Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds, including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.  

Provides appropriate nursing interventions, consistent with the Plan of Care and standards of practice, incorporating the Physician's prescribed medical plans of care.  

Plans individualized nursing care to meet the holistic age specific needs of the Operating Room (OR) patients.

Assesses needs of Operating Room (OR) patients as assigned based on data collected through history, observation, physical examination, and analysis of diagnostic data.

Delegates, supervises, and evaluates the activities of other team members while simultaneously executing immediate directives and interventions in urgent or emergent situations.

Prepares Operating Room for patient and procedure; Positions and prepares the patient for the surgical procedure on the Operating Room table.

Initiates and maintains the surgical count for the procedure; Performs Time Out; Completes verification of Safe Surgery checklist.

Demonstrates competency in, but not limited to, the following in the OR (refer to McLeod Health Nursing Competencies A, B, and C):    

Following all new hire expectations for, but not limited to, the Operating Room.

Following unit expectations around scheduling.

Completing Procedural Paperwork Reviews - Consent, H&P, Preprocedural checklist, and Rite Site sheet

Emergency Management - Fire Safety, Code Red in the OR, Evacuation Process, Environment of Care, Hazardous Materials/Safety Data Sheets, Emergency Codes, Security Alerts, and Survey Readiness.

Utilizing and performing Code Management – Crash Cart/Code in the OR; Malignant Hyperthermia in the OR.  

Administering Blood and Blood products in accordance to policies and procedures.

Carrying out Physician’s Orders.

Utilizing the Electronic Medical Record (EMR); Completes Intraoperative Documentation.

Nursing Handoff in Care/Bedside Report.

Maintaining Patient Privacy with the Patient Record/Patient Information.

Patient Satisfaction Initiatives – Communication with patient’s family during surgery.

Providing Patient Education regarding Anesthesia, local sedation, or conscious sedation.

Utilizes Downtime Toolkit when applicable.

Performs Waived Testing in accordance to policies and procedures.

Applying and Documenting Patient Restraints.  

Utilizes standard work in caring for central lines, foley catheters, pressure ulcers, ventilators, restraints, and patients at risk for falls.

Participates in the quality improvement standards/initiatives in the OR:

Performing Preventative care for Hospital Acquired Conditions, including but not limited to: Surgical Site Infections (SSIs), Falls, CAUTI, and CLABSI.

Performing Patient Safety Initiatives

Utilizing Process Improvement for Department Initiatives

Utilizing Infection Control Precautions and Surgical Site Infection Reduction tactics.

Utilizes appropriate health and safety equipment to protect both patient and staff.

Uses standard precautions and appropriate personal protective equipment when working around or handling hazardous substances, including blood or bodily fluids.

Contributes to the daily efficient performance of the Operating Room, assists as charge nurse when assigned. (Advanced Resuscitative Certification appropriate to their patient population if serving as a Charge Nurse).  

Contributes to the overall performance of the Operating Room through the precepting of novice employees.

Facilitates the learning experience of student nurses/surgical techs, externs, staff and volunteers.

Participates in orientation of new staff and externs.

Contributes to the growth and performance of the Operating Room through hospital-system initiatives cultivating nursing involved Evidenced Based Practices.

Accepts accountability for education provided pertaining to policies, procedures, practice, and general patient care information, etc.

Demonstrates continued professional growth through setting goals and participating in educational offerings and in-service training.

Advances personal professional growth through participation in educational programs, current literature, conferences, seminars, and workshops.

Integrates cost effective measures and waste reduction into practice.

Serves as a communication liaison to family and members of the operating team.

Delegates tasks to appropriate caregiver as defined in scope of practice.

Demonstrates ability to act as a clinical role model to other staff members regarding appropriate patient care and use of specialized equipment.

Functions in a leadership role by creating a positive work flow, problem solving, promoting positive customer satisfaction, and mentoring staff. Demonstrates ability to manage unit as a charge nurse in the absence of the Surgical Services Clinical Coordinator or Patient Care Supervisor.

Collaborates with the surgeon and the surgical team in performing a safe operation with optimal outcomes for the patient.

Practices in collaboration with and at the direction of the surgeon during the intraoperative phase of the surgical experience to facilitate the safe and effective handling of invasive and non-invasive surgical procedures.

Assists surgeons in surgical procedures and with surgical preparatory procedures.

Performs multiple tasks to get patients prepared for the surgeon and assists the surgeon with giving surgical care to the patient.

Anticipates the needs of the surgeon during the operative period.

Provides visualization of the operative site. Must have knowledge of human anatomy.

Utilizes appropriate techniques to assist with hemostasis.

Utilizes appropriate techniques to assist with closure of the incision.

Postoperative subcutaneous injection of local anesthetic per surgeon’s directive.

Application of wound dressings.

Call Team Responsibilities – readily available and reports to work promptly when “called in” on call within 30 minutes.

Participates in or provides three in-services or educational presentations yearly.

Will float to assist in other like units as needed.

Performs all other duties as assigned. 

Qualifications:

Three to four years of job-related work experience (at least two years of OR experience plus one year of specialty experience); supervisory training or experience preferred.

ADN required 

Licenses and/or Certifications:

Active Registered Nursing License verified by the SC LLR

BLS 

Completion of an AORN (Association of periOperative Registered Nurses) accredited Registered Nurse First Assist (RNFA) program