Manager Nursing RN - Operating Room - Saginaw

Summary

Under general direction of nursing leadership, the Manager RN position is responsible for planning, organizing, and directing of the operations and staff of the respective department. This position has

24-hour responsibility and accountability for planning, directing, coordinating, and evaluating nursing care to ensure optimal patient health outcomes in their respective department. This position links nursing leadership with nursing care through the application of organizational and nursing service policies, procedures, and care delivery model.

The Manager RN uses the Code of Ethics for Nurses with Interpretive Statements to guide leadership and practice.

The Manager RN attains knowledge and competence reflective of current nursing practice; promotes innovation and futuristic thinking by incorporating evidence based practice and research findings.

Has responsibility for the Surgical Department. Is competent to assure provision of effective, high quality patient care, which includes coordinating clinical nursing practice and patient care delivery, managing surgery and personnel schedule, development of personnel, and compliance with regulatory and professional standards.

Responsibilities

40%)* Coordination of Operating Room, PACU, Ambulatory Surgery and pain procedures.

(30%)* Responsible for supervising care of patients in preoperative, perioperative, and post-operative phases.

(30%)* Serves on Nursing Management Committee, Infection Control Committee, Safety committee, and any others that may apply.

OTHER DUTIES AND RESPONSIBILITIES:

Responsible for maintenance of quality monitors in OR with strict observance of medical and surgical

asepsis.

Responsible for monitors such as refrigerator temperature logs, eye wash station check, crash cart checks, and maintaining medication inventory.

Participates in Performance Improvement activities.

Responsible for observance of standard universal precautions for staff.

Insures that hospital policies are followed regarding completion of history and physical, lab work, consents, consultations and assistants.

Schedules surgeries and procedures according to surgeon and pain specialist designated privileges.

Provides administration with monthly statistics of census, PI activities, chart review activities, and meeting minutes.

Maintains records of preventative maintenance of anesthesia equipment, autoclaves, and appropriate OR

Pain procedure equipment.

Responds appropriately to variances in equipment.

Responsible for monitoring and scheduling surgery, monitoring distribution of the surgery schedule. Responsible for scheduling personnel, including daily and call schedules for all levels of staff

Will be responsible to fill in as OR staff member, and take call as needed.

Responsible for reviewing and updating policies and procedures in collaboration with Radiology/Cardiology Manager, Administration and/or Infection Control Manager in accordance with current standards.

Conducts and maintains annual evaluations. Conducts staff competency reviews.

Conducts staff meetings and in-services and maintains documentation of competency reviews and meeting attendance.

Responsible for new employee orientation.

Responsible for ordering supplies and equipment as needed and planning for capital equipment.

Responsible to schedule equipment maintenance and repairs and monitor equipment for trends of breakage and recommendations for new.

Responsible to collaborate with Radiology/Cardiology manager and Pain Clinic Supervisor to schedule and support Pain Procedures.

Oversees sterile processing department in conjunction with infection control nurse to ensure policies are adhered to and environment is maintained in a clean/safe manner.

Also orients new personnel and schedules CS aides, participates in budgetary considerations for central sterile, and evaluates sterile processing personnel. Responsible for performing and/or delegating charge posting.

Ensures that all staff attend annually Net Learning BLS training ACLS training for RN’s. Competent to function in the OR staff nursing role, recovery nurse role, ambulatory surgery nurse and Pain Procedure staff role fulfilling each area of duties.

Competent to assess the physiological health status of patients of all age groups. Assessment is age specific (pediatric, adult, and geriatric).

Verifies operative procedure/operative site. Communicates variances to CRNA/physician prior to surgery.

Complete s time-out on all procedures and ensures OR and Pain Procedure staff meet this standard.

Must attend 75% of all nursing, management, and inservice meetings.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Certifications and Licensures

Credential:CNOR: Peri-Operative Nurs-NCC

Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification)

Qualification Source:

Essential: true

Credential:RN: Registered Nurse

Equivalent Experience:

Qualification Source:

Essential: true

Credential:BLS: Basic Life Support

Equivalent Experience: Within 1 month of hire or transfer

Qualification Source: AHA

Essential: true

Credential:NIMS IS 100: NIMS IS 100 Introduction Incident Command System

Equivalent Experience: Within 6 months of hire or transfer

Qualification Source:

Essential: true

Credential:NIMS IS 700: NIMS IS 700 Introduction National Incident Mgt System

Equivalent Experience: Within 6 months of hire or transfer

Qualification Source:

Essential: true

Credential:NIMS IS 200: NIMS IS 200 Basic Incident Command System Initial Response

Equivalent Experience: Within 6 months of hire or transfer

Qualification Source:

Essential: true

Required Education

Education: BACH

Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years.

Education Specialization: NRG

Essential: true

Other Information

EXPERIENCE, TRAINING AND SKILLS:

EXPERIENCE, TRAINING AND SKILLS:

Knowledge of nursing practices and procedures as normally acquired through 4 years’ experience working in a Medical Center or similar setting.

Knowledge of nursing leadership as normally acquired through working 2 years’ in a Medical Center or similar setting with involvement in supervision, charge nurse, project implementation, professional development program, shared governance leadership role, or equivalent.

Two to five years of clinical experience as an operating room nurse.

Demonstrates leadership abilities; able to work under stressful situations; and possesses good oral and written communication skills.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Equivalent Experience And Other Comments (Education)

Education: BACH

Equivalent Experience: Master's Degree in clinical or health related field preferred at the time of hire or transfer to position. Associate's prepared managers must enroll in a Bachelor's program with in 1 year of hire or transfer with completion in 3 years.

Education Specialization: NRG

Essential: true

Other Comments

Credential:CNOR: Peri-Operative Nurs-NCC

Equivalent Experience: 2 years from hire date or transfer and maintain. (Employees who are in this position on or before 8/1/2024 will have 24 months to complete this certification)

Qualification Source:

Essential: true

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Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: Essential: true