Procedure Room RN – (Casper) – Premier Bone & Joint Centers – Casper, WY


Job Summary:

Provide direct patient care to adolescent (18) through geriatric patient populations. Address the psychosocial, physical, and general aspects of care related to the procedure environment. Communicate with surgeon/physician continuously and as needed about the patient’s condition. Assist with the maintenance of procedure equipment, recovery equipment, and inventory. Participate in performance improvement activities. Responsible for monitoring the patient’s physiological status in the post-operative environment. Assess procedure room for equipment functioning and readiness; obtain supplies for individual cases, and ensure all appropriate needs of the procedure team are met. Monitor, position, and assist patients during procedures (as needed).

Essential Duties & Responsibilities – General:


  • Adapt procedures to meet individual needs of adolescent, adult, and geriatric patients.

Standard Procedures

  • Follow standard procedures for procedural intervention, adapting for provider preference.
  • Use preference cards, as needed, updating regularly as changes occur.

Patient Documentation

  • Clearly documents in charting ideas, facts, and concepts about the patient.
  • Documentation is completed within shift; meets standards, policies, and procedures.

Emergency Situations

  • Recognize and respond to emergency situations in an appropriate and timely manner.

Regular Duties

  • Able to perform all duties of pre-operative care, intra-operative care, and post-operative care.


  • Assist in planning assignments, review, revise, and implement nursing care plans and perform teaching based on the needs of the patient regarding procedures and treatments.

Procedure Conditions

  • Make decisions reflecting knowledge of facts, knowledge of diagnoses/procedural conditions, care required, and good judgment.

Teaching Plan

  • Formulate a teaching plan, based on identified patient learning needs and evaluate effectiveness of learning; family is included in teaching, as appropriate, from pre-op to discharge.

Responsibility Delegation

  • Delegate responsibility for the direct care of a specific patient to the nursing staff, based on the needs of the patients, the physical arrangement of the facility, and the capability of the staff.

Physician’s Orders

  • Responsible for execution of physician’s orders and reporting patient’s condition to him/her if warranted.

Essential Duties and Responsibilities – Desk


  • Review scheduling sheets for patient appropriateness and equipment needs.

Patient Interviews

  • Reviewing and updating, as needed, patient history, diagnostic testing, and educational needs.

Pre-Op Testing

  • Follow through on physician orders for tests, examinations, prescriptions, and procedure scheduling.
  • Verify tests ordered, have been completed and posted in patient packet.
  • Advise physician and/or patient of test results.

End-of-Day Paperwork

  • Coordinate end-of-day distribution of paperwork, i.e. scheduling sheets, and charts.

Essential Duties & Responsibilities – Pre-Operative

Patient & Family

  • Approach patient/family in a kind, gentle, and friendly manner.

Right to Privacy

  • Protect patient’s sensitivities and right to privacy.

Procedure Explanations

  • Give patient explanations and verbal reassurances consistently.

Procedure Preparations

  • Prepare patient for procedure/surgery, completing in a timely manner.

Anxiety or Distress

  • Take appropriate actions and documents in response to manifested anxiety or distress.


  • Prepare, administer, and record medications/IV fluids, as ordered and directed by physician.

Individual Needs

  • Adapt procedures to meet individual needs of adolescent, adult, and geriatric patients.

Pre-Op Checklist

  • Ensure pre-op checklist is complete and all consents are signed before patient is taken into surgical suite.

Essential Duties & Responsibilities – Intra-Operative

Procedure Room Setup

  • Assist with initial setup of procedure room specific to case type and assists with room turnover between cases.

Potential Hazards

  • Recognize potential hazards and initiate preventive and/or corrective actions at any time throughout the perioperative continuum.

Procedure Room Environment

  • Ensure a safe, aseptic environment consistent with infection control principles and safe procedures.

Transfer Patient

  • Transfer patient safely, e.g. locks transport vehicle wheels, secures IV lines, catheters, pain pumps, suction devices, protects patient’s extremities during transfer, use transfer devices as appropriate.

Right to Privacy

  • Protect patient’s sensitivities and right to privacy.

Positioning of Patient

  • Position patients safely; pads and protects bony prominences and protecting nerves.

Prepping Surgical Patient

  • Participate in prepping surgical patient consistent with doctor preference and surgical procedures.


  • Drape patients correctly for all procedures.

Patient Protection

  • Protect patients from thermal, electrical, chemical, and/or mechanical injury.

Allergy Verification

  • Verify patient allergies.

Procedure Site Identification

  • Identify correct procedure site and verify with the provider and other members of the team.
  • Delay procedure if any discrepancy among parties, patient history and physical, consents or scheduled procedure occurs.

Proposed Procedure

  • Is familiar with proposed procedure, provider’s approach and clinical anatomy.
  • Recognize anatomical abnormalities that may impact the intervention.

Procedure Knowledge

  • Demonstrate thorough knowledge of location, care, and operation of all procedure equipment/instruments.


  • Ready and prepared consistently for assigned cases; does not cause delay of case; minimize turnover time.

Sterile Supplies

  • Able to open sterile supplies and set up for procedure.

Sterile Field

  • Create and monitors sterile field.
  • Identify and correct breaks in aseptic technique.
  • Identify and address factors that place the patient at risk for infections.

Intraoperative Activities

  • Initiate and perform intraoperative activities as directed by the provider.

Attention to Detail

  • Continually demonstrate attention to detail, thoroughness, stamina, and concentration during procedure.


  • Carry out medical and surgical asepsis during all procedures.

Perioperative Knowledge

  • Demonstrate knowledge of perioperative factors that alter immediate post-operative phase.

Anesthetic Drugs

  • Demonstrate knowledge of anesthetic drugs, actions, and side effects.

Behavior & Physiologic Changes

  • Observe behavioral and physiologic changes due to medications; take appropriate actions and document.


  • Make decisions reflecting knowledge of dysrhythmias, followed by appropriate treatment.


  • Carry out established techniques for safe administration of medications and parenteral fluids, as per facility policy and procedure.


  • Anticipate needs of personnel, including provider and x-ray personnel during procedure and respond appropriately.


  • Perform appropriate sharps counts, document; respond appropriately if inaccurate count.
  • Know how to properly dispose of sharps according to company policy and procedure.

Intra-Operative Care Documentation

  • Document intra-operative care.
  • Is clear, concise, accurate, and timely.
  • Note unusual occurrences and initiate variance report if required.

End of Case/End of Day

  • Assist with end of case and end of day room turnover.

Essential Duties & Responsibilities – Post-Operative

Procedure Room

  • Demonstrate competence in preparing and cleaning of procedure room before and between cases.

Patient’s Condition

  • Give thorough report of patient’s post-procedure condition to provider.

Physician’s Orders

  • Responsible for execution of physician’s orders and reporting patient’s condition to him/her.
  • Accompany physicians when visiting their patients.

Patient Care

  • Coordinate and supervise patient care; provide patient and family with teaching/education as necessary.

Nursing Decisions

  • Demonstrate ability to make independent and intelligent nursing decisions in the care of the recovery patient.

Information Processing:


  • Communicate effectively and in a timely manner, utilizing the appropriate chain of command.

Language Use Skills

  • Skill in language use, including reading and comprehending instructions, short correspondence, and memos, constructing correspondence, and presenting information in one-on-one and small group situations.

Interpersonal Skills:


  • Demonstrate compassion and caring in dealing with others.

Professional Image

  • Project a pleasant and professional image.

Analyzing Skills

  • Skilled in analyzing situations accurately, make decisions to bring a favorable resolution, and take effective action.


  • Respond with flexibility to changing work load and/or patient assignments.

Working Relationships

  • Ability to establish and maintain effective working relationships with physicians, co-workers and the public.


  • Exhibit initiative and self-directed behavior.


  • Acts as a mentor/preceptor for students/new employees.

Personal Growth

  • Accept responsibility for own professional growth and personal conduct.

Stressful Situations

  • Able to be flexible, organized, and function under stressful situations.

Other Duties

  • Perform other duties as directed/required to ensure efficient operations of Premier Bone and Joint Centers.

Adherence to Facility/Departmental Policy:


  • Maintain good attendance record.


  • Arrive to work punctually.

Dress Code

  • Follow dress code.


  • Wear identification while on duty.


  • Observe confidentiality of information in regards to patients, physicians, and fellow employees.

Safety & Infection Control Policies

  • Adhere to safety and infection control policies.

Standards of Care

  • Perform patient care according to policies and procedures and standards of care of the facility.

Quality Assurance (QA)

  • Participate in performance improvement and quality assurance (QA) activities when able.

Care of Environment, Equipment, & Supplies:

Clean, Neat, Safe Environment

  • Maintain a clean, neat, and safe environment for patients and staff.

Order Supplies

  • Order supplies and equipment, unpack supplies and equipment, and store in an organized manner.

Stock Supplies

  • Maintain appropriate stock of supplies in patient care areas.

Equipment Safe Technique

  • Utilize correct/safe technique when using equipment.

Malfunctioning Equipment

  • Notify manager of malfunctioning equipment.

. Requirements:


  • Associates or Bachelors Degree in Nursing – REQUIRED

Certifications & License(s):

  • Current Wyoming Nursing License – REQUIRED
  • Basic Life Support for Healthcare Provider – REQUIRED
  • ACLS (or obtain within one year of hire) – PREFERRED
  • Orientation Checklist (within 90-Days) – REQUIRED

Physical Requirements:

  • Seeing – Must be able to read charts and use a computer, as well as visually evaluate patient condition and environment – CONSTANT
  • Hearing – Must be able to hear well enough to communicate with patient, physicians, medical staff, and co-workers – CONSTANT
  • Speaking – Must be able to verbally communicate with patients, physicians, medical staff, and co-workers to convey and receive instructions – CONSTANT
  • Grasping – Must be able to write and type to document patient condition, as well as perform duties requiring fine motor skills – FREQUENTLY
  • Bending/Crouching – Must be able to lower oneself in order to facilitate patient care – FREQUENTLY
  • Standing – FREQUENTLY
  • Sitting – FREQUENTLY

Weight Demands:

  • Lifting – Must be able to lift up to 100 pounds – OCCASIONALLY
  • Pushing/Pulling – Must be able to maneuver patients and equipment to facilitate patient care – FREQUENTLY

Working Conditions:

Environmental Hazards

  • The fast paced environment may lead to increased levels of personal stress and demand high mental acuity.

Physical Hazards

  • Physical harm is possible when performing physical requirements, as listed above.
  • Exposure to communicable disease, bodily fluids, and/or toxic substances is possible and can be physically harmful.

Unique Work Schedule/Travel

  • May be required to work after hours, on weekends, or holidays.
  • May be required to provide services outside the clinical setting or travel to offices throughout the state.

Employee Statement of Understanding:

I have read and understand the job description for my position. I am able to perform all of the essential functions of this position.

I agree to comply with the corporate compliance policy and all laws, rules, regulations and standards of conduct related to my position. As an employee, I understand my duty to report any suspected violations of the law or the standards of conduct to my immediate supervisor.

As an employee, I will strive to uphold the mission and vision of the organization. All employees are required to adhere to the values in all their interactions with patients, customers, and fellow employees.

Note: This description is intended to describe the general job duties and employment requirements for adequate job performance, and should not be interpreted as an exhaustive report. Additional duties and responsibilities may be assigned at the discretion of the employees’ supervisor.

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