REGISTERED PROFESSIONAL NURSE JOB DESCRIPTION
PERIOPERATIVE CARE
Job Summary:
The Perioperative RN is responsible for managing the care of the pediatric and adult patient requiring a surgical procedure that requires moderate to complex assessments, interventions and levels of nursing vigilance.
Qualifications
· Current licensure in good standing in the state of practice
· Evidence of 1 year of perioperative nursing experience within the past two years; scrub and/or circulating experience
mandatory
· Evidence of BLS mandatory; additionally, the RN may have resuscitation credentials including but not limited to ACLS & PALS
· Additionally, the RN may have professional certifications, including but not limited to CNOR, CPAN, and CRNFA
Responsibilities
· Conducts an individualized patient assessment, prioritizing the data collection based on the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient’s immediate condition or needs within timeframe specified by client facility’s policies, procedures or protocols.
· Conducts ongoing assessments as determined by the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient’s condition and/or the client facility’s policies, procedures or protocols and reprioritizes care accordingly.
· Develops plan of care that is individualized for the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient reflecting collaboration with other members of the healthcare team.
· Performs appropriate treatments as ordered by physician in an accurate and timely manner.
· Performs therapeutic nursing interventions as established by individualized plan of care for the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient and his/her family.
· Provides individualized patient/family education and discharge planning customized to the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient and his/her family.
· Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.
· Initiates emergency resuscitative measures according to adult & pediatric resuscitation and advanced life support protocols.
· Maintains confidentiality in matters related to patient, family and client facility staff.
· Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the neonatal, infant, toddler, preschool, school age, adolescent, adult or elderly patient’s and family’s diversity, preserving their autonomy, dignity and rights.
· Reports patient condition to appropriate personnel during each shift.
· Maintains current competency in perioperative nursing.
SCRUB CIRCULATE
PROCEDURES
ENDOSCOPIC
1. Bronchoscopy
2. Colonoscopy
3. Cystoscopy
4. Gastroscopy
5. Hysteroscopy
6. Laparoscopy
a) Appendectomy
b) Cholecystectomy/
c) cholangiogram
d) Colon resection
e) Herniorrhaphy
f) Nissen
fundoplication
g) Salpingooophorectomy
h) Tubal ligation
i) Vaginal
hysterectomy
7. Laryngoscopy &
microlaryngoscopy
8. Mediastinoscopy
9. Sigmoidoscopy
10. Thoracoscopy
11. Ureteroscopy
CARDIOTHORACIC
1. CABG
2. Chest tube insertion
3. Closed thoracotomy
4. Coarctation resection, aorta
5. Open heart procedures
a) Patent ductus arteriosus
b) Septal defect repairs
c) Tetralogy of Fallot
d) Commissurotomy, valve repair/ replacement
6. Pacemaker implantation
a) Endocardial
b) Myocardial
7. Pectus excavatum correction
8. Pericardectomy
9. Pneumonectomy/ Lobectomy
10. Rib resection
11. Thoracoplasty
12. Tracheal resection
13. Transthoracic diaphragmatic herniorrhaphy
14. Vein Harvesting
a) Endoscopic
b) Open
GENERAL SURGICAL
1. Abdominal perineal
resection
2. Adrenalectomy
3. Anal fissurectomy
4. Appendectomy
5. Breast biopsy
6. Central Line Insertion
a) Hickman
b) Groshong
c) Portacath
7. Cholecystectomy/
cholangiogram
8. Colectomy
9. Colon resection
10. Colostomy/ileostomy
11. Gastrectomy
12. Gastroplasty
13. Hemorrhoidectomy
14. Hepatic resection
15. Herniorrhaphy
a) Inguinal
b) Umbilical
16. Hiatal herniorrhaphy
a) Transabdominal
b) Transthoracic
17. Hydrocelectomy
18. Imperforate anus
reconstruction
19. Lumbar sympathectomy
20. Omphalocele repair
21. Pancreatectomy/ pancreatogram
22. Pilonidal cystectomy
23. Portal caval shunt
24. Pyloric stenosis
25. Radical mastectomy
26. Saphenous vein ligation & stripping
27. Sentinel node biopsy
28. Splenectomy
29. Tenchkhoff catheter placement
30. Thyroglossal duct cyst excision
31. Thyroidectomy
32. Vagotomy
33. Whipple (Open)
GYNECOLOGIC
1. Cesarean section
2. Colpotomy
3. D & C
4. Hysterectomy
a) Abdominal
b) Vaginal
5. Marshall-Marchetti
6. Marsupialization-
Bartholin cyst
7. Ovarian cystectomy
8. Radium insertion
9. Sacral spinus fixation
10. Salpingoplasty
11. Shirodkar procedure
12. Suction curettage
13. Vaginal reconstruction
14. Vaginectomy
15. Vulvectomy
NEUROSURGICAL
1. A-V malformation
2. Anterior cervical fusion
3. Anterior laparoscopic spine procedure
4. Anterior lumbar interbody fusion
5. Burr holes for subdural hematoma
6. Carotid ligation
7. Cervical sympathectomy
8. Craniectomy for decompression fracture
9. Cranioplasty/craniotomy
a) Aneurysm clipping
b) Tumor excision
c) Stealth
10. Crutchfield tong insertion
11. Discectomy
12. Hypophysectomy
13. Insertion nerve stimulators
14. Insertion medication pumps
15. Myelomeningocele repair
16. Pedicle screw insertion
17. Posterior lumbar interbody fusion
18. Shunt procedure, VP & VA
19. Ulnar nerve transfer
20. Ventriculography
21. Ventriculostomy
OPHTHALMOLOGIC
1. Cataract extraction
2. Corneal transplant
3. Dacryocystectomy
4. Dacryocystorhinostomy
5. Diathermy
6. Enucleation
7. Iridectomy
8. Lid & muscle procedures
9. Orbital implant
10. Phaco emulsification
11. Pterygium repair
12. Recession resection
13. Repair orbital blowout fracture
14. Scleral buckle
15. Vitrectomy
ORAL
1. Closed reduction facial fractures
2. Excision odontoma
3. Fractured jaws
4. LeFort osteotomy
5. Maxillary graft
6. Pediatric dentistry
7. Sagittal osteotomy
8. Teeth extraction
9. TMJ with arthroplasty
10. TMJ exploration
ORTHOPEDIC
1. Acetabular/pelvic ORIF
2. Achilles tendon repair
3. Anterior cruciate ligament repair
4. Arthroscopy
a) Ankle
b) Elbow
c) Knee
d) Shoulder
5. Arthrotomy
6. Bipolar/unipolar hips
7. Bunionectomy
8. Calcaneal reconstruction
9. Capsulorrhaphy
10. Carpel tunnel release
11. Closed reduction fracture
12. External fixator application
a) Extremities
b) Pelvis
13. Extremity amputation
14. Halo traction application
15. Hammer toe repair
16. Hand surgery
17. Harrington rod insertion
18. Heel cord lengthening
19. Hip compression & lag screws
a) Rush
b) Schneider
c) Smith & Richards
d) Zimmer
e) Other
20. Hip prosthesis insertion
21. Iliac crest bone graft
22. Intramedullary rods, insertion
a) Femoral
b) Humeral
c) Supracondylar
d) Tibial
23. Laminectomy
24. Olecranon bursa, excision
25. Reduction w/ compression
26. Reimplantation of digits
27. Rotator cuff repair
a) Putti Platt
b) Bankart
28. Sacro-iliac joint screws
29. Spica cast, application
30. Spinal fusion
31. Tendon transplants
32. Total joint replacements
a) Hip
b) Knee
c) Shoulder
OTORHINOLARYNGOLOGIC
1. Adenoidectomy
2. Caldwell-Luc
3. Cleft lip/palate repair
4. Closed reduction nasal fracture
5. Ethymoidectomy
6. Excision salivary gland tumor
7. Fenestration
8. Frontal flap sinus
9. Glossectomy
10. Laryngectomy
11. Mandibulectomy
12. Mastoidectomy
13. Maxillary advancement with hip graft
14. Maxillectomy
15. Myringoplasty w/ PE tube insertion
16. Nasal polypectomy
17. Open reduction
a) Facial fractures
b) Nasal fractures
18. Parotidectomy
19. Pharyngeal flap
20. Radical neck dissection
21. Ranulectomy
22. Rhinoplasty/septoplasty
23. Selective osteotomy
a) Maxilla
b) Mandible
24. Sinus Endoscopy
25. Sinusotomy
26. Stapedectomy
27. Submucous resection
28. Tonsillectomy
29. Tracheostomy
30. Tympanoplasty
PLASTIC
1. Abdominal lipectomy
2. Blepharoplasty
3. Face Lift
4. Mammoplasty
a) Augmentation
b) Reduction
c) TRAM flap
5. Mentoplasty
6. Otoplasty
7. Pedicle grafts
8. Scar revisions
9. Split thickness skin grafting
10. Tissue expanders
TRANSPLANT
1. Bone
2. Bone marrow
3. Corneal
4. Heart
5. Kidney
6. Liver
7. Lung
8. Multi-organ
9. Pancreas
10. Skin
11. Harvesting
TRAUMA
1. Burns
2. Gunshot/stab wounds
a) Abdomen
b) Chest
c) Head
3. Multiple injury
accidents
UROLOGIC
1. Adult circumcision
2. Bladder suspension
3. Cystectomy
4. Hypospadias repair
5. Implants
6. Lithotripsy
7. Nephrectomy
8. Nephrolithotomy
9. Orchiopexy
10. Prostatectomy
a) Perineal
b) Supra-pubic
11. Pyeloplasty
12. Radical node dissection
13. Radium seed implants
14. Scott incontinence
devise
15. TURP/TURBP
16. Utereolithotomy
17. Vasectomy
18. Vasotomy
VASCULAR
1. A-V access graft
2. Aortic aneurysm w/ graft replacement
3. Carotid aneurysm resection w/ graft
4. Endarterectomy
a) Carotid
b) Femoral
5. Endoscopic aortic aneurysm repair
6. Peripheral vascular bypasses
7. Thrombectomy/ embolectomy
8. Vena cava filter
9. Vena cava ligation
SKILLS
1. Blood & blood products infusion
a) Packed RBCs
b) Whole blood
2. Chest Tube & Drainage System Care
3. Foley Catheter Insertion & Care
i. Female
ii. Male
4. Extubation
5. Gastric Suction
6. Hemodynamic Monitoring, Noninvasive
a) Auscultation
b) Electronic
7. Intravenous Therapy
a) Angiocath insertion
b) A-line insertion (assist)
c) CVP insertion (assist)
d) Swan-Ganz insertion (assist)
8. Intubation (assist)
9. Malignant Hyperthermia Crisis
a) Assessment
b) Management
10. Oxygen Therapy Administration
a) Face mask
b) Nasal cannula
c) Trach collar
11. Phlebotomy
a) Venous blood draw
b) Central line blood draw
12. Restraints
13. Suctioning
a) Nasal-pharyngeal
b) Oral-pharyngeal
c) Tracheostomy
14. Temperature
a) Axillary
b) Oral
c) Rectal
d) Tympanic
15. Wound Care
a) Incisional dressing assessment
b) Surgical wounds with drains
PAIN MANAGEMENT
1. Pain level assessment
2. Care of patient requiring:
a) Epidural analgesia
b) IV conscious sedation
c) Patient controlled analgesia
d) Narcotic agents
EQUIPMENT & SUPPLIES
1. Argon beam coagulator
2. Bair Hugger
3. Blood/fluid warmer
4. Camera/video systems
a) Camera controller
b) Light source
c) Printers
d) VCRs
5. Cardiac monitor
6. Cell saver
7. Cry-ophthalmic unit
8. Defibrillator
9. Dermatome
a) Padgett
b) Zimmer
10. Drills
a) 3-M maxi driver
b) Codman craniotome
c) Hall air driver
d) Hall dental
e) Hall neurotome
f) Midax Rex/Anspach
g) Minidriver
h) Stryker
i) Surgairtome
j) Synthes A-O Drill
11. Emerson thoracic pump
12. ESU cautery
13. Fiber optic luminator
14. Flash autoclave
15. Fracture tables
a) Chick
b) Jackson
c) Skytron
16. Infusion Delivery Devises
17. Internal stapling devices
18. Kreiselman resuscitator
19. Laser
a) CO2
b) Holmium
c) Yag
d) Other:
20. Mesh graft
21. Microscopes
22. Nitrous oxide bank
23. Pleurevac chest drainage system
24. Pneumatic tourniquet
25. Pulse Oximeter
26. Steris unit
27. Suction units
28. Telethermometer
29. Vac-pac positioner
Age Specific Experiences
Neonate (0-30 days)
Infant (30 days-1 yr)
Toddler (1-3 yrs)
Preschool Child (4-5 yrs)
School Age Child (6-12 yrs)
Adolescent (13-18 yrs)
Young Adult (19-39 yrs)
Middle Adults (40-64 yrs)
Older Adult (65+ yrs)
1. Understands the normal growth and development for each age group and adapts care accordingly
2. Understands the different communication needs for each age group and changes communication methods and terminology accordingly
3. Understands the different safety risks for each age group and alters the environment accordingly
4. Understands the different medications, dosages and possible side effects for each age group and administers medications appropriately.
The information I have provided in this knowledge and skills checklist is true and accurate to the best of my knowledge.
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