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Surgical RN (#1233)

Salary Range:$27.35 to $47.12 + 15% Casual Differential
Employment Type:Casual
Department:Surgical Services
Available To:Public
Description:Klickitat Valley Health is accepting applications for a casual RN in the Surgery Department. This Surgical RN will cover for vacations, leaves and times of high volume. This casual position doesn't guarantee any specific amount of hours and the shifts may vary. The 15% hourly wage differential is offered in lieu of guaranteed hours and benefits.

The Surgical Registered Nurse (RN) is responsible for providing patient care in the Surgical Services unit as defined by the Standards and Scope of Practice for the Registered Nurse {Nursing Practice Act (RCW 18.79.010-18.79.902)}. The Surgical RN is an important member of the perioperative team and works collaboratively with the other members of the care team to provide optimal outcomes for our patients in a compassionate, professional, ethical, and knowledgeable fashion. The Surgical RN demonstrates excellence in customer service during interactions with employees, managers/supervisors, physicians, patients and patient family members, etc. The role of the Surgical RN includes, but is not limited to: assessment, planning, implementation and evaluation of patients’ status, plan of care and goal achievement. The Surgical RN is aware of the potential exposure to internal and external hazardous materials, including but not limited to: blood and blood borne pathogens, infectious/communicable diseases, potential physical injury while caring for patients. Maintains a safe and clean environment for the care of the patient.


• Supports the mission, vision, and values of the organization.
• Demonstrates knowledge of the statutes and regulations governing nursing and nursing functions within the legal boundaries of Registered Nurse Practice Act.
• Performs a perioperative age-specific assessment on all patients including pediatric, geriatric, and the general patient population to establish an individualized perioperative plan of care.
• Initiates or contributes to the perioperative plan of care for all patients admitted, identifying priorities within the plan and setting realistic and measurable goals, including, but not limited to: identifying where the surgical procedure is performed as to correct site/side/level; appropriate medications, readiness for the surgical procedure, knowledge level of the patient, involving the patient actively in decisions affecting his/her perioperative plan of care and rehabilitation process, communicating with the patient or relevant parties the current status of the patient throughout the continuum of care, etc.
• Evaluates overall plan of care and monitors patient condition or progress, and identifies any changes in status/condition, is able to revise plan of care as indicated by patient’s condition to ensure patient comfort and safety.
• Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families.
• Formulates teaching plan for patients and families based upon identified learning needs of the patient.
• Provides education regarding medication management, pain management, wound management, nutritional management and expected response/outcomes to the operative/invasive procedure.
• Delivers and documents patient’s surgical care accurately/completely/legibly as prescribed by physician/provider considering needs specific to the standard of care for patient’s age and within the scope of practice of the Registered Nurse, including: taking vitals, surgical procedure, administering therapies and treatment, starting/maintaining/discontinuing IV lines for medication, blood and blood products; observing the patient and recording those observations, etc.; accurately documents all patient charges as well as times, personnel involvement and procedures in the OR record.
• Performs interventions to maintain the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, neurological systems, as well as fluid, electrolyte and acid-base balances at or above baseline levels.
• Monitors and maintains the integrity, safety and efficiency of the sterile field and breaks in sterile techniques throughout the surgical procedure, takes corrective action as needed.
• Conducts proper patient positioning during the surgical procedure, including immobilization and restraint.
• Uses sound nursing judgment to identify and communicate changes in the patient’s condition to the lead surgical nurse and/or provider in a timely manner consistent with delivery of quality care.
• Communicates nursing interventions and responses to care to other members of the health care team.
• Demonstrates knowledge of medications and their correct administration based on age of the patient and their clinical condition; administers IV fluids/medications correctly by implementing the 7-rights of safe medication practice (ie, right patient, right medication, right dose, right time, right route, right indication, and right documentation); follows KVH procedures on medication administration to avoid med errors or interactions.
• Assists surgeon with holding scopes or instruments as directed by surgeon within scope of practice, assist with cast application, performs care and services requiring technical and manual skills.
• Performs all aspects of patient care in an environment that optimizes patient safety while protecting the patient from injury caused by extraneous objects and chemical, electrical, mechanical and thermal sources; performs accurate accounting procedures to protect the patient from un-intended retained surgical items; administers medications correctly and safely; performs interventions to protect the patient from surgical site infection; performs interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels; performs interventions to ensure the patient returns to normothermia condition, and reduces the likelihood of medical/health care errors, and is accountable/responsible for each specific patient assigned.
• Manages the patient’s specimens with proper identification and preservation according to hospital procedure.
• Evaluates the patient’s progress toward attaining outcomes.
• Protects the patient’s rights, dignity and respect.
• Gives or takes report on patient condition in nurse to nurse transfer of patient care at shift change or due to other circumstances.
• Keeps/maintains the surgeon’s preference cards; keeps accurate record/accounting of specialty items and supplies.
• Cleans, inspects, wraps and sterilizes instruments as needed; may assist with purchasing and restocking supplies, maintaining specialty cart.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Works collaboratively with other nursing/hospital staff, delegating tasks as necessary to other surgical team members.
• Follows hospital procedure when disposing of bio hazardous materials, labeling and handling of all materials.
• Performs new nursing techniques or procedures after successful demonstration of competencies.
• Participates in quality review and performance improvement processes/projects.
• Comply with all hospital policy and procedures, while upholding the high expectations of KVH.
• Performs/takes call coverage as required.
• Attends a minimum of 50% of nursing staffing meetings and 100% of mandatory in-services.
• Completes initial and annual competencies.
• Performs other duties as assigned.
Qualifications:Minimum Education, Training & Experience (includes licenses or certifications):

• Must be a graduate of an accredited school of nursing.
• RN license in Washington State required.
• Current BLS, ACLS, PALS Certification required.
• Current Operating Room Nurse Certification preferred.

• Two years nursing experience in a perioperative setting or successful completion of hospital’s surgery nursing internship program preferred.

• Requires critical thinking skills, ability to make good decisions, listen and accept advice from others, demonstrate maturity and good judgement and the ability to work with regular supervision.
• Demonstrate a through working knowledge of nursing theory, techniques, principles and practice in order to holistically care for the patient; as well as surgical interventions/procedures, Aseptic techniques, instrumentation and sterilization process.
• Demonstrates knowledge of the function, set-up, use, storage location of: surgical supplies, instruments, specialty trays, electronic equipment, etc. and is responsible for troubleshooting operational problems of surgical equipment.
• Perform various sensory requirements such as: vision, speech, smell, touch, manual dexterity, fine motor skills and hearing in order to assess and treat the patient accurately.
• Promote/develop/deliver excellent customer service to both internal (patients and staff) and external customers (visitors and vendors).
• Demonstrate positive and effective interpersonal and communication skills with colleagues, patients, families, physicians, volunteers and the community.
• Work productively, cohesively within a team and resolve conflict/differences in a positive manner.
• Work in a stressful, fast-paced/demanding environment and take appropriate action to ensure quality of patient care, ability to cope with both physical and emotional demands of the job.
• Maintain a calm and composed manner in emergency/stressful situations, taking appropriate action as necessary.
• Demonstrate attention to detail and high degree of accuracy, risk of error could result in significant harm or loss.
• Experience with using everyday computer electronic technology tools (e.g., email, data retrieval, voicemail, and internet/intranet) as well as ability to effectively utilize an electronic medical record (EMR), as well as use/handle all medical equipment/instruments utilized in the care of the patient.
• Adaptability is essential to manage the needs of a department with unpredictable volume and limited staff.

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