Sherryjun Pelejo Canazares

· Run a self-test for anesthesia machine & check patient monitor before the case start.

· Gather all the supplies and make sure the instruments needed for induction of anesthesia is working properly and available at all times.

· Make sure the warming blankets are available for all cases.

· Make sure the other equipment needed for the surgery especially if the patient is high risk are presently available in the room.

· Check the anesthesia consent if it is signed by patient and verify with patient if she/ he understood the type of anesthesia she/he will receive.

· Prepare the medications needed in the case from the Omnicell and perform an individual check of every medication with Anesthesiologist.

· Proper use of B Braun infusion pump for all medication.

· Assist the Anesthesiologist to put the necessary IV line prior to start the procedure.

· Escort patient inside the operating room.

· Attentive and participating during Sign in.

· Explain to the patient before attaching to the patient monitor.

· Assist the Anesthesiologist during the induction of anesthesia.

· Return all empty narcotic ampules in the Omnicell and make sure prescription is properly fill up.

· Be alert to the Anesthesiologist needs being one step ahead of her/his call.

· Assist Anesthesiologist when giving any type of nerve block to the patient.

· Make sure the mask, laryngoscope, airway and syringe are ready before extubating the patient.

· Disinfect, check & arrange all the used items.

· Check temperature of the patient prior to transfer in PACU.

· Close the Omnicell every after each case.

· Assist the circulating nurse to wheel out the patient in the room.

· Proper hand over to the receiving nurse in PACU.

1. SCRUB NURSE in OR

• Prepared OR by ensuring it met asepsis standards, as well as setting out, organizing and counting all tools and equipment necessary for each procedure.
• Used aseptic techniques to maintain sterile fields and actively monitored situations to prevent breaches in aseptic techniques.
• Maintained up-to-date knowledge on emerging and updated surgical procedures to select correct instruments for specific surgeries.
• Refer to the surgeon preference card and the circulating nurse for completion and adequacy of set-up necessary for the procedure.
• Observed surgeon's body language, movements and demeanor during operations to efficiently anticipate needs.
• Perform scrubbing, gowning and gloving.
• Organize table set-up for instruments, supplies and other sterile equipment.
• Count instruments, needles and sponges before the surgery start with the circulating nurse.
• Surgical skin preparation using aseptic technique.
• Initiate or assist in draping patients and hooking up attachments like suctions, cautery machines and cell saver tubing if indicated.
• Remain the needles in neutral zone and reminded the surgeon for proper use.
• Throw away soiled sponges and maintain operative field clean and neat.
• Communicate with circulating nurse for any needed articles not included in set-up.
• Provided direct support to surgical team during procedures by anticipating the needs, giving instrument and help to retract for better visualization of the operative site.
• Initiate the first count of sponges, needles and instruments with the circulating nurse immediately before the closure of first layer and for every layer, announces accordingly whether correct or if incorrect institute necessary remedial measures.
• Application of sterile dressing over the incision site before removal of drape.
• Secure sharp, used blades, scissors and probes to protect others from accidental cuts.
• Handle personally or hand over accordingly the tissue specimen providing with container, preservative content and label.
• Wheel out instruments table used and supplies to the case cart provided. Gives priority to surgeon’s personal instruments.

2. CIRCULATING NURSE in OR

• Prepared operating rooms by maneuvering operating room lamps for illumination and laying out sterile instruments and supplies on stainless steel tables, including gauze sponges, magnifying glasses and medications.
• Positioned patients in operating rooms to prepare for surgical procedures, using supine, prone and sitting surgical positions.
• Review patient’s chart for completeness.
• Gather and perform Sign In by identify the patient using 2 identifier, check consent for operation. Verifies pre-operative procedure and site.
• Escort patient inside the operating room. Position her on bed observing proper strapping, warmth, comfort and reassurance.
• Remain with the patient and Anesthesiologist during the induction of anesthesia and provide the immediate needs.
• Observe aseptic technique during insertion of Foley’s catheter.
• Assist the surgeons for gowning.
• Time Out called before the surgery begins.
• Lead husband beside the patient before the surgery start.
• Complete patient record and documentation.
• Observe the progress of operation and keep the member of the team supplied with the necessary items. Be alert to scrub nurse needs being one step ahead of her call.
• Perform count of sponges, needles and instruments with the scrub nurse and write on the board provided.
• Communicate with surgical team especially the Anesthesiologist about the EBL (Estimated Blood Loss) from time to time.
• Call the attention of team for Sign Out right after the surgery finish.
• Assist the scrub nurse for applying the pressure dressing and secure the drains if present and transferring patient to the bed.
• Accomplishes charting in the nurse’s notes including operation performed, type of anesthesia, medication, drains, packing and general condition of the patient. Have the surgeon and anesthesiologist sign their records before leaving the room.

3. RECOVERY(PACU) ROOM NURSE in OR

• Routinely check the Emergency Crash Cart for completeness and functions, check the expiration date of emergency drugs and supplies.
• Daily check of the Defibrillator, Glucometer, ABG machine, Resuscitaire & other equipment present in recovery room.
• Admit patient for recovery after the procedure.
• Assures understanding, completeness and accuracy of endorsement upon receiving of patient after surgery.
• Took vitals and assessed patients in recovery room following surgical procedures.
• Recorded observations, patient assessments and progress and physician's orders, using cerner.
• Provided individualized care and dedicated oversight to patients on average in post-operative recovery room.
• Evaluated patients' pain levels, implementing correct dosage of medication to alleviate discomfort.
• Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
• Monitored patient reactions after administering medications and IV therapies.
• Adhered to strict safety measures by carefully determining proper dosages before administering medications.
• Transfer patient back to room after recovery with the clearance for transfer from the Anesthesiologist.
• Inform the ward responsible for transfer.
• Appropriate hand over of patient post operatively to nurse in-charge at the unit.
• Kept meticulous charting notes regarding patient assessments and medications, later transferring information into records management system.

4. ANESTHESIA NURSE in OR

• Run a self-test for anesthesia machine & check patient monitor before the case start.
• Gather all the supplies and make sure the instruments needed for anesthesia is working properly and available at all times.
• Check the anesthesia consent if it is signed by patient.
• Assist the Anesthesiologist to put the necessary IV line prior to start the procedure.
• Inquire with the Anesthesiologist regards the other equipment needed for the surgery especially if the patient is high risk.
• Present during Sign in.
• Escort patient inside the operating room.
• Witness for the medications needed in the case from the pyxis or omnicell and perform an individual check of every medication with Anesthesiologist.
• Proper use of Alaris pump for all medication using Guardrails drug.
• Ensure that patient is attached to patient monitor before the induction of anesthesia.
• Assist the Anesthesiologist during the induction of anesthesia.
• Return all empty narcotic ampule in the pyxis or omnicell.
• Be alert to the Anesthesiologist needs being one step ahead of her/his call.
• Initiate early skin to skin contact between the parents and baby/babies if midwife is busy.
• Provide the narcotic prescription book to the Anesthesiologist and sign to witness the administration or discharge, check for completeness.
• Check temperature of the patient prior to transfer in PACU.
• Assist Anesthesiologist when giving a QLB block to the patient.
• Disinfect, check & arrange all the used items.
• Close the pyxis or omnicell every after each case.
• Assist the circulating nurse to wheel out the patient in the room.
• Proper hand over to the receiving nurse in PACU.

5. HIGH DEPENDENCY UNIT NURSE

• Daily check of crash cart & other equipment.
• Acquire patient details from other staff during shift change.
• Secure all the monitor and other equipment are available and functioning well.
• Self-introduction and patient identification at the beginning of the shift.
• Coordinated and consulted with healthcare teams to plan, implement, assess and evaluate patient care plans.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Equipped patients with tools and knowledge needed for speedy and sustained recovery.
• Reviewed and evaluated test results to suggest care and treatment options.
• Educated family members and caregivers on patient care instructions.
• Provided skilled, timely and level-headed emergency response to critically-ill patients.
• Managed patients recovering from medical or surgical procedures, including facilitating wound care, ostomy care, pressure ulcer prevention and pain management.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Administered medications as prescribed and checked for any contradictions or any potential complications that nursing staff needed to be aware of.

1. SCRUB NURSE in OR

• Prepared OR by ensuring it met asepsis standards, as well as setting out, organizing and counting all tools and equipment necessary for each procedure.
• Used aseptic techniques to maintain sterile fields and actively monitored situations to prevent breaches in aseptic techniques.
• Maintained up-to-date knowledge on emerging and updated surgical procedures to select correct instruments for specific surgeries.
• . Refer to the surgeon preference card and the circulating nurse for completion and adequacy of set-up necessary for the procedure.
• Observed surgeon's body language, movements and demeanor during operations to efficiently anticipate needs.
• Perform scrubbing, gowning and gloving.· Organize table set-up for instruments, supplies and other sterile equipment.
• Count instruments, needles and sponges before the surgery start with the circulating nurse.
• Surgical skin preparation using aseptic technique.
• Assist in draping patients and hooking up attachments like suctions, cautery machines and cell saver tubing if indicated.
• Remain the needles in neutral zone and reminded the surgeon for proper use.
• Throw away soiled sponges and maintain operative field clean and neat.
• Communicate with circulating nurse for any needed articles not included in set-up.
• Provided direct support to surgical team during procedures by anticipating the needs, giving instrument and help to retract for better visualization of the operative site.
• Initiate the first count of sponges, needles and instruments with the circulating nurse immediately before the closure of first layer and for every layer, announces accordingly whether correct or if incorrect institute necessary remedial measures.
• Application of sterile dressing over the incision site before removal of drape.
• Secure sharp, used blades, scissors and probes to protect others from accidental cuts.
• Handle personally or hand over accordingly the tissue specimen providing with container, preservative content and label.
• Wheel out instruments table used and supplies to the case cart provided. Gives priority to surgeon’s personal instruments.

2. CIRCULATING NURSE in OR

• Prepared operating rooms by maneuvering operating room lamps for illumination and laying out sterile instruments and supplies on stainless steel tables, including gauze sponges, magnifying glasses and medications.
• Escort patient inside the operating room and positioned patients in operating rooms to prepare for surgical procedures, using supine, prone and sitting surgical positions.
• Review patient’s chart for completeness.
• Gather and perform Sign In by identify the patient using 2 identifier, check consent for operation.
• Verifies pre-operative procedure and site.
• Remain with the patient and Anesthesiologist during the induction of anesthesia and provide the immediate needs.
• Observe aseptic technique during insertion of Foley’s catheter.
• Assist the surgeons for gowning.
• Time Out called before the surgery begins.
• Complete patient record and documentation.
• Observe the progress of operation and keep the member of the team supplied with the necessary items.
• Be alert to scrub nurse needs being one step ahead of her call.
• Perform count of sponges, needles and instruments with the scrub nurse and write on the board provided.
• Communicate with surgical team especially the Anesthesiologist about the EBL (Estimated Blood Loss) from time to time.
• Call the attention of team for Sign Out right after the surgery finish.
• Assist with scrub nurse on applying a pressure dressing or taping the tubing attached and transferring patient to the bed.
• Accomplishes charting in the nurse’s notes including operation performed, type of anesthesia, medication, drains, packing and general condition of the patient.
• Have the surgeon and anesthesiologist sign their records before leaving the room.
• Wheel out the patient out of the room and hand over accurately to the pacu staff.

1. PERIOPERATIVE NURSE

same as in the latest work experience

2. WARD NURSE

• Prepared, implemented, and evaluated nursing care for patients through each step of surgical procedure.
• Educated patients and loved ones regarding operating procedures, expectations, side effects and recovery process.
• Organized paperwork such as charts and reports for office and patient needs.
• Evaluated patient's level of pain, implementing effective medications and pain management techniques.
• Provided compassionate, individualized care for each patient.
• Processed lab paperwork and requests according to physicians' orders.
• Provided information for patient admissions and discharges to foster timely processing.
• Maintained rapport with all unit staff, including physicians, nurse and other healthcare personnel.
• Facilitated lab orders and medication administration.
• Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.

3. HEMODIALYSIS NURSE

• Transcribed doctors' medication orders, lab test requests and care plans.
• Assist patient condition prior to dialysis
• Inspect the port either fistula or catheter before commencing the procedure
• Monitor patient during dialysis.
• Divert patient attention from pain and fear by talking and showing the support and care.
• Build a good relationship with every patient.
• Provide comfort.
• Instruct for the medication and other