Ambulatory Surgery Center @ St. Mary Per Diem Operating Room Circulating RN  MUST HAVE AT LEAST 2 YEARS OF PREVIOUS OPERATING ROOM EXPERIENCE! Ophthalmology experience preferred/multispecialty cases.  Must provide at least 32 hours of availability per month. Job Description – OR Circulating Nurse Lines of Responsibility: Chain of command for the individual – Director of Nursing, Executive Director Job Summary: Responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. Primary Responsibilities: * Promotes the mission, vision, and values of the organization. * Assesses patients at intervals as stated in policies and procedures. * Develops an individualized perioperative patient plan of care. Implements the plan of care by: * protecting the patient from injury caused by chemical, electrical, laser, mechanical, and thermal sources and extraneous objects; * performing counting procedures to protect the patient from unintended retained surgical items; * performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level; * managing the patient’s specimens in the appropriate manner; * communicating the patient’s current status to the appropriate parties throughout the continuum of care; * administering medications safely and correctly; * performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels; * performing 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; * performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period; * performing interventions to protect the patient from surgical site infection; * assessing the knowledge level of the patient or designated support person; * providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure; * actively involving the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process; * protecting the patient’s rights, dignity, and privacy; * providing culturally and age-appropriate, ethical care within legal standards of practice; * providing consistent and comparable care regardless of the setting. * Evaluates the patient’s progress toward attaining outcomes. * Transfers care as appropriate. * Delegates tasks as appropriate according to the state Nurse Practice Act and job descriptions. * Documents nursing care accurately, completely, and legibly. * Collaborates effectively with other disciplines as appropriate. * Participates in quality review and performance improvement projects. * Participates in the performance appraisal process. * Uses problem-solving and conflict resolution skills to foster effective work relationships with team members. * Maintains required competencies. * Pursues professional growth and participates in a professional organization. * Acts as a patient advocate and maintains privacy and confidentiality of all appropriate information.  Education/Licensure/Certification — Mandatory: * Degree in nursing from an accredited nursing program * Graduate from an accredited school of nursing * Current registered nurse licensure in state Pennsylvania * Basic Life Support (BLS) certification Qualifications  Preferred: * Minimum one year of Operating Room experience, preferably in an ASC setting * Certified Nurse, Operating Room (CNOR) certification preferred but not required * Basic computer skills (ex. Microsoft Word)  Working Conditions/Physical Requirements: * Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions * Pushing and pulling heavy objects * Full range of body motion including handling and lifting patients * Manual and finger dexterity * Hand and eye coordination * Standing and walking for extensive periods of time * Lifting and carrying items weighing up to 25 lbs. * Corrected vision and hearing to within normal range * Working under stressful conditions