Surgery Center XYZ 
Job description: ASC Staff Registered Nurse	
Title	ASC Staff Registered Nurse	
Main function	Performs nursing care for the patient in the ASC, assessing and documenting patient’s status upon arrival thru their discharge. Provides nursing care to meet patient needs related to surgical condition and type of anesthesia administered, monitoring patient and informing surgeon or anesthetist of observed complications.	
Job duties and responsibilities	A.           Philosophy
1)	Supports the facility’s ideology, mission, goals, and objectives
2)	Performs in accordance with the facility’s policies and procedures
3)	Follows the facility’s standards for ethical business conduct
4)	Conducts self as a positive role model and team member 
5)	Recognizes patients’ rights and responsibilities and supports them in performance of job duties
6)	Participates in facility committees, meetings, in-services, and activities
B.           Communication
1)	Communicates effectively and professionally with patients, visitors, physicians, and
              coworkers
2)	Interacts with others in a positive, respectful, and considerate manner
C.           Financial practices
1)	Uses facility resources appropriately and avoids wasteful practices
2)	Reports wasteful practices
3)	Analyzes work area and makes reccomendati0ons for potential cost-effective improvements
D.           Compliance Program
1)	Contributes to the progress and development of the organization’s adopted compliance program
2)	Performs according to established compliance policies and procedures
E.           Performance improvement program
1)	Contributes to the progress and development of the organization’s adopted performance improvement program
2)	Performs according to established performance improvement policies and procedures
F.           Safety/Risk-management program
1)	Adheres to safety and infection control policies and procedures in performing job duties and responsibilities
2)	Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to safety officer or other designated person
G.           Professional Competence
1)	Participates in continuing education and other learning experiences
2)	Shares knowledge gained in continuing education with staff
3)	Maintains membership in relevant professional organizations
4)	Seeks new learning experiences by accepting challenging opportunities and responsibilities
5)	Welcomes suggestions and recommendations
H.           Duties 
1)	Effectively organizes time, equipment, supplies, and personnel for management of the surgery center and stock levels
2)	Organizes nursing activities efficiently, considering staff abilities when delegating activities
3)	Uses equipment effectively by anticipating patient needs and providing appropriate care
4)	Confirms that proper techniques and procedures are used according to accepted standards of practice

OPERATING AREA

PRE-OP AREA

RECOVERY AREA

5)    Maintains order and cleanliness of surgery center
6)    Preforms thorough preoperative patient assessment required in the outpatient setting

7)    Obtains pertinent patient records prior to patient’s arrival for preoperative testing
8)    Assists in assessing the physical and emotional status of the patient prior to admission
9)	Accurately comprehends and interprets verbal orders/directs
10)	Provides preoperative instruction and explanation of patient rights and responsibilities
11)	Describes the perioperative experience to the patient/significant other, including what to expect before, during, and after the procedure, and how the significant other will participate
12)	Explains informed consent for surgery, patient’s rights/responsibilities, and preoperative/postoperative instructions
13)	Preforms all preoperative testing/procedures (i.e., laboratory work, IV starts, x-rays, etc.)
14)	Reports all abnormal values to anesthesiologist/attending surgeon
15)	Obtains necessary signatures and assessments prior to escorting patient to OR 
16)	Transports patients to the operating room observing policies/procedure and communicates such information to all members of the surgical team
17)	Provides comfort and reassurance to the patient and promotes privacy and dignity

18)	Prepares operating room according to requirements of patient/procedure to be performed 
19)	Supervises and directs patient care in a single operating room as assigned
20)	Assesses and documents the patient’s physical and emotional status 
21)	Assists with the proper and safe positioning of the patient and prepares operative site as directed by established procedures
22)	Anticipates needs of surgical team and assists anesthesia personnel by supporting patient during administration of anesthesia
23)	Performs the circulating, scrub or Conscious sedation nurse’s role and functions following approved operating room procedures to meet the requirements of scheduled procedures.  Conscious sedation responsibilities must be an independent function with no other patient responsibilities
24)	Assists with identification and confirmation of operative site as well as full time out

25)	Documents post anesthesia care in the recovery room during the patient’s recovery from anesthesia/sedation according to approved policies and procedures
26)	Provides nursing care to meet patient needs related to surgical condition and type of anesthesia administered
27)	Monitors patients and informs surgeon or anesthetist of observed complications
28)	Performs thorough postoperative patient assessment prior to discharge of the patient
29)	Assists in assessing the physical and emotional status of the patient in preparation for discharge 
30)	Reviews postoperative instructions and prescriptions from the surgeon with patient and significant other and documents in the patient’s medical record
31)	Informs patient and family about appropriate care and procedure to follow upon returning home
32)	Determines that patient and significant other understand conditions that require immediate care/method to obtain immediate care
33)	Transports patients at time of discharge observing policies/procedure including escort requirements	
Responsibility for assets	Not applicable	
Qualifications	1.	Cooperative work attitude toward co-employees, management, patients, visitors, and physicians
2.	Ability to promote favorable facility image with physicians, patients, insurance companies, and general public
3.	Ability to make decisions and solve problems	
Requirements	Required
1.	High school graduate or GED certificate recipient
2.	Graduate of accredited school of nursing
3. 	RN with active license in _________
4. 	CPR certification
5. 	Evidence of leadership qualities
6. 	Strong ethical and moral character references
7. 	Language skills adequate for high-level written, interpersonal and telephone communication in American English

Preferred
1.	ACLS certification
2.	ASC experience
3. 	Computer literacy	
Job quality
requirements	1.	Accuracy
2.	Attention to detail
3.	Timeliness
4.	Organization
5.	Little supervision needed to accomplish tasks	
Dependability	1.	Attendance
2.	Punctuality
3.	Ability to follow instructions
4.	Ability to meet deadlines	
Physical/mental requirements	1.	Ability to sit/stand for long periods; ability to walk
2.	Capability for occasional overhead and low reaching
3. 	Physical strength for equipment needs and patient-care activities
4. 	Visual and auditory acuity for timely responsiveness and patient-care assessment activities
5. 	Ability to move quickly in response to patient needs
6. 	Ability to make frequent judgments and respond to routine problems
7. 	Ability to make occasional judgments and respond to disasters or emergencies, actual events, or drills	
Working conditions
(environmental)	1.	Well-lit and ventilated, with non-hazardous and hazardous equipment
2.	Category I: involves occupational exposure to blood and other potentially infectious body fluids and materials	
Reports to	Director of Nursing	
Supervises	Not applicable	
Contacts	1.	Patients
2.	Patients’ family/significant others
3.	Physicians and physician office personnel
4. 	Facility personnel
5. 	Vendors
6. 	Administration
7. 	Medical director
8. 	Governing Body	
Formal lines
of promotion	Must submit CV to Director of Nursing, Administrator	
Employee statement

I have read the registered nurse job description and understand the functions of the position at this facility.

Employee's signature	                                                                               Date	

Surgery Center XYZ
Performance Evaluation: ASC Staff Registered Nurse	
Rating system	
6 = Exceptional—actions had a significant positive impact on facility functions. Performance consistently exceeded expected outcomes.	3 = Below average—actions had no negative impact on facility functions. Performance occasionally failed to meet expected outcomes.	
5 = Above average—actions had a positive impact on facility functions. Performance consistently met and occasionally exceeded expected outcomes.	2 = Inferior—actions had a negative impact on facility functions.
Performance occasionally failed to meet expected outcomes.	
4 = Average—actions had no negative impact on facility functions. Performance met expected outcomes.	1 = Deficient—actions had a significant negative impact on facility functions. Performance consistently failed to meet expected outcomes.	
Description	Rating	Comments	
1. Philosophy	
a) 	Supports the facility’s ideology, mission, goals, and objectives			
b)	Performs in accordance with the facility’s policies and procedures			
c)	Follows the facility’s standards for ethical business conduct			
d)	Conducts self as a positive role model and team member			
e)	Recognizes patients’ rights and responsibilities and supports them in performance of job duties			
f) 	Participates in facility committees, meetings, in-services, and activities			
2. Communication	
a)	Communicates effectively and professionally with patients, visitors, physicians, and coworkers			
b) 	Interacts with others in a positive, respectful, and considerate manner			
3. Financial practices	
a) 	Uses facility resources appropriately and avoids wasteful practices			
b) 	Reports wasteful practices			
c) 	Analyzes work area and makes recommendations for potential cost-effective improvements			
4. Compliance program	
a) 	Contributes to progress/development of organization’s adopted compliance programs			
b) 	Performs according to established compliance policies and procedures			
5. Performance-improvement program	
a) 	Contributes to the progress and development of the organization’s adopted performance-improvement program			
b) 	Performs according to established performance-improvement policies and procedures			
6. Safety/risk-management program	
a) 	Adheres to safety and infection control policies and procedures in performing job duties and responsibilities			
b) 	Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to the safety officer or other designated person			
7. Professional competence	
a) 	Participates in continuing education and other learning experiences including Infection Control Training as well all  required in-services for equipment prior to use and annually. This includes all available emergency equipment (crash cart, AED, etc.)  			
b) 	Shares knowledge gained in continuing education with staff			
c) 	Maintains membership in relevant professional organizations			
d) 	Seeks new learning experiences by accepting challenging opportunities and responsibilities			
e) 	Welcomes suggestions and recommendations			
8. Duties	
a) 	Effectively organizes time, equipment, supplies, and personnel for management of the assigned clinical area			
b) 	Organizes nursing activities efficiently, considering staff abilities when delegating activities			
c) 	Uses equipment effectively by anticipating patient needs and providing appropriate care			
d) 	Confirms that proper techniques and procedures are used according to accepted standards of practice			
e) 	Assists in managing inventory of supplies, drugs, and equipment to maintain availability and stock levels in the postoperative area			
f) 	Maintains order and cleanliness of the facility			
PRE-OP AREA	
g)  Confirms complete H&P, consent, and Advanced Directive			
h)   Develops a plan of care for the patient based on the assessment data			
i)   Provides comfort and reassurance to the patient and promotes privacy and dignity			
OR AREA	
j) 	Provides nursing care to meet patient needs related to surgical condition and type of anesthesia administered			
k) 	Monitors patients and informs surgeon or anesthetist of observed complications			
RECOVERY AREA	
l)  Performs safe and individualized nursing care for the patient in the immediate postoperative/post anesthesia period			
m)  Assesses and documents the patient’s physical and emotional status upon arrival in the recovery room			
n)  Documents post anesthesia care during the patient’s recovery from anesthesia/sedation according to approved policies and procedures			
o) 	Assists in assessing the physical and emotional status of the patient in preparation for discharge. Assures there is a signed discharge order and assessment prior to discharge.			
p) 	Reviews postoperative instructions and prescriptions from the surgeon with patient and significant other and documents in patient’s medical record			
q) 	Informs patient and family about appropriate care and procedure to follow upon returning home			
r) 	Determines that patient/family understand conditions that require immediate care/method to obtain immediate care			
	
Approved by (signature of Governing Body chairperson):		
Date implemented:		
Date revised:		
COMMENTS: 	
Employee statement	
I have reviewed the information in this performance evaluation; however, I may not necessarily agree with the information contained herein.		
Employee signature:
	Date	
Evaluation performed by:
	Title	
Signature of evaluator:
	Date