Department of Patient Care Services

Department of Patient Care Services POLICY: Staffing and Call DEVELOPED BY: Surgical Services Coverage for the Operating Room POLICY COMMITTEE: APPROVED BY: ______Cheryl Owens MSN, RN, CNOR, Rita Smith, DNP, RN Director of Nursing CNO, Senior Vice President Policy Committee Chair Patient Care Services  N/A ______Name: Title: Dept: Chair/Designee of Developing Committee Effective Date: Revised Date: Reviewed Date: 2005 June 2008, February 2012 2011, August 2012

Distribution: Surgical Services

Reference: AORN (2011). Perioperative Standards and Recommended Practices AORN (2005). Position Statement for Operating Room Staffing Skill Mix for Direct Caregivers. www.aorn.org Approvals: Professional Practice Y N/A Nursing Education Y N/A Critical Care Y N/A Emergency Dept Y N/A Peri-Op Y √ N/A Trauma Y N/A Maternal Child Health Y N/A Behavioral Health Y N/A Cardiac Cath Lab Y N/A Interventional Radiology Y N/A Med Exec Y N/A Pharmacy/ P&T Y N/A Pathology/Blood Bank Y N/A Other: Y N/A Other: Y N/A PURPOSE: To safely and effectively staff the Operating Room for elective procedures as well as emergency

POLICY:

I. Staffing in the Operating Room

A. Staffing for every procedure requires at least one (1) registered nurse per operating suite. Each procedure also requires a scrub person who may be a Surgical Operating Room Technician or an RN.

B. Weekly staff coverage (excluding weekends) allows the following numbers of OR suites to be started and utilized:

1. Five (5) rooms are to be operational between 0700-1500 Mondays through Fridays 2. Three (3) rooms will be staffed from 1500-1900 Monday through Friday 3. Trauma Call Coverage will enacted between 1500-0700 Monday through Friday and consists of one (1) team with at least (1) RN 4. Open Heart Call Coverage is enacted between 1500-0700 Monday through Friday C. Weekend Coverage provides enough staff personnel for the following OR suites:

1. One (10 room between the hours of 0700-0700 Saturday to Monday morning 2. One (1) room for trauma procedures or other emergencies 3. Open Heart Call team so staff one heart room between the hours of 0700-0700 Saturday to Monday morning

II. Weekend Rotation of Hours

A. On the weekends, the staff who provide in-house coverage during the day (1 complete team to include one RN) 0700-1500 are expected to cover the trauma/ emergency call between 1500-2300. Likewise is true of those individuals covering the 1500-2300 and 2300-0700 shifts. Those persons are expected to cover the call from 2300-0700 and 0700-1500 respectively.

B. Staff is required to arrive at the hospital no more than one-half hour from the time that they have been notified of pending procedures. Any breach of this policy may result in a disciplinary process.