrate those competencies that address the unique characteristics related to developmental, physical, psychosocial, mental, emotional, and social needs of patients across the life span.  Employees are able to demonstrate those competencies that address the needs of patients with unique cultural norms, religious preferences, language, communication barriers, literacy issues, and health literacy limitations.