Registered Nurse 2 | Ambulatory Surgical Center | Per-Diem | Portland, ME

CORE RESPONSIBILITIES: Possesses the clinical competencies necessary to perform the essential tasks of a Registered Nurse (RN) in the outpatient surgical setting.

Preoperative and Pre-anesthesia Testing (PAT) Responsibilities:

• Conduct thorough evaluations including review of medical history, current medications, and medical comorbidities; perform preoperative assessment of patient that aligns with the procedure/surgery and anesthesia-type scheduled; collects and interprets vital signs and point of care testing
• Educate patients about the procedure/surgery, anticipated anesthesia-type, and expectations for recovery; ensure compliance with pre-operative instructions, including knowledge of NPO and medication status pre- and post-surgery.
• Maintain accurate and complete records by ensuring all required documentation is completed and signed by physicians.
• Conduct phone interview and review of records for each patient scheduled; identify patients requiring anesthesia consultation in accordance with current guidelines.
• Responsible for preoperative procedures including IV insertion and assistance with regional nerve blocks; adheres to aseptic technique and infection control guidelines per policy.

Intraoperative (circulator/scrub nurse) Responsibilities:

• Assist in maintenance of the sterile field, including monitoring for contamination; monitors traffic/noise patterns in the OR, ensuring adherence to facility policy and procedure.
• Management of surgical instruments; ensuring the availability of surgical supplies, equipment, and medications for the indicated procedure/surgery.
• Adheres to all required components of Safe Surgical Checklist.
• Accurately documents all necessary components of the operative encounter, including implantable devices or tissues.

Postoperative & Recovery Responsibilities:

• Evaluate patient recovery from anesthesia; monitor for adverse reactions; management of acute postoperative pain.
• Provide instructions for discharge, including home care, medication changes, and follow-up appointments; ensuring a safe discharge plan is in place.
• Follow up with patients to assess recovery and address any post-operative concerns or questions; communicate any issues identified to the indicated provider.

Additional Clinical Responsibilities:

• : Administer and chart medications per physician order; perform medication calculations for accurate medication dosing.
• Responds to and provides treatment for urgent or acute patient situations during unanticipated events per policy and in alignment with BLS, ACLS, MHAUS and PALS guidelines and algorithms.
• Maintains patient safety throughout perioperative encounter; works in accordance with current employee safety guidelines
• Works respectfully and collaboratively with all team members; fosters an environment that promotes staff growth and development
• Monitors medical supplies and medication inventory levels; report to appropriate parties when restocking of supplies is necessary; participate in quarterly cleaning; ongoing monitoring of expiration dates
• Participate in quality improvement initiatives and mentor new staff; proactively seeks to continuously improve patient care and operations
• Completes mandatory educational requirements and maintains required BLS, ACLS, and PALS certifications; annual review of applicable policies

• Maintains strict confidentiality in alignment with HIPAA (Health Insurance Portability and Accountability) guidelines and InterMed policies. 
• Consistently adheres to applicable industry standard guidelines (i.e. AORN, CDC, APIC)
• Assumes responsibility for assigned role and seek/performs other job-related activities during downtime.
• Performs other duties as assigned to support the mission, vision and values of InterMed.

MISSION AND VALUES: 

• Follows InterMed’s mission to provide patient-centered primary care, putting the patient first to deliver high quality, high value care. 

• Provide the highest quality care to our patients with a level of service that exceeds their expectations. 

• Maintain a positive attitude and always treat our patients and each other with dignity and respect. 

• Insist on honesty and integrity from each other and our business partners. 

• Make teamwork a core component of our relationships between physicians, staff, and patients. 

• Embrace change to better serve our patients. 

• Use business practices that feature individual accountability and group responsibility to ensure delivery of high value healthcare. 

• Have fun as we carry out our mission to serve. 

KNOWLEDGE, SKILLS, AND ABILITIES: 

• Education: ADN or BSN from an accredited institution 
• Experience:  
  • Previous Ambulatory Surgery OR Pre- and Post Op, Circulator, and/or PACU experience preferred 
• License/Certifications:  
  • Unencumbered active Registered Nurse licensure in the State of Maine 
  • BLS required 
  • ACLS and PALS required within 6 months of hire 
• Knowledge of anesthetic techniques (general, regional, local) 
• Basic knowledge of all equipment used for patient care in a surgery setting.
• High level of critical thinking and assessment skills
• Experience in continuous quality improvement and/or Lean Six Sigma preferred
• Ability to work effectively in a fast-paced environment and respond to rapidly changing, sometimes acute patient care needs
• Professional appearance and demeanor 
• Proficient in Windows and Microsoft applications, and electronic medical record (EMR) experience preferred