Melissa A. Brown

- Fill the roles of circulator, scrub nurse, or 1st assist

- Assist with any duties within the central sterilization area

- Assist with putting supplies away

- Assist with preparations for the next day's surgeries

- Assist with training and mentoring new staff to the operating room at our facility

- provide the highest standard of care for each patient in my care within the operating room through the phases of the perioperative experience

- work within a cohesive team environment.....making good communication a top priority

• Lead a team within the OR department of 45 + staff from at times 17 nations....OR Nurses, PACU Nurses, SPD, Biomed, Anesthesia and Surgeons
• Set the annual goals for the department, with mission and vision
• Lead all team meetings......provide spiritual leadership
• Part of the Hospital Leadership team
• Provide clinical guidance and support as needed....occasionally step in to relieve for circ, scrub, 1st assist .....participate in senior OR nurse on-call roster
• Responsible for all HR related issues that occur within the dept.....staff member challenges, crucial conversations needed.....at times disciplinary action involving HR department on board
• Have regular 1 on 1's with direct reports
• Conduct annual staff evaluations for long term crew and short term crew staying a full field service
• Responsible for all OR Nurse, PACU nurse, SPD technicians application reviews for acceptance
• Responsible for the country specific surgical staffing plan.....guiding HR as to who to contact for what dates......all the staffing for OR nurses, PACU, SPD, and most surgeon placements
• Overall oversight of the clinical runnings of all aspects of the OR department
• Patient flow management.....develop the country specific surgical schedule....balancing daily surgical schedule with amount of beds avail...surgery scheduling....patient acuity

- Duties include circulating, scrubbing, and/or first assisting (helping with the suturing) on any given daily list.

- Daily helping with the central sterilizing department duties following completion of surgeries for the day

- picking for next days surgeries

- putting medical supplies away

• Responsible for the daily runnings of the OR's, PACU, SPD
• Providing support to specialty team leaders as needed
• Provided close oversight with the daily surgical schedule....going long, cancellation, need another patient, etc..
• Provide clinical guidance / expertise .....Helping clinically as needed for circ, scrub, or 1st assist
• Provide weekly allocation to team
• Staff on-call schedule
• Participate in Senior OR Nurse On-Call
• Following surgeon screenings.......responsible for all patient surgical scheduling
• Conduct short term crew exit evaluations weekly
• Established good rapport between OR and Medical supply....liaise with medical supply department onboard for supplies needed......liaise with Texas (International Support Center) for all specialty order items....attend Supply call every 2 weeks
• Help lead / support OR Quality Program.....leadership team

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• Lead a team within the OR department of 45 + staff from at times 17 nations....OR Nurses, PACU, SPD, Anesthesia and Surgeons
• Set the annual goals for the department, with mission and vision
• Lead team meetings.....provide spiritual leadership
• Hospital Leadership team member
• Provide clinical guidance and support as needed...occasionally step in to relieve for circ, scrub, 1st assist....participate in senior OR nurse on-call roster
• Responsible for all HR related issues that occur within the dept...staff member challenges, crucial conversations needed....at times disciplinary action involving HR department
• Regular 1 on 1's with direct reports
• Conduct annual staff evaluations for long term crew and short term crew staying for a few months
• Responsible for all OR Nurse, PACU Nurse, SPD technicians application reviews for acceptance
• Responsible for the country specific surgical staffing plan.....guiding HR as to who to contact for what dates......all the staffing for OR nurses, PACU, SPD, and most surgeon placements
• Overall oversight of the clinical runnings of all aspects of the OR department
• Patient flow management.....balancing daily surgery schedule.....amount of ward beds avail.....surgery scheduling.....patient acuity

• Facilitated running of MF OR daily
• Lead the OR team brief
• Provided clinical support/orientation to specialty as needed for new OR staff
• Role allocation each day
• Functioned as Circ, Scrub, or 1st assist full-time
• Participated in Senior OR nurse on-call
• Surgical specialty expert
• Daily rounds with the surgeon.....doing consents for patients with surgeon
• Participate in OR leadership team
• Attend surgeon screenings....participate in patient scheduling
• Lead small team.....empower the staff

• Mercy Ships-Volunteer aboard Africa Mercy..... Volunteered for 6 months in Togo, West Africa aboard Africa Mercy as OR nurse/Team Leader for Maxillofacial and Plastics
• Attended patient screenings with Surgeon
• Scheduled patients for surgery
• Morning rounds with Surgeon
• Oversaw daily functioning and staff assignments for Maxillofacial and Plastics Operating Rooms
• Circulated, 1st assisted and scrubbed full time
• Daily Data entry into computer.

• Travel Nursing Company 13 week contract at Down East Community Hospital in Machias, Maine ......Operating Room Circulated and Scrubbed.
• Participated in on-call roster
• Used Electronic charting system

• Volunteered with Mercy Ships .....13 weeks in Benin, West Africa aboard Africa Mercy ...OR nurse
• Circulated, 1st assisted and scrubbed
• Types of surgical services were ophthalmology – peds and adult, Gyn, Plastics – peds and adults, Maxillofacial/ENT – peds and adults, and orthopedics – peds and adults, general surgery – peds and adults
• OR charge nurse/coordinator some days.

• 1st contract - IU med center/ Simon Cancer Center in Indianapolis – Sept. 15th to Dec. 12th 2008
• 2nd contract with IU med center/ Simon Cancer Center in Indianapolis – Jan. 5th to April 10th 2009
• Responsible for circulating and scrubbing in many specialties
• Proficient in Cerner....EHR system
• Precepted new nursing student to OR.
• Participated in on-call roster

• Function in OR as first assistant, scrub, and circulator (primary specialty Plastics and Reconstruction)
• Provide conscious sedation anesthesia, administering meds and monitoring patient
• Manage all medications in facility – monitoring outdates, ordering meds, generating monthly and quarterly reports, yearly inventory
• Oversee and participate in daily functions of Sterile Processing/Decontamination area - weekly biologicals, documentation, quarterly reports, daily processing of instruments, maintenance of instruments, preparation for next days cases
• Preop patients for local procedures.

• Functioned in OR as circulator and scrub (1st or 2nd) ..primary specialties were general, gyn, urology, podiatry, pain management, ophthalmology, plastics/recon and ortho
• Administered conscious sedation anesthesia
• Prepared case carts for next day
• Entered data into computer for yearly inventory.

• Functioned as circulator and scrub Primary surgical specialties at the hospital were general, OB/gyn, podiatry, ortho, GI, urology and ophthalmology
• Preop patients for outpatient surgery
• Prepared case carts for next day
• Took call for emergency’s MED SURG, – week-ends.

• Cared for patients on a medical/surgical floor pediatric to elderly.

• Functioned as OR tech – 1st and 2nd scrub roles •prepared case cart for next day •put away supplies that were delivered.

- Volunteer time.....to learn more about the OR......observation of all aspects of the patients flow, from going to get the patient with the nurse, all the intra-op aspects (patient positioning, safety, equipment, anesthesia, prepping, draping, what roles looked like in the OR, learning the surgical instruments and procedures by watching and listening......post op (OR clean-up)......prep for cases the next day....learning names of supplies

- learning to scrub