NATIONAL GUARD HEALTH AFFAIRS
Total years of experience :4 years, 10 Months
July 23, 2011 - Sept. 19, 2013: KING ABDUL AZIZ MEDICAL CITY
For NATIONAL GUARD HEALTH AFFAIRS (Central Region)
P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Basic Life Support King Abdul Aziz Medical City -Riyadh, KSA June 18, 2013
Advanced Trauma Operative Management (ATOM) Course -Scrub Nurse Postgraduate Training Center -Riyadh, KSA June 8, 2013
Basic Medication Safety Course Postgraduate Training Center, KSAU-HS -Riyadh, KSA April 29, 2013
Patient Safety Forum 2013 King Saud bin Abdulaziz University for Health Sciences Convention Center -Riyadh, KSA April 9-11, 2013
Total Hip Replacement Options Training Hilton Garden Inn Hotel, -Riyadh Feb. 17, 2012
Total Knee Replacement Options Training Hilton Garden Inn Hotel, -Riyadh, KSA Jan. 27, 2012
State of the Art: Venous Disease Conference and Workshop
(Sclerotherapy Technique, Saphenous Vein Ablation, Venous Duplex, IVC Filter and Thrombectomy Devices)
Marriott Hotel - Riyadh, KSA
Nov. 22-23, 2011
Nov. 5, 2007 - Nov. 15, 2008: GENERAL SANTOS DOCTORS' HOSPITAL, INC.
National Highway, General Santos City, Philippines
Operating Room - Delivery Room Staff Nurse
Hospital Bed Capacity: 202 - Private (Tertiary)
Major Operating Rooms: 4
Minor Room: 1
Delivery Tables: 2
(1) Occupation/ Position: Operating Room (Main) Staff Nurse
(specializes in Pediatric Cases: General Surgery, Orthopedics, Urology)
Accreditation: JCI Accredited
Operating Room (Main) Staff Nurse
Hospital Bed Capacity: 1000 -Ministry of Health (Tertiary)
Major Operating Rooms: 21
July 23, 2011 - Sept. 19, 2013: KING ABDUL AZIZ MEDICAL CITY
For NATIONAL GUARD HEALTH AFFAIRS (Central Region)
P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Accreditation: JCI Accredited
Operating Room (Main) Staff Nurse
Hospital Bed Capacity: 1000 -Ministry of Health (Tertiary)
Major Operating Rooms: 21
April 4, 2009 - June 9, 2011: ST. LUKES MEDICAL CENTER - QUEZON CITY
279 E. Rodriquez Boulevard, Quezon City, Philippines
Accreditation: JCI Accredited; Investors In People
Operating Room - Recovery Room Staff Nurse
Hospital Bed Capacity: 635 - Private (Tertiary)
Major Operating Rooms: 12
Nov. 5, 2007 - Nov. 15, 2008: GENERAL SANTOS DOCTORS' HOSPITAL, INC.
National Highway, General Santos City, Philippines
Operating Room - Delivery Room Staff Nurse
Hospital Bed Capacity: 202 - Private (Tertiary)
Major Operating Rooms: 4
Minor Room: 1
Delivery Tables: 2
(1) Occupation/ Position: Operating Room (Main) Staff Nurse
(specializes in Pediatric Cases: General Surgery, Orthopedics, Urology)
Date: July 23, 2011 - September 19, 2013
Name of Employer: King Abdul Aziz Medical City for National Guard Health Affairs (Riyadh)
Address: P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Telephone Number: +966-11-8011111
Job Description:
I. Holding Area Nurse
• Checks the Operating Room List for the day, making sure surgeries are allocated to the appropriate theatre of which facilities and equipment are available. Double checks the staffing assigned for capacities to handle such cases.
• Communicates with the Ward/Unit regarding the preoperative preparation of the patient. This includes the surgical informed consent, history taking, preoperative medications, laboratory results and procedures ordered and the present status of the patient.
• Collaborates with the surgeons, anaesthetist and other members of the surgical team regarding the flow of their surgical cases for the day.
• Receives endorsements from the bedside nurse.
• Performs timely and accurate documentation of all pertinent observations and patient care rendered using the ORSOS and the patient's file.
• Attends to emergency/trauma cases, facilitating the availability of the surgical instruments, supplies and equipment needed.
• Directs and supervises nurse trainees and patient care technicians.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
II. Circulating Nurse
• Receives patients from the Holding Area Nurse.
• Establishing rapport with the patient and their significant others.
• Performs nursing assessment of patient's condition before the surgical procedure, verifies patient's identity, confirm the informed consents (general consent, surgical consent, anaesthesia consent and the blood transfusion consent), surgical site verification for laterality, and necessary documents needed for the scheduled surgery.
• Ensures the OR theatre is set up correctly and sterility is maximized. This includes checking its inventory of surgical supplies and implants, the availability and functionality of the equipment to be used, presence of the ancillary personnel such as the Radiology technicians, Ortho technicians, and others.
• Initiates the surgical time out prior to anaesthesia induction with the attendance of the Operating Surgeon, Anaesthetist, Anaesthesia technician, and Scrub Nurse. And performs surgical sign out at the end of the surgery.
• Collaborates with the surgeon to develop the care plan for the patient during the surgery.
• Positions and repositions the patient correctly on the operating table with the surgeon's preference and according to the procedure to be performed while ensuring safety and comfort.
• Hooks up any necessary suction and cauterization equipment, performs catheterization using aseptic technique and skin preparation of the surgical site ensuring sterility.
• Provides the surgical team with sterile fluids and medications as needed and also replenishes the surgical team's supplies if they need additional disposables or instruments.
• Anticipates the needs of the surgical team, works hand in hand with the scrub nurse to help maintain the sterile field in the operating room. Ensuring that it will not be compromised during the procedure.
• Functions as the first responder during Codes, securing the crash carts, announcing the code and documentation of the said event.
• Performs a timely and accurate documentation of all observation and patient care rendered during the whole course including the sponge count, care of specimen, needed stationaries and the like.
• Continually evaluates the patient's condition during the procedure and makes changes to the care plan as necessary.
• Performs immediate postoperative care to the patient.
• Communicates with and wheels postoperative patients to the Post Anesthesia Care Unit or Intensive Care Unit together with the anaesthesia team with the appropriate monitoring devices and documentation.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
III. Scrub Nurse
• Assists in various surgical procedures as assigned by the Clinical Nurse Coordinator: specializes in paediatric surgery (orthopaedic, general, urology, and neuro-surgery), yet not limited to. Able to scrub in all disciplines: Trauma/Emergency, ENT, Orthopaedic, Spine, Plastic, Ophthalmology, Gynecology, Urology, Neuro-Surgery, General, Thoracic and Vascular Surgeries.
• Anticipates the needs of the surgical team: Prepares and sets up the surgical area, laying out instruments and ensuring adequate supplies according to the surgeon's preferences.
• Performs surgical handscrub, gowning, gowns and gloves the surgical team and assists in draping the patient according to the routine procedure.
• Equipped with appropriate knowledge to follow the progress of the procedure and anticipates the surgeon's needs, having the correct items available immediately when requested. Operates specialized equipment to be used: knows what instruments and equipment to use and to handle them correctly.
• Performs the counting of instruments, sponges and needles prior to the start of the procedure, during and before the surgery ends together with the circulating nurse. Verifies the completeness of surgical count.
• Saves and labels the specimen handed by the operating surgeons.
• Maintains the sterility of the field, and is vigilant in the aseptic practices of each of the surgical team members.
• Prepares necessary medicines used intra operative such as drips, flash and dressing.
• Assists in the application of dressing, while assessing the site and securing it thereafter.
• Tidying up the patient and performing assessment of the pressure areas, cautery plates placements and probable surgical burns and reporting them to your circulating nurse and physicians.
• Securing the patient's safety upon repositioning.
• Performs the aftercare of the room and used instruments and wheeling it to the decontamination area with proper endorsement to the in-charge.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
Operates/facilitates in the use of the following machines/equipment/supplies but not limited to:
• Anaesthesia Machine
• Arthroscopy Machine and Shaver
• Bair Hugger
• Crash Cart and Defibrilator (life pack 12 and life pack 20)
• Diathermy Machine
• Doppler
• Electric Cast Cutter
• Electric Drills (Midas Rex Drill, Collibri Drill, Anspach Drill, Black Max Drill)
• Floor Stocks (Pharmaceuticals, Central Supply)
• Force Triad
• Harmonic Scalpel Machine
• Infinity and Oertly Machines
• Internal Defibrillator
• Intestinal Stapling Devices
• Laparoscopic Towers
• Laser Machines
• Liposuction Machine
• Lithotripsy Machine
• Manual/Hose Drills
• Microscope (Leica/ pentero)
• Navigator
• Operating Tables (Shampagne, Magnus, Jupiter, Alpha Maquet, Fracture Table, Angiogram Table)
• Oxygen Therapy Devices (Wall mounted, Portable)
• Pneumatic Tourniquet
• Portable Ultrasound Machine
• Positioning Devices
• Potable Xray Machine/C-arm
• Radian warmer
• Sequential Compression Device
• Sternal Saw
• Suction Machine (Wall mounted, Electric)
• Surgical Lights
• Thunderbeat
• Tissue Fridge
• Vein Viewer
• Zimmer Dermatome
Cases Handled as Scrub and Circulating Nurse:
Paediatric Orthopaedic Surgery Paediatric General Surgery
• Amputation of limbs
• Close Reduction
• Hip Spica (Application/Removal)
• Insertion and removal of Pins, Screws and Plates (e.g. 8-plate system)
• Nancy Nail (Insertion/Removal)
• Open Reduction Pelvic Osteotomy
• Subcondylar Fracture (open/close reduction)
• Taylor Spatial Frame (Application/Removal)
• Tenotomy
• Anal Pull through
• Circumcision
• Hernia Repair (Inguinal, Umbilical, Para /Supraumbilical, Incisional)
• Laparoscopic and Open Procedures: ✓ Adrenalectomy
✓ Appendectomy
✓ Cholecystectomy
✓ Colon Resection
✓ Diagnostic Laparotomy
✓ Exploratory Laparotomy
✓ Ladds Procedure
✓ Nephrectomy
✓ Nissen Funduplication
✓ Removal of Wilms Tumor
• Muscle Biopsy
• Thoracotomy / Thoracoscopy
Spine Surgery Neuro-Surgery
• Anterior Cervical Discectomy/Fusion
• Decompressive Laminectomy with Instrumentation
• Discectomy
• Microlumbar Nerve Root Decompression
• Scoliosis Surgery
• Burr-Holing
• Craniectomy
• Craniotomy (with Bone Flap)
• Evacuation of Hematoma
• Excision of Tumor
• External Ventrical Drain (Insertion/Removal/Change)
• Myelomeningocele Repair
• Navigation
• Ventriculo-Peritoneal Shunting
Orthopaedic Surgery Vascular Surgery
• ACL Reconstruction/ Menisectomy
• Ankle Fusion
• Anterior Cervical Discectomy/ Fusion
• Arthroscopy (Knee, Ankle, Shoulder)
• Bankart Surgery/ Disarticulation of Hips
• Below/ Above the Knee Amputation
• Bone Grafting
• Compression Hip Screw Fixation
• Hemiarthroplasty
• IM nailing/ Closed IM Nailing
• Laminectomy/ Discectomy
• Microdiscectomy/ Microdecompression
• Open Reduction Internal Fixation
• Pedicle Screw Fixation/ Lumbar
• Repair of Rotator Cuff
• Scoliosis Surgery
• Spine Surgical Instrumentation/ Fusion
• Spinal Tap
• Total/ Partial Hip Replacement
• Total/ Partial Knee Replacement
• Abdominal Aortic Aneurysm Repair
• Amputation
• Arterio-Ventricular Graft and Fistula
• Bifemoral Bypass and Graft Implantation
• Central Line (Insertion/Removal)
• Thrombolectomy
• Vein Stripping
• Venous Ablation
Opthalmology Plastic Surgery
• Botox Injection
• Extracapsular Cataract Extraction
• Phacoemulsification
• Removal of foreign object
• Blepharoplasty
• Breast Reconstruction/Augmentation
• Hand Surgeries
• Liposuction
• Palatoplasty
• Release of trigger finger
• Repair of Carpal Tunnel
• Rhinoplasty
Urology Surgery (Adult/Paediatric) Urology Surgery (Paediatric)
• Cystoscopy
✓ Retrograde Pyelogram
✓ Ureteroscopy
✓ Detox Injection
✓ Transurethral Resection of Prostate/Tumor
✓ Stone Basket Extraction
• Cystectomy
• DJ Stent (Insertion/Removal)
• Nephrostomy Tube (Insertion/Removal)
• Orchiectomy
• PCNL (Percutaneous Nephrolithotomy)
• Penile Reconstruction
• Radical Nephrectomy (Laparoscopic/Open)
• Testicular Torsion (Laparoscopic/Open)
• Varicoecelectomy
• Circumcision
• Cystoscopy
• Detox Injection
• Genital Reconstruction
• Hypospadias Repair
• Hypospadias Repair
• Meatotomy
Podiatric Surgery ENT (Eyes Nose Throat) Surgery
• Excision of Nil
• Amputation
• Open Reduction with Internal Fixation (instrumentation)
• Cochlear Implant
• Tracheostomy
• Functional Endoscopic Sinus Surgery
• Tonsillectomy
• Adenoidectomy
• Removal of Foreign Object
• Ossiculoplasty
• Tympanoplasty
Gynecology Surgery Thoracic Surgery
• Anterior and Posterior Vaginal Repair
• Cervical Cerclage
• Cesarean Section (Elective/Emergency)
• Dilatation and Curettage
• Ovarian Torsion (Laparoscopic/Open)
• TAHBSO
• Total Abdominal/Vaginal Hysterectomy
• CTT Closed Chest Tube (Insertion/Removal)
• Sternotomy
• Thoracotomy (Wedge Resection, Removal of Tumor)
• Video Assisted Thoracic Surgery
General Surgery Maxillofacial Surgery
• Breast Surgeries
✓ Fine Needle Localization
✓ Radical Mastectomy
✓ Removal of Tumor
• Colorectal Surgery
• Colostomy Creation/Closure
• Gastric Surgeries
✓ Bypass
✓ Banding
✓ Stapling
• Exploratory Laparotomy
• Hemorrhoidectomy
• Laparoscopic/Open Procedures: ✓ Appendectomy
✓ Cholecystectomy
✓ Hartman's Procedure
✓ Hernia Repair with Mesh Application
✓ Hemicolectomy
✓ Low Anterior Resection
✓ Diagnostic
• Neck Exploration
• Parathyroidectomy
• Thyroidectomy
• Dental Surgeries
(tooth extraction/reconstruction)
• Open Reduction with Internal Fixation
Others
• Liver Resection
• Organ Harvesting
• Trauma
(2) Occupation/ Position: Operating Room - Recovery Room Staff Nurse
July 23, 2011 - Sept. 19, 2013: KING ABDUL AZIZ MEDICAL CITY
For NATIONAL GUARD HEALTH AFFAIRS (Central Region)
P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Accreditation: JCI Accredited
Operating Room (Main) Staff Nurse
Hospital Bed Capacity: 1000 -Ministry of Health (Tertiary)
Major Operating Rooms: 21
April 4, 2009 - June 9, 2011: ST. LUKES MEDICAL CENTER - QUEZON CITY
279 E. Rodriquez Boulevard, Quezon City, Philippines
Accreditation: JCI Accredited; Investors In People
Operating Room - Recovery Room Staff Nurse
Hospital Bed Capacity: 635 - Private (Tertiary)
Major Operating Rooms: 12
Nov. 5, 2007 - Nov. 15, 2008: GENERAL SANTOS DOCTORS' HOSPITAL, INC.
National Highway, General Santos City, Philippines
Operating Room - Delivery Room Staff Nurse
Hospital Bed Capacity: 202 - Private (Tertiary)
Major Operating Rooms: 4
Minor Room: 1
Delivery Tables: 2
(1) Occupation/ Position: Operating Room (Main) Staff Nurse
(specializes in Pediatric Cases: General Surgery, Orthopedics, Urology)
Date: July 23, 2011 - September 19, 2013
Name of Employer: King Abdul Aziz Medical City for National Guard Health Affairs (Riyadh)
Address: P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Telephone Number: +966-11-8011111
Job Description:
I. Holding Area Nurse
• Checks the Operating Room List for the day, making sure surgeries are allocated to the appropriate theatre of which facilities and equipment are available. Double checks the staffing assigned for capacities to handle such cases.
• Communicates with the Ward/Unit regarding the preoperative preparation of the patient. This includes the surgical informed consent, history taking, preoperative medications, laboratory results and procedures ordered and the present status of the patient.
• Collaborates with the surgeons, anaesthetist and other members of the surgical team regarding the flow of their surgical cases for the day.
• Receives endorsements from the bedside nurse.
• Performs timely and accurate documentation of all pertinent observations and patient care rendered using the ORSOS and the patient's file.
• Attends to emergency/trauma cases, facilitating the availability of the surgical instruments, supplies and equipment needed.
• Directs and supervises nurse trainees and patient care technicians.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
II. Circulating Nurse
• Receives patients from the Holding Area Nurse.
• Establishing rapport with the patient and their significant others.
• Performs nursing assessment of patient's condition before the surgical procedure, verifies patient's identity, confirm the informed consents (general consent, surgical consent, anaesthesia consent and the blood transfusion consent), surgical site verification for laterality, and necessary documents needed for the scheduled surgery.
• Ensures the OR theatre is set up correctly and sterility is maximized. This includes checking its inventory of surgical supplies and implants, the availability and functionality of the equipment to be used, presence of the ancillary personnel such as the Radiology technicians, Ortho technicians, and others.
• Initiates the surgical time out prior to anaesthesia induction with the attendance of the Operating Surgeon, Anaesthetist, Anaesthesia technician, and Scrub Nurse. And performs surgical sign out at the end of the surgery.
• Collaborates with the surgeon to develop the care plan for the patient during the surgery.
• Positions and repositions the patient correctly on the operating table with the surgeon's preference and according to the procedure to be performed while ensuring safety and comfort.
• Hooks up any necessary suction and cauterization equipment, performs catheterization using aseptic technique and skin preparation of the surgical site ensuring sterility.
• Provides the surgical team with sterile fluids and medications as needed and also replenishes the surgical team's supplies if they need additional disposables or instruments.
• Anticipates the needs of the surgical team, works hand in hand with the scrub nurse to help maintain the sterile field in the operating room. Ensuring that it will not be compromised during the procedure.
• Functions as the first responder during Codes, securing the crash carts, announcing the code and documentation of the said event.
• Performs a timely and accurate documentation of all observation and patient care rendered during the whole course including the sponge count, care of specimen, needed stationaries and the like.
• Continually evaluates the patient's condition during the procedure and makes changes to the care plan as necessary.
• Performs immediate postoperative care to the patient.
• Communicates with and wheels postoperative patients to the Post Anesthesia Care Unit or Intensive Care Unit together with the anaesthesia team with the appropriate monitoring devices and documentation.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
III. Scrub Nurse
• Assists in various surgical procedures as assigned by the Clinical Nurse Coordinator: specializes in paediatric surgery (orthopaedic, general, urology, and neuro-surgery), yet not limited to. Able to scrub in all disciplines: Trauma/Emergency, ENT, Orthopaedic, Spine, Plastic, Ophthalmology, Gynecology, Urology, Neuro-Surgery, General, Thoracic and Vascular Surgeries.
• Anticipates the needs of the surgical team: Prepares and sets up the surgical area, laying out instruments and ensuring adequate supplies according to the surgeon's preferences.
• Performs surgical handscrub, gowning, gowns and gloves the surgical team and assists in draping the patient according to the routine procedure.
• Equipped with appropriate knowledge to follow the progress of the procedure and anticipates the surgeon's needs, having the correct items available immediately when requested. Operates specialized equipment to be used: knows what instruments and equipment to use and to handle them correctly.
• Performs the counting of instruments, sponges and needles prior to the start of the procedure, during and before the surgery ends together with the circulating nurse. Verifies the completeness of surgical count.
• Saves and labels the specimen handed by the operating surgeons.
• Maintains the sterility of the field, and is vigilant in the aseptic practices of each of the surgical team members.
• Prepares necessary medicines used intra operative such as drips, flash and dressing.
• Assists in the application of dressing, while assessing the site and securing it thereafter.
• Tidying up the patient and performing assessment of the pressure areas, cautery plates placements and probable surgical burns and reporting them to your circulating nurse and physicians.
• Securing the patient's safety upon repositioning.
• Performs the aftercare of the room and used instruments and wheeling it to the decontamination area with proper endorsement to the in-charge.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
Operates/facilitates in the use of the following machines/equipment/supplies but not limited to:
• Anaesthesia Machine
• Arthroscopy Machine and Shaver
• Bair Hugger
• Crash Cart and Defibrilator (life pack 12 and life pack 20)
• Diathermy Machine
• Doppler
• Electric Cast Cutter
• Electric Drills (Midas Rex Drill, Collibri Drill, Anspach Drill, Black Max Drill)
• Floor Stocks (Pharmaceuticals, Central Supply)
• Force Triad
• Harmonic Scalpel Machine
• Infinity and Oertly Machines
• Internal Defibrillator
• Intestinal Stapling Devices
• Laparoscopic Towers
• Laser Machines
• Liposuction Machine
• Lithotripsy Machine
• Manual/Hose Drills
• Microscope (Leica/ pentero)
• Navigator
• Operating Tables (Shampagne, Magnus, Jupiter, Alpha Maquet, Fracture Table, Angiogram Table)
• Oxygen Therapy Devices (Wall mounted, Portable)
• Pneumatic Tourniquet
• Portable Ultrasound Machine
• Positioning Devices
• Potable Xray Machine/C-arm
• Radian warmer
• Sequential Compression Device
• Sternal Saw
• Suction Machine (Wall mounted, Electric)
• Surgical Lights
• Thunderbeat
• Tissue Fridge
• Vein Viewer
• Zimmer Dermatome
Cases Handled as Scrub and Circulating Nurse:
Paediatric Orthopaedic Surgery Paediatric General Surgery
• Amputation of limbs
• Close Reduction
• Hip Spica (Application/Removal)
• Insertion and removal of Pins, Screws and Plates (e.g. 8-plate system)
• Nancy Nail (Insertion/Removal)
• Open Reduction Pelvic Osteotomy
• Subcondylar Fracture (open/close reduction)
• Taylor Spatial Frame (Application/Removal)
• Tenotomy
• Anal Pull through
• Circumcision
• Hernia Repair (Inguinal, Umbilical, Para /Supraumbilical, Incisional)
• Laparoscopic and Open Procedures: ✓ Adrenalectomy
✓ Appendectomy
✓ Cholecystectomy
✓ Colon Resection
✓ Diagnostic Laparotomy
✓ Exploratory Laparotomy
✓ Ladds Procedure
✓ Nephrectomy
✓ Nissen Funduplication
✓ Removal of Wilms Tumor
• Muscle Biopsy
• Thoracotomy / Thoracoscopy
Spine Surgery Neuro-Surgery
• Anterior Cervical Discectomy/Fusion
• Decompressive Laminectomy with Instrumentation
• Discectomy
• Microlumbar Nerve Root Decompression
• Scoliosis Surgery
• Burr-Holing
• Craniectomy
• Craniotomy (with Bone Flap)
• Evacuation of Hematoma
• Excision of Tumor
• External Ventrical Drain (Insertion/Removal/Change)
• Myelomeningocele Repair
• Navigation
• Ventriculo-Peritoneal Shunting
Orthopaedic Surgery Vascular Surgery
• ACL Reconstruction/ Menisectomy
• Ankle Fusion
• Anterior Cervical Discectomy/ Fusion
• Arthroscopy (Knee, Ankle, Shoulder)
• Bankart Surgery/ Disarticulation of Hips
• Below/ Above the Knee Amputation
• Bone Grafting
• Compression Hip Screw Fixation
• Hemiarthroplasty
• IM nailing/ Closed IM Nailing
• Laminectomy/ Discectomy
• Microdiscectomy/ Microdecompression
• Open Reduction Internal Fixation
• Pedicle Screw Fixation/ Lumbar
• Repair of Rotator Cuff
• Scoliosis Surgery
• Spine Surgical Instrumentation/ Fusion
• Spinal Tap
• Total/ Partial Hip Replacement
• Total/ Partial Knee Replacement
• Abdominal Aortic Aneurysm Repair
• Amputation
• Arterio-Ventricular Graft and Fistula
• Bifemoral Bypass and Graft Implantation
• Central Line (Insertion/Removal)
• Thrombolectomy
• Vein Stripping
• Venous Ablation
Opthalmology Plastic Surgery
• Botox Injection
• Extracapsular Cataract Extraction
• Phacoemulsification
• Removal of foreign object
• Blepharoplasty
• Breast Reconstruction/Augmentation
• Hand Surgeries
• Liposuction
• Palatoplasty
• Release of trigger finger
• Repair of Carpal Tunnel
• Rhinoplasty
Urology Surgery (Adult/Paediatric) Urology Surgery (Paediatric)
• Cystoscopy
✓ Retrograde Pyelogram
✓ Ureteroscopy
✓ Detox Injection
✓ Transurethral Resection of Prostate/Tumor
✓ Stone Basket Extraction
• Cystectomy
• DJ Stent (Insertion/Removal)
• Nephrostomy Tube (Insertion/Removal)
• Orchiectomy
• PCNL (Percutaneous Nephrolithotomy)
• Penile Reconstruction
• Radical Nephrectomy (Laparoscopic/Open)
• Testicular Torsion (Laparoscopic/Open)
• Varicoecelectomy
• Circumcision
• Cystoscopy
• Detox Injection
• Genital Reconstruction
• Hypospadias Repair
• Hypospadias Repair
• Meatotomy
Podiatric Surgery ENT (Eyes Nose Throat) Surgery
• Excision of Nil
• Amputation
• Open Reduction with Internal Fixation (instrumentation)
• Cochlear Implant
• Tracheostomy
• Functional Endoscopic Sinus Surgery
• Tonsillectomy
• Adenoidectomy
• Removal of Foreign Object
• Ossiculoplasty
• Tympanoplasty
Gynecology Surgery Thoracic Surgery
• Anterior and Posterior Vaginal Repair
• Cervical Cerclage
• Cesarean Section (Elective/Emergency)
• Dilatation and Curettage
• Ovarian Torsion (Laparoscopic/Open)
• TAHBSO
• Total Abdominal/Vaginal Hysterectomy
• CTT Closed Chest Tube (Insertion/Removal)
• Sternotomy
• Thoracotomy (Wedge Resection, Removal of Tumor)
• Video Assisted Thoracic Surgery
General Surgery Maxillofacial Surgery
• Breast Surgeries
✓ Fine Needle Localization
✓ Radical Mastectomy
✓ Removal of Tumor
• Colorectal Surgery
• Colostomy Creation/Closure
• Gastric Surgeries
✓ Bypass
✓ Banding
✓ Stapling
• Exploratory Laparotomy
• Hemorrhoidectomy
• Laparoscopic/Open Procedures: ✓ Appendectomy
✓ Cholecystectomy
✓ Hartman's Procedure
✓ Hernia Repair with Mesh Application
✓ Hemicolectomy
✓ Low Anterior Resection
✓ Diagnostic
• Neck Exploration
• Parathyroidectomy
• Thyroidectomy
• Dental Surgeries
(tooth extraction/reconstruction)
• Open Reduction with Internal Fixation
Others
• Liver Resection
• Organ Harvesting
• Trauma
(2) Occupation/ Position: Operating Room - Recovery Room Staff Nurse
Date: April 1, 2009 - June 8, 2011
Name of Employer: St. Lukes' Medical Center - Quezon City
Address: 279 E. Rodriquez Boulevard, Quezon City, Philippines 1102
Telephone Number: +632 723-0101 local 7196 or 5434
Job Description:
I. Operatingn Room Nurse
• Performs advanced assessment of individual patient for surgical care prioritization and other care strategies in considerations of their safety, comfort, hygiene, diagnosis and surgical procedure. These include time-out conduction, use of patient identifiers, surgical site verification, signed and informed consent confirmation, appropriate accounting and documentation of instrument and sponge counts, proper care of specimen, adherence to the principles of aseptic technique, proper positioning and re-positioning of patient according to specified procedure, appropriate transport techniques and use of surgical straps and safety measures.
• Transcribes and implements doctor's orders and performs basic operating room nursing procedures within the level of peri-operative nursing competency and seeks assistance from the nurse unit manager/assistant nurse unit manager when needed.
• Performs independent nursing interventions utilizing the nursing process framework.
• Makes a timely escalation of required medical and surgical interventions and safety related incidents as deemed appropriate such as adverse drug events, patient's falls, panic values of laboratory tests, patient's concerns to doctors and appropriate authorities.
• Administers medication, blood and blood components with knowledge of the cause and effects thereof.
• Assist with Cardiac Respiratory Crisis, Intubation, insertion and monitoring of arterial line, epidurals, central venous pressures and the like.
• Ensures that surgical suites and all supplies and medical devices necessary for all surgical procedures and possible emergencies are adequate and are encoded in the computer for proper charging and replacement.
• Maintains the principle of environment of care inside the Operating Room.
• Performs a timely and accurate documentation of all pertinent observations and patient care interventions rendered.
• Ensures that all surgeons and anesthesiologists are notified of their cases and others as deemed appropriate.
• Prepares equipment and instruments, assists and anticipates the needs of the surgeon and anesthesiologist in performing major and minor surgical procedures such as appropriate attachment of monitors and connections to patients, adjustment of OR lights on the operative area, holding and passing of instruments and supplies as needed, etc.
• Performs immediate post operative patient care.
• Observes patient confidentiality at all times.
• Acts and performs within the profession's ethico-moral standards.
• Attends to personal and professional improvement thru attendance to trainings, staff meetings and others.
• Participates in quality improvement projects initiated by the division.
• Collaborates with the surgeons, ancillary services, pharmacy, dietary, laboratory, billing office and other patients; requirements that they need to provide.
• Anticipates and attends to patients and his significant others needs to fulfill the goal of customer delight.
• Directs and supervises nurse trainees, nursing aides and ward clerks.
• Participates in overall departmental functions including, but not limited to scheduling of procedures, maintain appropriate statistic, economic use of supplies and equipment and others.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
Operates/facilitates in the use of the following machines/equipment but not limited to:
• Anesthesia Machine with ventilator
• Arthroscopy Machine
• Arthroscopic Shaver
• Bair Hugger (Warmer)
• Cardiac defibrillator
• Cautery Machine
• Cast Cutter
• Cavitational Ultrasonic Surgical Aspirator
• Cysto Bed
• Cystoscope and Light Source (Olympus and Storz)
• Dermatome
• Emergency Cart and Hand ventilator
• Floor stocks (Pharmaceuticals, Central Supplies and Dressing)
• Harmonic Scalpel
• Infusion/Syringe/Blood Pump
• Intestinal Stapling Device
• Laparoscopic TV Monitor Tower
• Laparoscopy Machine
• Liposuction Machine
• Maxi Drill
• Monitoring Devices (Cardiac monitors, Pulse oximeter, CBG Machine, Mercury sphymomanomenter, tympanic thermometer, central venous pressure)
• Microsagittal saw
• Mini Driver
• Midas Rex Drill
• Operating Table
• Operating Room Microscope
• Oxygen Therapy Devices (Oxygen flow meters, nasal cannula, multivent mask, nebulizer, aerosol mask)
• Patient Controlled Analgesic (PCA) pump
• Portable X-ray Machine
• Pneumatic Tourniquet
• Portable Oxygen
• Radiant Warmer
• Sequential Compression Device
• Sterrad/ Portable Autoclave
• Suction Machine
• Vein lite finder XPS Machine (for FESS Cases)
II. Scrub Nurse and Circulating Nurse
• Performs as a circulating nurse and scrub nurse in various major and minor surgical procedures of which specializes in orthopedic cases yet including neurological, urological, ENT (ears, nose and throat), aesthetic, gastrointestinal and general surgery as assigned by the charge nurse on duty.
• Anticipates the needs of the surgeon and surgical team during the intra operative phase including the needed instruments, equipment and supplies and maintaing aseptic technique in doing so.
• Anticipates the needs of the anesthesiologist including the anesthesia cart with the needed medications and supplies for the induction and post operative care.
• Performs the after care of the used instruments by washing with running water, soaking in antiseptic solution, drying and packing ready for sterilization with proper label and indicators.
Cases Handled as Scrub and Circulating Nurse:
GENERAL SURGERY (MAJOR)
• Abdominal-Perineal Resection
• Ano-rectoplasty
• Appendectomy
• Biliary Surgery
• Cholecystectomy- Open
• Cholecystectomy with Intra Operative Cholangiogram
• Colon Surgery
• Colostomy
• Exploratory Laparotomy
• Hemicolectomy
• Hartman Procedure
• Hepatic Surgery
• Herniorraphy (Femoral, Inguinal, Abdominal) and with Mesh Application
• Herniotomy
• Laparoscopic Procedure (Diagnostic with biopsy, Assisted Colon Resection, Splenectomy, Appendectomy, Cholecystectomy, Thyroidectomy)
• Liver Resection
• Low Anterior Resection
• Kidney Donor/Recipient
• Mandibulectomy
• Modified Radical Mastectomy
• Parotidectomy
• Pancreatic Surgery
• Peri-anal surgery
• Radical Neck Surgery
• Rectal Biopsy /with pull through
• Sigmoidoscopy
• Skin Grafting
• Small Bowel Resection
• Sphincterectomy
• Thyroidectomy
• Umbilical Exploration
• Varicocoelectomy
• Vein Stripping
• Whipples Procedure
• Wide Excision of Mass
• Wound Explorations
GENERAL SURGERY (MINOR)
• Anal Polypectomy
• Aspiration Biopsy of Abscess
• AV Fistula/Shunting
• Circumcision
• Closed Tube Thoracostomy
• Cutdown/Venesection
• Debridement and Change of Dressing
• Electrocautery of Warts
• Excision lipoma/ nodes/ mass/ cyst
• Excision of Breast Mass
• Excision of moles/ lesions/ hemangioma
• Fistulectomy/ Fistulotomy
• Gastrostomy Tube Insertion
• Hemorrhoidectomy/ Stapled Hemorrhoidectomy
• Herniotomy
• Incision and Drainage of abscess
• Insertion of Tenchkoff Catheter
• Insertion of Jugular Vein Catheter
• Liver/ Thyroid Biopsy
• Portha Catheter Insertion/ Removal/ Change
• Proctosigmoidoscopy
• Removal of Foreign body/ suture
• Tracheostomy
ORTHOPEDIC SURGERY (MAJOR)
• ACL Reconstruction/ Menisectomy
• Ankle Fusion
• Anterior Cervical Discectomy/ Fusion
• Arthroscopy (Knee, Ankle, Shoulder)
• Bankart Surgery/ Disarticulation of Hips
• Below/ Above the Knee Amputation
• Bone Biopsy
• Bone Grafting
• Compression Hip Screw Fixation
• Hemiarthroplasty
• IM nailing/ Closed IM Nailing
• Laminectomy/ Discectomy
• Microdiscectomy/ Microdecompression
• Open Reduction Internal Fixation
• Pedicle Screw Fixation/ Lumbar
• Repair of Rotator Cuff
• Scoliosis Surgery
• Spine Surgical Instrumentation/ Fusion
• Spinal Tap
• Total/ Partial Hip Replacement
• Total/ Partial Knee Replacement
ORTHOPEDIC SURGERY (MINOR)
• Application/ Removal of cast
• Bone Aspiration
• Carpal Tunnel Release
• Closed Reduction and Manipulation
• Debridement of wound
• Disarticulation of finger/ Toe
• Endoscopic Carpal Tunnel Release
• Epidural Injection
• Removal of Implants/ Screw/ Fixators/ Plates
• Release of Dequervain/ Trigger Finger
• Repair of Tendon Achilles
NEUROLOGIC SURGERY
• Awake Craniotomy
• Burr-Holing
• Craniectomy
• Craniotomy/ Cranioplasty
• Decompressive Laminectomy/ Discectomy
• Evacuation of Hematoma
• Excision of Tumor
• Ventriculo-Peritoneal Shunting
• Stereotactic Radio Surgery
DENTAL SURGERY
• Dental/ Oral Rehabilitation
• Multiple Tooth Extraction
UROLOGIC SURGERY (MAJOR)
• Cystolithopaxy
• Cystolithotomy
• Herniorrhapy
• Hydrocoelectomy
• Nephrectomy/ Donor Nephrectomy
• Nephrolithotomy/ Pyelolithotomy
• Orchiectomy
• Prostatectomy/ Suprapubic Cystectomy
• Repair of Hypospadias
• Transurethral Resection of the Prostate
• Urethrosplasty
• Varicocoelectomy
UROLOGIC SURGERY (MINOR)
• Cautery of Warts
• Cystoscopy/ RGP/ Uteroscopy
• Evacuation of blood clots
• Excision of mass
• I and D of Abscess/ Change of Dressing
• Insertion/ Removal of Double J Stent
• Insertion/ Removal of Nephro/ Cysto Tube
• Intravascular Installation Chemotherapy
• Penile Orthoplasty
• Stone Basket Extraction
• Testicular/ Prostate Biopsy
• Ultrasound guided Prostate Biopsy
• Urethral Dilation/ Catheterization/ Calibration
• Vasectomy
OTORHINOLARYNGOLOGY/ ENT SURGERY (MAJOR)
• Blepharoplasty
• Caldwell Luc Operation
• Cheiloplasty
• Cleft Lip Repair
• Cochlear Implant
• Functional Endoscopic Sinus Surgery
• Mandibulectomy
• Mastoidectomy
• Microlaryngeal Surgery
• Neck Exploration
• Open Reduction Internal Fixation
• Palatoplasty
• Parotidectomy
• Radical Neck Disection
• Rhinoplasty
• Septoplasty
• Thyroidectomy
• Tonsillectomy and Adenoidectomy
• Wide excision of tongue mass/ Floor of mouth
OTORHINOLARYNGOLOGY/ ENT SURGERY (MINOR)
• Bronchoscopy
• Direct Laryngoscopy
• Excision of Pre-auricular Sinus
• Myringostomy with Ventricular Tube Insertion
• Nasal/ Pharyngeal Biopsy
• Release of Tongue Tie
• Removal of Impacted Cerumen
• Removal of Sutures
• Tympanoplasty
PLASTIC/ RECONSTRUCTIVE SURGERY (MAJOR)
• Abdominoplasty
• Blepharoplasty
• Liposuction
• Reduction/ Augmentation Mammoplasty
• Rhinoplasty
• Face Lift/ Facial Reconstruction
• Skin Grafting
PLASTIC/ RECONSTRUCTIVE SURGERY (MINOR)
• Closure of wound/ repair of laceration
• Debridement of burns/ wounds
• Electrocautery of warts
• Excision of Moles/ Lesions/ Hemangioma
• Release of Contractures
• Scar Revision
OPTHALMOLOGY SURGERY
• Cataract Extraction (Intracapsular/ Extracapsular/ Phacoemulsification)
• Excision of Pterygium
• Repair of Retinal Detachment
PEDIATRIC SURGERY
• Appendectomy
• Insertion of Central Venous Catheter
• Colostomy
• Tracheostomy
• Umbilical Hernia Repair
• Repair of Imperforated Anus
• Exploratory Laparotomy
III. Recovery Room Nurse
• Receives endorsement of post operative patients from the circulating nurses and anesthesiologist.
• Hook patients to oxygen and monitors and secures all contraptions.
• Assess patients status and performs timely documentation of observations and interventions rendered including the vital signs taking, measurement of the input and output, and positioning.
• Prepares and administers stat and standing order medications.
• Carries out doctors' orders including procedures and medications while collaborating with the other departments such as the Pharmacy, laboratory, radiology and other ancillary services as needed by the patient.
• Refers to the Residents and Consultants of the service needed by the patient as called for.
IV. Transport Nurse
• Transports and receives patients from and back to the unit/floor to the operative room and recovery room.
• Reviews the patients' chart, ensuring the informed consents (surgeon and anesthesiologist) are secured, surgical markings are done (for lateralities) and the pre operative and pre anesthetic orders are carried out by the bedside nurse.
• Receives the endorsement from the assigned bedside nurse with the completed surgical verification form.
• Transports the patient to the Operating Room maximizing safety with body straps and providing appropriate portable facilities as called for such as oxygen tank, monitors, bag valve mask and emergency kit and mechanical ventilator with a respirtory therapist.
• Endorses to the Holding Area Nurse for continuity of care.
• Receives post operative patients and endorsement from the recovery room nurse and wheels them back to their respective rooms/intensive units and endorses to the bedside nurse.
V. Perioperative Nurse
• Performs perioperative nursing visits to patients for surgery and post procedures. Renders orientation and health teachings for the pre-operative, intraoperative and post operative phase including wound care, non-invasive pain management, compliance with medications and discharge instructions.
(3) Occupation/ Position: Operating Room - Delivery Room Staff Nurse
(with rotations to Pediatric, Male and Female Medical-Surgical Ward, Obstetric and Gynecology Ward and Intensive Care Unit)
July 23, 2011 - Sept. 19, 2013: KING ABDUL AZIZ MEDICAL CITY
For NATIONAL GUARD HEALTH AFFAIRS (Central Region)
P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Accreditation: JCI Accredited
Operating Room (Main) Staff Nurse
Hospital Bed Capacity: 1000 -Ministry of Health (Tertiary)
Major Operating Rooms: 21
April 4, 2009 - June 9, 2011: ST. LUKES MEDICAL CENTER - QUEZON CITY
279 E. Rodriquez Boulevard, Quezon City, Philippines
Accreditation: JCI Accredited; Investors In People
Operating Room - Recovery Room Staff Nurse
Hospital Bed Capacity: 635 - Private (Tertiary)
Major Operating Rooms: 12
Nov. 5, 2007 - Nov. 15, 2008: GENERAL SANTOS DOCTORS' HOSPITAL, INC.
National Highway, General Santos City, Philippines
Operating Room - Delivery Room Staff Nurse
Hospital Bed Capacity: 202 - Private (Tertiary)
Major Operating Rooms: 4
Minor Room: 1
Delivery Tables: 2
(1) Occupation/ Position: Operating Room (Main) Staff Nurse
(specializes in Pediatric Cases: General Surgery, Orthopedics, Urology)
Date: July 23, 2011 - September 19, 2013
Name of Employer: King Abdul Aziz Medical City for National Guard Health Affairs (Riyadh)
Address: P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia
Telephone Number: +966-11-8011111
Job Description:
I. Holding Area Nurse
• Checks the Operating Room List for the day, making sure surgeries are allocated to the appropriate theatre of which facilities and equipment are available. Double checks the staffing assigned for capacities to handle such cases.
• Communicates with the Ward/Unit regarding the preoperative preparation of the patient. This includes the surgical informed consent, history taking, preoperative medications, laboratory results and procedures ordered and the present status of the patient.
• Collaborates with the surgeons, anaesthetist and other members of the surgical team regarding the flow of their surgical cases for the day.
• Receives endorsements from the bedside nurse.
• Performs timely and accurate documentation of all pertinent observations and patient care rendered using the ORSOS and the patient's file.
• Attends to emergency/trauma cases, facilitating the availability of the surgical instruments, supplies and equipment needed.
• Directs and supervises nurse trainees and patient care technicians.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
II. Circulating Nurse
• Receives patients from the Holding Area Nurse.
• Establishing rapport with the patient and their significant others.
• Performs nursing assessment of patient's condition before the surgical procedure, verifies patient's identity, confirm the informed consents (general consent, surgical consent, anaesthesia consent and the blood transfusion consent), surgical site verification for laterality, and necessary documents needed for the scheduled surgery.
• Ensures the OR theatre is set up correctly and sterility is maximized. This includes checking its inventory of surgical supplies and implants, the availability and functionality of the equipment to be used, presence of the ancillary personnel such as the Radiology technicians, Ortho technicians, and others.
• Initiates the surgical time out prior to anaesthesia induction with the attendance of the Operating Surgeon, Anaesthetist, Anaesthesia technician, and Scrub Nurse. And performs surgical sign out at the end of the surgery.
• Collaborates with the surgeon to develop the care plan for the patient during the surgery.
• Positions and repositions the patient correctly on the operating table with the surgeon's preference and according to the procedure to be performed while ensuring safety and comfort.
• Hooks up any necessary suction and cauterization equipment, performs catheterization using aseptic technique and skin preparation of the surgical site ensuring sterility.
• Provides the surgical team with sterile fluids and medications as needed and also replenishes the surgical team's supplies if they need additional disposables or instruments.
• Anticipates the needs of the surgical team, works hand in hand with the scrub nurse to help maintain the sterile field in the operating room. Ensuring that it will not be compromised during the procedure.
• Functions as the first responder during Codes, securing the crash carts, announcing the code and documentation of the said event.
• Performs a timely and accurate documentation of all observation and patient care rendered during the whole course including the sponge count, care of specimen, needed stationaries and the like.
• Continually evaluates the patient's condition during the procedure and makes changes to the care plan as necessary.
• Performs immediate postoperative care to the patient.
• Communicates with and wheels postoperative patients to the Post Anesthesia Care Unit or Intensive Care Unit together with the anaesthesia team with the appropriate monitoring devices and documentation.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
III. Scrub Nurse
• Assists in various surgical procedures as assigned by the Clinical Nurse Coordinator: specializes in paediatric surgery (orthopaedic, general, urology, and neuro-surgery), yet not limited to. Able to scrub in all disciplines: Trauma/Emergency, ENT, Orthopaedic, Spine, Plastic, Ophthalmology, Gynecology, Urology, Neuro-Surgery, General, Thoracic and Vascular Surgeries.
• Anticipates the needs of the surgical team: Prepares and sets up the surgical area, laying out instruments and ensuring adequate supplies according to the surgeon's preferences.
• Performs surgical handscrub, gowning, gowns and gloves the surgical team and assists in draping the patient according to the routine procedure.
• Equipped with appropriate knowledge to follow the progress of the procedure and anticipates the surgeon's needs, having the correct items available immediately when requested. Operates specialized equipment to be used: knows what instruments and equipment to use and to handle them correctly.
• Performs the counting of instruments, sponges and needles prior to the start of the procedure, during and before the surgery ends together with the circulating nurse. Verifies the completeness of surgical count.
• Saves and labels the specimen handed by the operating surgeons.
• Maintains the sterility of the field, and is vigilant in the aseptic practices of each of the surgical team members.
• Prepares necessary medicines used intra operative such as drips, flash and dressing.
• Assists in the application of dressing, while assessing the site and securing it thereafter.
• Tidying up the patient and performing assessment of the pressure areas, cautery plates placements and probable surgical burns and reporting them to your circulating nurse and physicians.
• Securing the patient's safety upon repositioning.
• Performs the aftercare of the room and used instruments and wheeling it to the decontamination area with proper endorsement to the in-charge.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
Operates/facilitates in the use of the following machines/equipment/supplies but not limited to:
• Anaesthesia Machine
• Arthroscopy Machine and Shaver
• Bair Hugger
• Crash Cart and Defibrilator (life pack 12 and life pack 20)
• Diathermy Machine
• Doppler
• Electric Cast Cutter
• Electric Drills (Midas Rex Drill, Collibri Drill, Anspach Drill, Black Max Drill)
• Floor Stocks (Pharmaceuticals, Central Supply)
• Force Triad
• Harmonic Scalpel Machine
• Infinity and Oertly Machines
• Internal Defibrillator
• Intestinal Stapling Devices
• Laparoscopic Towers
• Laser Machines
• Liposuction Machine
• Lithotripsy Machine
• Manual/Hose Drills
• Microscope (Leica/ pentero)
• Navigator
• Operating Tables (Shampagne, Magnus, Jupiter, Alpha Maquet, Fracture Table, Angiogram Table)
• Oxygen Therapy Devices (Wall mounted, Portable)
• Pneumatic Tourniquet
• Portable Ultrasound Machine
• Positioning Devices
• Potable Xray Machine/C-arm
• Radian warmer
• Sequential Compression Device
• Sternal Saw
• Suction Machine (Wall mounted, Electric)
• Surgical Lights
• Thunderbeat
• Tissue Fridge
• Vein Viewer
• Zimmer Dermatome
Cases Handled as Scrub and Circulating Nurse:
Paediatric Orthopaedic Surgery Paediatric General Surgery
• Amputation of limbs
• Close Reduction
• Hip Spica (Application/Removal)
• Insertion and removal of Pins, Screws and Plates (e.g. 8-plate system)
• Nancy Nail (Insertion/Removal)
• Open Reduction Pelvic Osteotomy
• Subcondylar Fracture (open/close reduction)
• Taylor Spatial Frame (Application/Removal)
• Tenotomy
• Anal Pull through
• Circumcision
• Hernia Repair (Inguinal, Umbilical, Para /Supraumbilical, Incisional)
• Laparoscopic and Open Procedures: ✓ Adrenalectomy
✓ Appendectomy
✓ Cholecystectomy
✓ Colon Resection
✓ Diagnostic Laparotomy
✓ Exploratory Laparotomy
✓ Ladds Procedure
✓ Nephrectomy
✓ Nissen Funduplication
✓ Removal of Wilms Tumor
• Muscle Biopsy
• Thoracotomy / Thoracoscopy
Spine Surgery Neuro-Surgery
• Anterior Cervical Discectomy/Fusion
• Decompressive Laminectomy with Instrumentation
• Discectomy
• Microlumbar Nerve Root Decompression
• Scoliosis Surgery
• Burr-Holing
• Craniectomy
• Craniotomy (with Bone Flap)
• Evacuation of Hematoma
• Excision of Tumor
• External Ventrical Drain (Insertion/Removal/Change)
• Myelomeningocele Repair
• Navigation
• Ventriculo-Peritoneal Shunting
Orthopaedic Surgery Vascular Surgery
• ACL Reconstruction/ Menisectomy
• Ankle Fusion
• Anterior Cervical Discectomy/ Fusion
• Arthroscopy (Knee, Ankle, Shoulder)
• Bankart Surgery/ Disarticulation of Hips
• Below/ Above the Knee Amputation
• Bone Grafting
• Compression Hip Screw Fixation
• Hemiarthroplasty
• IM nailing/ Closed IM Nailing
• Laminectomy/ Discectomy
• Microdiscectomy/ Microdecompression
• Open Reduction Internal Fixation
• Pedicle Screw Fixation/ Lumbar
• Repair of Rotator Cuff
• Scoliosis Surgery
• Spine Surgical Instrumentation/ Fusion
• Spinal Tap
• Total/ Partial Hip Replacement
• Total/ Partial Knee Replacement
• Abdominal Aortic Aneurysm Repair
• Amputation
• Arterio-Ventricular Graft and Fistula
• Bifemoral Bypass and Graft Implantation
• Central Line (Insertion/Removal)
• Thrombolectomy
• Vein Stripping
• Venous Ablation
Opthalmology Plastic Surgery
• Botox Injection
• Extracapsular Cataract Extraction
• Phacoemulsification
• Removal of foreign object
• Blepharoplasty
• Breast Reconstruction/Augmentation
• Hand Surgeries
• Liposuction
• Palatoplasty
• Release of trigger finger
• Repair of Carpal Tunnel
• Rhinoplasty
Urology Surgery (Adult/Paediatric) Urology Surgery (Paediatric)
• Cystoscopy
✓ Retrograde Pyelogram
✓ Ureteroscopy
✓ Detox Injection
✓ Transurethral Resection of Prostate/Tumor
✓ Stone Basket Extraction
• Cystectomy
• DJ Stent (Insertion/Removal)
• Nephrostomy Tube (Insertion/Removal)
• Orchiectomy
• PCNL (Percutaneous Nephrolithotomy)
• Penile Reconstruction
• Radical Nephrectomy (Laparoscopic/Open)
• Testicular Torsion (Laparoscopic/Open)
• Varicoecelectomy
• Circumcision
• Cystoscopy
• Detox Injection
• Genital Reconstruction
• Hypospadias Repair
• Hypospadias Repair
• Meatotomy
Podiatric Surgery ENT (Eyes Nose Throat) Surgery
• Excision of Nil
• Amputation
• Open Reduction with Internal Fixation (instrumentation)
• Cochlear Implant
• Tracheostomy
• Functional Endoscopic Sinus Surgery
• Tonsillectomy
• Adenoidectomy
• Removal of Foreign Object
• Ossiculoplasty
• Tympanoplasty
Gynecology Surgery Thoracic Surgery
• Anterior and Posterior Vaginal Repair
• Cervical Cerclage
• Cesarean Section (Elective/Emergency)
• Dilatation and Curettage
• Ovarian Torsion (Laparoscopic/Open)
• TAHBSO
• Total Abdominal/Vaginal Hysterectomy
• CTT Closed Chest Tube (Insertion/Removal)
• Sternotomy
• Thoracotomy (Wedge Resection, Removal of Tumor)
• Video Assisted Thoracic Surgery
General Surgery Maxillofacial Surgery
• Breast Surgeries
✓ Fine Needle Localization
✓ Radical Mastectomy
✓ Removal of Tumor
• Colorectal Surgery
• Colostomy Creation/Closure
• Gastric Surgeries
✓ Bypass
✓ Banding
✓ Stapling
• Exploratory Laparotomy
• Hemorrhoidectomy
• Laparoscopic/Open Procedures: ✓ Appendectomy
✓ Cholecystectomy
✓ Hartman's Procedure
✓ Hernia Repair with Mesh Application
✓ Hemicolectomy
✓ Low Anterior Resection
✓ Diagnostic
• Neck Exploration
• Parathyroidectomy
• Thyroidectomy
• Dental Surgeries
(tooth extraction/reconstruction)
• Open Reduction with Internal Fixation
Others
• Liver Resection
• Organ Harvesting
• Trauma
(2) Occupation/ Position: Operating Room - Recovery Room Staff Nurse
Date: April 1, 2009 - June 8, 2011
Name of Employer: St. Lukes' Medical Center - Quezon City
Address: 279 E. Rodriquez Boulevard, Quezon City, Philippines 1102
Telephone Number: +632 723-0101 local 7196 or 5434
Job Description:
I. Operatingn Room Nurse
• Performs advanced assessment of individual patient for surgical care prioritization and other care strategies in considerations of their safety, comfort, hygiene, diagnosis and surgical procedure. These include time-out conduction, use of patient identifiers, surgical site verification, signed and informed consent confirmation, appropriate accounting and documentation of instrument and sponge counts, proper care of specimen, adherence to the principles of aseptic technique, proper positioning and re-positioning of patient according to specified procedure, appropriate transport techniques and use of surgical straps and safety measures.
• Transcribes and implements doctor's orders and performs basic operating room nursing procedures within the level of peri-operative nursing competency and seeks assistance from the nurse unit manager/assistant nurse unit manager when needed.
• Performs independent nursing interventions utilizing the nursing process framework.
• Makes a timely escalation of required medical and surgical interventions and safety related incidents as deemed appropriate such as adverse drug events, patient's falls, panic values of laboratory tests, patient's concerns to doctors and appropriate authorities.
• Administers medication, blood and blood components with knowledge of the cause and effects thereof.
• Assist with Cardiac Respiratory Crisis, Intubation, insertion and monitoring of arterial line, epidurals, central venous pressures and the like.
• Ensures that surgical suites and all supplies and medical devices necessary for all surgical procedures and possible emergencies are adequate and are encoded in the computer for proper charging and replacement.
• Maintains the principle of environment of care inside the Operating Room.
• Performs a timely and accurate documentation of all pertinent observations and patient care interventions rendered.
• Ensures that all surgeons and anesthesiologists are notified of their cases and others as deemed appropriate.
• Prepares equipment and instruments, assists and anticipates the needs of the surgeon and anesthesiologist in performing major and minor surgical procedures such as appropriate attachment of monitors and connections to patients, adjustment of OR lights on the operative area, holding and passing of instruments and supplies as needed, etc.
• Performs immediate post operative patient care.
• Observes patient confidentiality at all times.
• Acts and performs within the profession's ethico-moral standards.
• Attends to personal and professional improvement thru attendance to trainings, staff meetings and others.
• Participates in quality improvement projects initiated by the division.
• Collaborates with the surgeons, ancillary services, pharmacy, dietary, laboratory, billing office and other patients; requirements that they need to provide.
• Anticipates and attends to patients and his significant others needs to fulfill the goal of customer delight.
• Directs and supervises nurse trainees, nursing aides and ward clerks.
• Participates in overall departmental functions including, but not limited to scheduling of procedures, maintain appropriate statistic, economic use of supplies and equipment and others.
• Performs related duties as may be assigned by the immediate supervisor from time to time.
Operates/facilitates in the use of the following machines/equipment but not limited to:
• Anesthesia Machine with ventilator
• Arthroscopy Machine
• Arthroscopic Shaver
• Bair Hugger (Warmer)
• Cardiac defibrillator
• Cautery Machine
• Cast Cutter
• Cavitational Ultrasonic Surgical Aspirator
• Cysto Bed
• Cystoscope and Light Source (Olympus and Storz)
• Dermatome
• Emergency Cart and Hand ventilator
• Floor stocks (Pharmaceuticals, Central Supplies and Dressing)
• Harmonic Scalpel
• Infusion/Syringe/Blood Pump
• Intestinal Stapling Device
• Laparoscopic TV Monitor Tower
• Laparoscopy Machine
• Liposuction Machine
• Maxi Drill
• Monitoring Devices (Cardiac monitors, Pulse oximeter, CBG Machine, Mercury sphymomanomenter, tympanic thermometer, central venous pressure)
• Microsagittal saw
• Mini Driver
• Midas Rex Drill
• Operating Table
• Operating Room Microscope
• Oxygen Therapy Devices (Oxygen flow meters, nasal cannula, multivent mask, nebulizer, aerosol mask)
• Patient Controlled Analgesic (PCA) pump
• Portable X-ray Machine
• Pneumatic Tourniquet
• Portable Oxygen
• Radiant Warmer
• Sequential Compression Device
• Sterrad/ Portable Autoclave
• Suction Machine
• Vein lite finder XPS Machine (for FESS Cases)
II. Scrub Nurse and Circulating Nurse
• Performs as a circulating nurse and scrub nurse in various major and minor surgical procedures of which specializes in orthopedic cases yet including neurological, urological, ENT (ears, nose and throat), aesthetic, gastrointestinal and general surgery as assigned by the charge nurse on duty.
• Anticipates the needs of the surgeon and surgical team during the intra operative phase including the needed instruments, equipment and supplies and maintaing aseptic technique in doing so.
• Anticipates the needs of the anesthesiologist including the anesthesia cart with the needed medications and supplies for the induction and post operative care.
• Performs the after care of the used instruments by washing with running water, soaking in antiseptic solution, drying and packing ready for sterilization with proper label and indicators.
Cases Handled as Scrub and Circulating Nurse:
GENERAL SURGERY (MAJOR)
• Abdominal-Perineal Resection
• Ano-rectoplasty
• Appendectomy
• Biliary Surgery
• Cholecystectomy- Open
• Cholecystectomy with Intra Operative Cholangiogram
• Colon Surgery
• Colostomy
• Exploratory Laparotomy
• Hemicolectomy
• Hartman Procedure
• Hepatic Surgery
• Herniorraphy (Femoral, Inguinal, Abdominal) and with Mesh Application
• Herniotomy
• Laparoscopic Procedure (Diagnostic with biopsy, Assisted Colon Resection, Splenectomy, Appendectomy, Cholecystectomy, Thyroidectomy)
• Liver Resection
• Low Anterior Resection
• Kidney Donor/Recipient
• Mandibulectomy
• Modified Radical Mastectomy
• Parotidectomy
• Pancreatic Surgery
• Peri-anal surgery
• Radical Neck Surgery
• Rectal Biopsy /with pull through
• Sigmoidoscopy
• Skin Grafting
• Small Bowel Resection
• Sphincterectomy
• Thyroidectomy
• Umbilical Exploration
• Varicocoelectomy
• Vein Stripping
• Whipples Procedure
• Wide Excision of Mass
• Wound Explorations
GENERAL SURGERY (MINOR)
• Anal Polypectomy
• Aspiration Biopsy of Abscess
• AV Fistula/Shunting
• Circumcision
• Closed Tube Thoracostomy
• Cutdown/Venesection
• Debridement and Change of Dressing
• Electrocautery of Warts
• Excision lipoma/ nodes/ mass/ cyst
• Excision of Breast Mass
• Excision of moles/ lesions/ hemangioma
• Fistulectomy/ Fistulotomy
• Gastrostomy Tube Insertion
• Hemorrhoidectomy/ Stapled Hemorrhoidectomy
• Herniotomy
• Incision and Drainage of abscess
• Insertion of Tenchkoff Catheter
• Insertion of Jugular Vein Catheter
• Liver/ Thyroid Biopsy
• Portha Catheter Insertion/ Removal/ Change
• Proctosigmoidoscopy
• Removal of Foreign body/ suture
• Tracheostomy
ORTHOPEDIC SURGERY (MAJOR)
• ACL Reconstruction/ Menisectomy
• Ankle Fusion
• Anterior Cervical Discectomy/ Fusion
• Arthroscopy (Knee, Ankle, Shoulder)
• Bankart Surgery/ Disarticulation of Hips
• Below/ Above the Knee Amputation
• Bone Biopsy
• Bone Grafting
• Compression Hip Screw Fixation
• Hemiarthroplasty
• IM nailing/ Closed IM Nailing
• Laminectomy/ Discectomy
• Microdiscectomy/ Microdecompression
• Open Reduction Internal Fixation
• Pedicle Screw Fixation/ Lumbar
• Repair of Rotator Cuff
• Scoliosis Surgery
• Spine Surgical Instrumentation/ Fusion
• Spinal Tap
• Total/ Partial Hip Replacement
• Total/ Partial Knee Replacement
ORTHOPEDIC SURGERY (MINOR)
• Application/ Removal of cast
• Bone Aspiration
• Carpal Tunnel Release
• Closed Reduction and Manipulation
• Debridement of wound
• Disarticulation of finger/ Toe
• Endoscopic Carpal Tunnel Release
• Epidural Injection
• Removal of Implants/ Screw/ Fixators/ Plates
• Release of Dequervain/ Trigger Finger
• Repair of Tendon Achilles
NEUROLOGIC SURGERY
• Awake Craniotomy
• Burr-Holing
• Craniectomy
• Craniotomy/ Cranioplasty
• Decompressive Laminectomy/ Discectomy
• Evacuation of Hematoma
• Excision of Tumor
• Ventriculo-Peritoneal Shunting
• Stereotactic Radio Surgery
DENTAL SURGERY
• Dental/ Oral Rehabilitation
• Multiple Tooth Extraction
UROLOGIC SURGERY (MAJOR)
• Cystolithopaxy
• Cystolithotomy
• Herniorrhapy
• Hydrocoelectomy
• Nephrectomy/ Donor Nephrectomy
• Nephrolithotomy/ Pyelolithotomy
• Orchiectomy
• Prostatectomy/ Suprapubic Cystectomy
• Repair of Hypospadias
• Transurethral Resection of the Prostate
• Urethrosplasty
• Varicocoelectomy
UROLOGIC SURGERY (MINOR)
• Cautery of Warts
• Cystoscopy/ RGP/ Uteroscopy
• Evacuation of blood clots
• Excision of mass
• I and D of Abscess/ Change of Dressing
• Insertion/ Removal of Double J Stent
• Insertion/ Removal of Nephro/ Cysto Tube
• Intravascular Installation Chemotherapy
• Penile Orthoplasty
• Stone Basket Extraction
• Testicular/ Prostate Biopsy
• Ultrasound guided Prostate Biopsy
• Urethral Dilation/ Catheterization/ Calibration
• Vasectomy
OTORHINOLARYNGOLOGY/ ENT SURGERY (MAJOR)
• Blepharoplasty
• Caldwell Luc Operation
• Cheiloplasty
• Cleft Lip Repair
• Cochlear Implant
• Functional Endoscopic Sinus Surgery
• Mandibulectomy
• Mastoidectomy
• Microlaryngeal Surgery
• Neck Exploration
• Open Reduction Internal Fixation
• Palatoplasty
• Parotidectomy
• Radical Neck Disection
• Rhinoplasty
• Septoplasty
• Thyroidectomy
• Tonsillectomy and Adenoidectomy
• Wide excision of tongue mass/ Floor of mouth
OTORHINOLARYNGOLOGY/ ENT SURGERY (MINOR)
• Bronchoscopy
• Direct Laryngoscopy
• Excision of Pre-auricular Sinus
• Myringostomy with Ventricular Tube Insertion
• Nasal/ Pharyngeal Biopsy
• Release of Tongue Tie
• Removal of Impacted Cerumen
• Removal of Sutures
• Tympanoplasty
PLASTIC/ RECONSTRUCTIVE SURGERY (MAJOR)
• Abdominoplasty
• Blepharoplasty
• Liposuction
• Reduction/ Augmentation Mammoplasty
• Rhinoplasty
• Face Lift/ Facial Reconstruction
• Skin Grafting
PLASTIC/ RECONSTRUCTIVE SURGERY (MINOR)
• Closure of wound/ repair of laceration
• Debridement of burns/ wounds
• Electrocautery of warts
• Excision of Moles/ Lesions/ Hemangioma
• Release of Contractures
• Scar Revision
OPTHALMOLOGY SURGERY
• Cataract Extraction (Intracapsular/ Extracapsular/ Phacoemulsification)
• Excision of Pterygium
• Repair of Retinal Detachment
PEDIATRIC SURGERY
• Appendectomy
• Insertion of Central Venous Catheter
• Colostomy
• Tracheostomy
• Umbilical Hernia Repair
• Repair of Imperforated Anus
• Exploratory Laparotomy
III. Recovery Room Nurse
• Receives endorsement of post operative patients from the circulating nurses and anesthesiologist.
• Hook patients to oxygen and monitors and secures all contraptions.
• Assess patients status and performs timely documentation of observations and interventions rendered including the vital signs taking, measurement of the input and output, and positioning.
• Prepares and administers stat and standing order medications.
• Carries out doctors' orders including procedures and medications while collaborating with the other departments such as the Pharmacy, laboratory, radiology and other ancillary services as needed by the patient.
• Refers to the Residents and Consultants of the service needed by the patient as called for.
IV. Transport Nurse
• Transports and receives patients from and back to the unit/floor to the operative room and recovery room.
• Reviews the patients' chart, ensuring the informed consents (surgeon and anesthesiologist) are secured, surgical markings are done (for lateralities) and the pre operative and pre anesthetic orders are carried out by the bedside nurse.
• Receives the endorsement from the assigned bedside nurse with the completed surgical verification form.
• Transports the patient to the Operating Room maximizing safety with body straps and providing appropriate portable facilities as called for such as oxygen tank, monitors, bag valve mask and emergency kit and mechanical ventilator with a respirtory therapist.
• Endorses to the Holding Area Nurse for continuity of care.
• Receives post operative patients and endorsement from the recovery room nurse and wheels them back to their respective rooms/intensive units and endorses to the bedside nurse.
V. Perioperative Nurse
• Performs perioperative nursing visits to patients for surgery and post procedures. Renders orientation and health teachings for the pre-operative, intraoperative and post operative phase including wound care, non-invasive pain management, compliance with medications and discharge instructions.
(3) Occupation/ Position: Operating Room - Delivery Room Staff Nurse
(with rotations to Pediatric, Male and Female Medical-Surgical Ward, Obstetric and Gynecology Ward and Intensive Care Unit)
Date: November 5, 2007 - November 15, 2008
Name of Employer: General Santos Doctors Hospital, Inc.
Address: National Highway, General Santos City, Philippines 9500
Telephone Number: +6383-250-2777 loc. 232/ 218/ 219
Job Description:
• Performs appropriate perioperative nursing responsibilities.
• Performs as circulating and scrub nurse and assists in major and minor surgical procedures including neurological, EENT (ears, eyes, nose and throat), cardiolopulmonary, gastrointestinal, urological, orthopedic, aesthetic and obstetrical-gynecological cases.
• Handles and assists during normal spontaneous vaginal deliveries.
• Performs cord care to newborns aseptically.
• Preparation and calculation of anesthetics and standing order drugs.
• Proper documentation of nursing care done to patient.
• Performing basic medical and nursing procedures such as intravenous insertion, nasogastric tube insertion and feeding, minor suturing, cardio-pulmonary resuscitation, debridement, incision and drainage, internal examination, oropharyngeal, nasotracheal and endotracheal suctioning, administering oxygen by nasal cannula, mask or thru manual resuscitation bag, , starting nebulization, foley catheter insertion, instilling medication (eye, nose, ears) administer medication by oral, sublingual, parenteral, and suppositories, and other procedures with physician's order or as provided by the nursing care guidelines.
• Prepares packs, supplies and familiar with the operating room instruments used in various operative procedures.
Operates/facilitates in the use of the following machines/equipment but not limited to:
• Anesthesia Machine with ventilator
• Blood pressure apparatus
• Built-in suction
• Cardiac defibrillator
• Cautery Machine
• CBG Machine
• Cystoscope and Light Source (Olympus and Storz)
• Dermatome
• Emergency Cart and Hand ventilator
• Floor stocks (Pharmaceuticals, Central Supplies and Dressing)
• Fetal Heart Monitor
• Gas Sterilization
• Infusion/Syringe/Blood Pump
• Monitoring Devices (Cardiac monitors, Pulse oximeter, CBG Machine, Mercury sphymomanomenter, tympanic thermometer, central venous pressure)
• Operating Table
• Oxygen Therapy Devices (Oxygen flow meters, nasal cannula, multivent mask, nebulizer, aerosol mask)
• Patient Controlled Analgesic (PCA) pump
• Phacoemulsification machine and microscope
• Portable X-ray Machine
• Pulse oximeter
• Pneumatic Tourniquet
• Portable Oxygen
• Radiant Warmer
• Sequential Compression Device
• Sterrad/ Portable Autoclave
• Suction Machine
Cases Handled as Scrub and Circulating Nurse in Delivery Room:
OBSTETRICAL GYNECOLOGICAL CASES
• Cesarean Section
• Total Abdominal Hysterectomy with Bilateral Salphingo-oophorectomy
• Vaginal Hysterectomy
• Dilation and Curettage
• Normal Spontaneous Vaginal Delivery
• Labor Room Monitoring
WORK RELATED TRAININGS/SEMINARS/WORKSHOPS ATTENDED
Program/Course Venue Inclusive Date (s)
2007 Secondary: High School Education (7th Honorable Mention)
DEGREE / CERTIFICATE INSTITUTION / ADDRESS FROM TO Tertiary: Bachelor of Science in Nursing (Magna Cum Laude) San Pedro College - 12-C. De Guzman St. Davao City 8000 2003
2003 Primary: Elementary Education (7th Honorable Mention) Notre Dame of Dadiangas University
Mindanao State University- College Education Training Department - Jose P. Laurel St., General Santos City 9500 1999
(formerly Notre Dame of Dadiangas College-Elementary Training University) - Lagao, General Santos City 9500 1993
