OR Circulator RN
OR Circulator RN
MSK Health Management Partners (MSK) is a Management Services Organization located in the greater Los Angeles area (Burbank and Glendale). MSK performs comprehensive management and billing services for physicians and medical professionals including ambulatory surgery centers, private clinics, physical therapy spaces, imaging offices, and urgent care settings. MSK is able to provide full or a la carte services based on the needs of their clients. Services include: Human Resources, Accounting, Credentialing, Revenue Cycle Management, Payer Contracting, Strategic Planning, Inventory Management, and Day to Day Oversight of Operations. MSK hires individuals who are committed to teamwork, excellence, and personalized care for all clients.
The Circulator RN is the surgical team member who is responsible for coordinating and controlling the multi-disciplinary activities required to provide a safe environment for patients undergoing surgical intervention.
Reports To: Director of Nursing
- Minimum of one year of experience in peri-operative nursing (preferred but not mandatory) including a thorough working knowledge of surgical and aseptic technique.
- Have a working knowledge of the physiological and anatomical aspects of the surgical intervention scheduled.
- Must be licensed in the State as an R.N. and have current C.P.R. certification. ACLS preferred.
- Must be able to communicate and understand the English language, both verbal and written.
- Must possess the physical ability and perceptive acuity (e.g., visual, hearing) to satisfactorily perform all direct and indirect care functions.
- May be expected to lift twenty-five pounds without assistance. Is required to obtain assistance when moving patients unable to assist in moving unless patient is in wheelchair or on gurney. May be required to push patients in wheelchairs or on gurneys. Will be expected to obtain assistance when needed.
Job Responsibilities: Performance of the duties of the Circulator, according to the set standards, is crucial to the smooth flow of events before, during, and after a surgical procedure. Duties will consist of, but not be limited to:
- Be thoroughly familiar with and totally comfortable in the role of patient advocate, as applied to Operating Room nursing.
- Assume the responsibility for Improvement of patient safety during the state of enforced dependency created preoperatively, intra-operatively, and post-operatively.
- Responsible for creating a safe, therapeutic environment in which the patient's psychological, physiological, and physical needs are identified, anticipated, and met.
- Provide a channel of communication between events and team members in the operating room and persons who may not be in the immediate area, but who are concerned with the patient's operative status.
- Make provisions for instrument, supply, and equipment requirements of surgical procedures, as assigned.
- Responsible for documenting accurate, timely data appropriately. (This includes documentation of Charge Tickets, Incident Reports, Nursing Notes and Surgical Log.)
- Must file an incident report for any unusual event that occurs to a patient or member of staff; this would include, but not be limited to, falls, needlestick injuries, aspiration of gastric contents, allergic reactions, and disruptive behavior by staff or patients. Also required to report any incidences or alleged incidences of abuse, harassment, or injury to self, other employees, or patients occurring at the Center or relating to the Center. Further specifications can be found in the Abuse Reporting documents and Code of Safe Practices, provided by the Director of Nursing.
1. For proper identification of patient and plan of action intra-operatively, check O.R. schedule to determine patient's name, Surgeon, Anesthetist, and the nature of the surgical intervention.
2. Requests drugs as required by Anesthetist or Physician.
3. To ensure patient's safety and comfort and smooth flow of procedure, inspect the O.R. to be certain it is clean, complete, and safe. All equipment, to include lights and suction, should be checked for safety, functioning capability, and complete assembly.
4. Direct and assist Scrub Assistant in preparing for the surgical procedure according to established procedure and the Surgeon's preference card.
5. Count sponges/needles/miscellaneous with the Scrub Assistant and document.
6. To decrease patient's anxiety and help plan nursing actions intra-operatively, greet the patient in Pre-Op Holding Area for the purposes of identification, physical/psychological assessments.
7. To ensure patient safety, accompany patient to the O.R. and assist in the transfer to the operative room table.
From this point on, the Circulator remains at the patient's side during the induction of anesthesia, until the patient is anesthetized, positioned safely, and fastened securely to the operating room table. Activities include, but are not limited to:
a. placing and securing the safety belt.
b. placing monitor electrodes per established procedures.
8. Assures that oxygen flow alarm is turned on at time oxygen is turned on.
1. Anticipate the needs of the surgical team and provide supplies and equipment as requested.
2. Coordinates all activities within the O.R. in order to provide for a non-eventful, safe, effective and timely surgical intervention.
3. Provides for patient's needs, both physiologically as well as psychologically. Maintains an environment free of disturbing sounds and statements. Is ever alert for any break in technique which may contaminate the operative field.
4. To provide safe patient care, maintains a running tally of sponge count materials and needles, and documents, informing surgeon of discrepancies.
5. Be responsible for specimen handling -- to include accurate and complete identification on labels and tickets, placement in appropriate containers/solutions and dispatch to laboratory per established procedures.
6. For medico-legal indices, maintains accurate records of patient-oriented data during the surgical procedure, i.e., vital signs.
7. Assist with dressing.
1. To provide assistance as needed for delivery of patient care, remain at patient's side and assist Anesthesiologist as required with suctioning, extubation, etc., transfer to post-op gurney or wheelchair if patient receives only local anesthesia.
- Deliver a patient condition report to the nurse in the Recovery Room area to identify problems or potential problems, as well as identify any dressings.
- For purposes of evaluation of patient care, complete documentation and distribute to designated area.
4. To ensure that appropriate specimens are identified and delivered to appropriate area, make certain that all specimens have been placed for dispatch and entered in Specimen Log.
5. Direct and assist with between case clean-up to provide smooth flow of to-follow cases.
6. To promote safe patient care delivery, inspect the room and proceed to preparation for the next case, as assigned.
7. If last case of day, is responsible to direct or perform all terminal cleaning activities.
8. Turns off oxygen at the end of surgery day.
9. Assures that sufficient sterile packs are prepared for following day's surgery.