This is a position listing for a Registered Nurse - Operating Room position at the Nellis Air Force Base, Las Vegas, NV. All Luke & Associates positions have the sole purpose of providing quality medical attention to veterans, the military, and their families. Our commitment is to our employees, our clients and of course the patients and their safety.REGISTERED NURSE ? OPERATING ROOMSITE OF SERVICE:
HCWs shall receive notification two weeks prior to the reassignment to another location with a 40-mile commuting radius of their assigned MTF
Degree: Associates or Bachelors of Science in Nursing.
Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
Experience: A minimum of 12 months of experience is mandatory in operating room assignments. Experience must include all phases of operating room technique such as preparing operating room units, preparing patients for surgery, assisting medical officer during surgery, conducting instrument and equipment sterilization procedures, and assisting anesthesia provider with post anesthesia recovery if PACU or ICU not available.
Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required in the TO.
Certification: In addition to certification requirements in CPR and Advanced Cardiac Life Support (ACLS), the clinical nurse will also be required to be certified in Pediatric Advanced Cardiac Life support (PALS).
U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
Able to read, write, and speak English well enough to effectively communicate.
Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.
Provides professional nursing care to patients undergoing surgery. Prepares and maintains operating room for all surgical procedures. Establishes and utilizes a checklist to monitor the physical plan of the operating room and equipment for conformity to all national standards for ensuring safety for the patient and all personnel. Assembles the type and quantity of material and special equipment needed for daily procedures and possible emergencies.
Circulates for surgical procedures.
Responds to surgical emergency requirements such as cardiac, pulmonary, or respiratory failure and hemorrhage.
Maintains open communication lines, both interdepartmentally and interdepartmentally, to provide for total needs of the patient.
Conducts preoperative and postoperative visits.
Discusses operative procedures with patients and informs them of what to expect during surgery.
Consults with the operating surgeon and establishes priorities of care for each patient entering the operating suite. Coordinates with other hospital units, which include recovery room, intensive care, obstetrics, and nursing units, on patients, progress and any special equipment or supplies that will be needed for the patient returning from surgery.
Directs and instructs personnel in preparing, sterilizing, and caring for operating room equipment and supplies.
Maintains concise and complete records and reports.
Coordinates an ongoing, in-service education program to continually update knowledge and skills of all assigned operating room nursing personnel.
Provides care based upon the assessed needs of the patient in relation to the proposed procedure.
Provides perioperative nursing care, for all types of patients admitted to the surgical suite for surgical intervention.
Includes elective, urgent and emergency procedures on patients of all ages.
Assesses, plans, implements, and evaluates nursing care for all patients including newborns, children, adolescents, adults and the elderly; disabled to include visually and hearing impaired; and individuals of varying ethnic, and religious backgrounds to include those who do not speak or understand English.
Participates and complies with quality and process improvement activities, meetings, and events to ensure compliance with national standards and guidelines.
Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. Knowledge of the administrative requirements for proper documentation of patient?s condition including disease progress, acknowledgement of teaching, and follow up care.
Knowledgeable of laboratory test values.
Administers medications, electrolytes, fluids, blood, and blood products.
Adheres to perioperative, infection control and safety policies and procedures.
Safely operates and monitors specialized therapeutic and resuscitative equipment.
Skilled in setting up, operating and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other unit specific equipment.
Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
Effectively uses appropriate communication format in addressing professional issues
Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements.
Knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records.
Must be able to synthesize data from a variety of sources and make appropriate clinical decisions.
Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness ·
Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility.
Provides care within ethical and legal boundaries.
Recognizes medical emergencies and responds appropriately. Initiates CPR if required. Assists surgical team in administering advanced cardiac life support measures when necessary.
Participates in the orientation and training of newly assigned personnel, as appropriate.
Serves and participates in committees, functions and other meetings as directed.
Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service initiatives, and medical readiness activities, designed to enhance health services.
Communicate and collaborate with a multidisciplinary medical team acting as a role model and expert in the perioperative nursing care of patients. Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members.
Completes orientation and competency verification programs in accordance with (IAW) unit guidelines.
Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.
Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
Perform physical exam and health histories.
Provide health promotions, counseling, and education.
Administer medications, wound care, and numerous other personalized interventions.
Direct and supervise care provide by other healthcare professionals.
Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
Recognize adverse signs and symptoms and quickly react in emergency situations.
Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
Make referral appointments and arrange specialty care as appropriate.
Perform nursing services identified in the TO.
Conduct research in support of improved practice and patient outcomes.
Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM
Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
Maintain liaison with appropriate community agencies and organizations.
Accurately collect and document patient care data.
Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.
24 hours, 7 days a week, various (8, 10, 12 hour) rotating shifts, not to exceed 40 hours per week.
Individual must input any leave or appointments into flight ?request-off" binder.
Flight Commander or Element Leader will approve all schedule requests.
Registered Nurse will be on-call, on a monthly rotational basis, for any emergency surgical procedures that may need to be performed during nights, weekends, and holidays; and will be asked to periodically work beyond the normal duty day (overage hours).
Registered Nurse must be able to respond to a STAT cesarean delivery within 30 minutes of notification.
Registered Nurse will work a normal duty day on designated Family Days
SPECIAL REQUIREMENTS/SKILLS:Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.Luke & Associates does not discriminate on the basis of race, sex, color, religion, national origin, age, disability or veteran status in provision of services or employment opportunities and benefits. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.