Mount Sinai Medical Center is seeking a Part-Time Registered Nurse for the Operating Room. This position is based at our 674-bed main campus facility in Miami-Dade County, part of South Florida's largest private independent not-for-profit hospital system.
As an OR RN, you will prepare operating room suites for patient admission, greet patients upon arrival, and initiate hemodynamic monitoring. You will evaluate and assess patients' surgical status, document findings, and report abnormalities to physicians. You will assist anesthesia with intake and output monitoring, verify blood product availability, and document blood administration. You will monitor patients receiving conscious sedation, apply safety positioning devices, and maintain thorough knowledge of OR equipment operation and care.
Responsibilities
- Prepare the OR suite appropriately to receive new admissions
- Greet patients upon arrival and initiate hemodynamic monitoring
- Evaluate, assess, and document patient surgical status; report abnormal findings to physician
- Document pre- and post-operative counts
- Assist anesthesia in maintaining intake and output; check availability of blood products and verify blood administration
- Handle difficult situations and conflicts in a timely manner
- Demonstrate appropriate safety measures related to potential radiation exposure
- Monitor, evaluate, and intervene appropriately with patients receiving conscious sedation
- Apply safety positioning devices with ongoing observation, intervention, and documentation per hospital policy
- Maintain thorough knowledge of OR equipment operation, care, and handling
- Perform initial vital signs and admission history; introduce yourself to patient and family
- Assess chief complaint and notify physician within 15 minutes of arrival to procedure area
- Obtain and document complete nursing admission assessment including physiological and psychological factors within eight hours of admission
- Perform and document accurate systems assessment at the beginning of each procedure
- Respond to diagnostic data and initiate appropriate action or intervention
- Assess patient education needs on admission
- Assess psychosocial needs specific to patient's age, growth, and development
- Initiate plan of care within eight hours of admission
- Establish priorities for patient care based on patient needs
- Verbalize understanding of patient diagnosis and plan of care
- Safely and correctly initiate and document nursing interventions in emergency situations
- Perform 24-hour chart check at the beginning of each procedure
- Prepare intravenous solutions using aseptic technique
- Administer, observe, and document intravenous therapy according to hospital policy
- Administer medications within 30 minutes of scheduled time; observe and document effectiveness; recognize and report adverse reactions immediately
- Provide individualized instructions to patient and significant other regarding plan of care
- Demonstrate safe and correct use of unit-specific equipment
- Ensure each patient's general hygiene needs are met
- Perform pre-operative and post-operative care and instruction for each assigned surgical patient during shift
- Adhere to standard precautions including hand hygiene guidelines at all times
- Document patient valuables on designated form and arrange for appropriate storage
- Perform dressing changes using aseptic technique
- Collect and label specimens per policy when ordered by physician
- Perform bedside glucose monitoring according to policy
- Report all abnormal findings immediately to physician
- Initiate wound and skin protocol upon identification of risk
- Perform ostomy care including irrigation, appliance usage, and reinforcement of teaching
- Insert intermittent or indwelling urinary catheter using aseptic technique
- Administer oxygen therapy according to physician order
- Transfer patients in and out of the unit efficiently with complete and correct physician transfer orders; complete and document transfer summary
- Demonstrate safe and correct use of restraints
- Document and report patient responses or outcomes resulting from nursing interventions, treatments, procedures, interpersonal interactions, and patient/family education
- Evaluate and document patient progress toward established goals and objectives
- Update and revise patient care problem list and individualized patient care standards based on patient/family responses and changes in medical status
- Obtain 100% mandatory hospital and unit-specific inservices annually prior to evaluation date
- Plan, present, and document unit inservice as required by level
- Document competency in clinical skills annually
- Attend staff meetings as required
- Use established lines of communication for resolution of problems and interpersonal conflict
- Present a minimum of 2 in-services and 2 patient conferences
- Attend 75% of staff meetings
- Serve as a preceptor and clinical resource
- Function as Charge Nurse and assist in applying financial management principles including staffing, scheduling, decreasing length of stay, triaging, and supply management
- Chair or co-chair unit-based performance improvement committee meetings
- Participate in clinical competency compliance of staff
Required Qualifications
- Current RN licensure in the state of Florida
- BLS certification
- Graduation from an accredited school of nursing
- Minimum 2 years of experience in operating room nursing
Preferred Qualifications
- CNOR (Certified Nurse Operating Room) certification
- Bachelor of Science in Nursing (BSN)
Benefits
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions