Assesses, plans, implements and evaluates care for all age patients in the
operating room. Provides care within nursing standards of practice and the
policies of the Center. Makes decisions regarding direct patient care needs
and communicates appropriate information to physicians, patients, family
members, and personnel in other departments as well as team members. May have
additional responsibilities as designated by the OR Nurse Manager which
include, but are not limited to, serving on committees, participating in
quality improvement audits and projects.
Reports to Operating Room Nurse Manager
Job Behavior: Reflective of Mission Statement:
USPI’s mission is to provide first–class surgical services for the local
community in a safe, comfortable and welcoming environment; one in which we
would be happy to treat our own families.
Demonstrates ability to work as a team member and to communicate directly and
professionally. Is flexible, reliable, productive, patient-oriented, and self-
motivated. Demonstrates the knowledge and skills necessary to provide care
appropriate to the age of the patients served. Demonstrates knowledge of the
principles of growth and development over the life span. He/she is able to
identify and categorize each patient’s age-specific grouping of needs, such as
those for an infant, adolescent, adult, or geriatric patient. Maintains
professional conduct and appearance.
Essential Job Duties and Responsibilities: Include the following. Other duties
may be assigned:
1. Assess patients at intervals as stated in policies and procedures.
2. Develop an individualized peri-operative plan of care.
3. Implement the plan of care using the following interventions:
a. Protect patient from injury caused by chemical, electrical, laser,
positioning, thermal sources, and extraneous objects.
b. Perform count procedures to protect patient from unintended retained
c. Perform interventions necessary to ensure patient’s procedure is performed
on the correct site, side, and level.
d. Manage patient’s specimen(s) in the appropriate manner.
e. Communicate patient’s current status throughout the continuum of care.
f. Administer medication(s) appropriately.
g. Perform interventions to maintain patient’s wound and tissue perfusion at
or above baseline levels.
h. Perform interventions to maintain the status of the patient’s
genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory,
cardiovascular, and neurological systems, and fluid, electrolyte, and acid-
base balances at or above baseline levels.
i. Perform interventions to ensure the patient is at or returned to
normothermia at the conclusion of the immediate postoperative period.
j. Perform interventions to protect patient from infection.
k. Assess knowledge level of patient or designated support person and provide
education regarding the expected psychosocial response, nutritional
management, medication management, pain management, wound management, and
expected responses to the operative or invasive procedure.
l. Actively involve patient or designated support person in decisions
affecting his or her perioperative plan of care and the rehabilitation
m. Protect patient’s rights, dignity, and privacy.
n. Provide culturally competent, age-appropriate, ethical care within legal
standards of practice.
o. Provide consistent and comparable care regardless of the setting.
4. Evaluate the patient’s progress toward attaining outcomes.
5. Transfer care as appropriate.
6. Delegate tasks as appropriate according to the state Nurse Practice Act
and job descriptions.
7. Organizes and prepares medical records of patients. Documents care
appropriately and fully.
8. Participate in quality review and performance improvement projects.
9. Participate in the performance appraisal process.
10. Knows and adheres to policies of the Center and demonstrates fiscal
11. Maintain required competencies. Seeks involvement in activities that
professional growth and behavior.
12. Attend required meetings and educational sessions.
13. Act as a patient advocate and maintain privacy of all appropriate
14. Remains calm and functions as a team member during times of stress and
15. Follows OSHA and other standards for protection against blood borne
16. Uses good body mechanics.
17. Informs Pre-Op/PACU Manager of applicable day-to-day situations.
18. Follows employee health and other personnel and staffing policies.
Ability to apply common sense understanding to carry out detailed written or
Ability to deal with problems involving a few concrete variables in
General familiarity with medical terminology as it pertains to anatomy and
surgical procedures for an operating room.
Graduate of an approved school of nursing.
Currently licensed by the Board of Nurse Examiners of the State of Texas.
CPR certification required. Advanced Cardiac Life Support certification
One year experience required intra-operative setting.
Demonstrates clinical competency, leadership, and teaching capabilities.
Physically and emotionally capable of performing responsibilities of position.