Job Description

CORE RESPONSIBILITIES:

Possesses the clinical competencies necessary to perform the essential tasks of a Registered Nurse (RN) in the outpatient surgical setting.

Preoperative and Pre-anesthesia Testing (PAT) Responsibilities:

Conduct thorough evaluations including review of medical history, current medications, and medical comorbidities; perform preoperative assessment of patient that aligns with the procedure/surgery and anesthesia-type scheduled; collects and interprets vital signs and point of care testing Educate patients about the procedure/surgery, anticipated anesthesia-type, and expectations for recovery; ensure compliance with pre-operative instructions, including knowledge of NPO and medication status pre- and post-surgery. Maintain accurate and complete records by ensuring all required documentation is completed and signed by physicians. Conduct phone interview and review of records for each patient scheduled; identify patients requiring anesthesia consultation in accordance with current guidelines. Responsible for preoperative procedures including IV insertion and assistance with regional nerve blocks; adheres to aseptic technique and infection control guidelines per policy.

Intraoperative (circulator/scrub nurse) Responsibilities:

Assist in maintenance of the sterile field, including monitoring for contamination; monitors traffic/noise patterns in the OR, ensuring adherence to facility policy and procedure. Management of surgical instruments; ensuring the availability of surgical supplies, equipment, and medications for the indicated procedure/surgery. Adheres to all required components of Safe Surgical Checklist. Accurately documents all necessary components of the operative encounter, including implantable devices or tissues.

Postoperative & Recovery Responsibilities:

Evaluate patient recovery from anesthesia; monitor for adverse reactions; management of acute postoperative pain. Provide instructions for discharge, including home care, medication changes, and follow-up appointments; ensuring a safe discharge plan is in place. Follow up with patients to assess recovery and address any post-operative concerns or questions; communicate any issues identified to the indicated provider.

Additional Clinical Responsibilities:

Administer and chart medications per physician order; perform medication calculations for accurate medication dosing. Responds to and provides treatment for urgent or acute patient situations during unanticipated events per policy and in alignment with BLS, ACLS, MHAUS and PALS guidelines and algorithms. Maintains patient safety throughout perioperative encounter; works in accordance with current employee safety guidelines Works respectfully and collaboratively with all team members; fosters an environment that promotes staff growth and development Monitors medical supplies and medication inventory levels; report to appropriate parties when restocking of supplies is necessary; participate in quarterly cleaning; ongoing monitoring of expiration dates Participate in quality improvement initiatives and mentor new staff; proactively seeks to continuously improve patient care and operations Completes mandatory educational requirements and maintains required BLS, ACLS, and PALS certifications; annual review of applicable policies Maintains strict confidentiality in alignment with HIPAA (Health Insurance Portability and Accountability) guidelines and InterMed policies. Consistently adheres to applicable industry standard guidelines (i.e. AORN, CDC, APIC) Assumes responsibility for assigned role and seek/performs other job-related activities during downtime. Performs other duties as assigned to support the mission, vision and values of InterMed.

MISSION AND VALUES:

Follows InterMed's mission to provide patient-centered primary care, putting the patient first to deliver high quality, high value care. Provide the highest quality care to our patients with a level of service that exceeds their expectations. Maintain a positive attitude and always treat our patients and each other with dignity and respect. Insist on honesty and integrity from each other and our business partners. Make teamwork a core component of our relationships between physicians, staff, and patients. Embrace change to better serve our patients. Use business practices that feature individual accountability and group responsibility to ensure delivery of high value healthcare. Have fun as we carry out our mission to serve.

KNOWLEDGE, SKILLS, AND ABILITIES:

Education: ADN or BSN from an accredited institution Experience: + Previous Ambulatory Surgery OR Pre- and Post Op, Circulator, and/or PACU experience preferred
License/Certifications: + Unencumbered active Registered Nurse licensure in the State of Maine
+ BLS required
+ ACLS and PALS required within 6 months of hire
Knowledge of anesthetic techniques (general, regional, local) Basic knowledge of all equipment used for patient care in a surgery setting. High level of critical thinking and assessment skills Experience in continuous quality improvement and/or Lean Six Sigma preferred Ability to work effectively in a fast-paced environment and respond to rapidly changing, sometimes acute patient care needs Professional appearance and demeanor Proficient in Windows and Microsoft applications, and electronic medical record (EMR) experience preferred
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Licenses & Certifications

RequiredRN License

Equal Opportunity Employer

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