Using the nursing process provides nursing care and services to patients/families and coordinates care activities with other ASC professionals during the perioperative period. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned.

• Utilizes nursing process to deliver safe patient care based on AORN standards during the surgical care continuum.
• Assessment:  Demonstrates a systematic ongoing process to data collection.  Recognizes pertinent data and prioritizes relevant to the operative or invasive procedure.  
• Diagnosis:  Identifies nursing diagnoses consistent with the assessment.  Validates and documents nursing diagnosis.  Outcome ID:  Identifies expected outcomes unique to the patient setting priorities and timeline.  Communicates expected and attained outcomes to HCP for continuity of care.
• Planning: Develops an individualized plan of care to attain outcomes.  Communicates the plan with the patient and or support person, and HCP. Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience.  Utilizes knowledge of type of procedure to plan for appropriate set up.
• Implementation:  Implements nursing interventions consistent with the plan in collaboration with the patient. Modifies and incorporates new knowledge.  Documents interventions to promote continuity of care.
• Coordination of Care: Coordinates patient care continually throughout the pts. Perioperative experience.  Delegates tasks and functions based on scope and competency. Organizes nursing activities in an efficient manner in both circulating and scrub role.
• Consultation:  Seeks specialized dialogue appropriate to the patient.  Facilitates communication between health care professionals to enhance patient outcomes.
• Evaluation:  Evaluates patient progress toward attaining outcomes.  Conducts systematic ongoing evaluation measuring the effectiveness of the interventions.  Monitors the patient progress, documents the progress disseminates as appropriate.
• Safety: Identifies Emergency situations and institutes appropriate measures in emergency situation according to unit policy and procedures based on ACLS/PALS AHA guidelines.
• Medication Safety: Demonstrates awareness of appropriate medication use and follows all policies concerning medication administration.  Demonstrates proficiency in care of patients receiving conscious sedation.  Utilizes assessment and reassessment of patients response to medications. As appropriate, may administer intradermal local anesthetic for IV placement.
• Safe Environment:  Perioperative nurse will follow safe patient handling and movement in the perioperative setting using correct body alignment in positioning and transferring patients. Follow the fire prevention and management plan per policy/procedure.  Demonstrate proper use of equipment and supplies used with the perioperative setting.
• Safe Culture:  Actively participates in communication that promotes safe care including but not limited to SBAR, Sponge, sharp/instrument counts, pre-op briefing, and time out.
• Follow specimen handling procedures.
• Infection Control: Complies with all infection control policies and procedures to include; standard precautions, hand hygiene, and principles of aseptic technique.
• Accepts responsibility as assigned to include charge responsibilities.
• Initiates and facilitates room turnovers:  light housekeeping duties, procurement of equipment, restocking of unused supplies and equipment, cleaning of instruments, reprocessing and storage.
• May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
• Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.
• Incorporates the KP Nursing Vision, Model and Values through-out their Nursing Practice.