The Ambulatory Surgery Center Registered Nurse (ASCRN) is responsible for the
provision of comprehensive nursing care throughout the patients’ surgical encounter.
This role involves a highly collaborative relationship with the multidisciplinary team, and
fulfillment of high-quality patient care without compromise to every patient, every time.
CORE RESPONSIBILITIES:
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 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 mission, vision and values.
MISSION AND VALUES:
• Follows 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
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs