Registered Nurse PreOp PACU II - Lakeside Ambulatory Surgery Center

Responsibilities

• Promote the mission, vision, and values of SCA.
• Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures.
• Interpret information accurately from various noninvasive and invasive monitors.
• Describe the underlying pathophysiology of commonly encountered disease processes.
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions.
• Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [iPARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy.
• Develop an individualized perianesthesia plan of care.
• Implement the plan of care including the following interventions:
• Preparing for and managing patient recovery from anesthesia - general.
• Preparing for and managing patient recovery from anesthesia - monitored anesthesia care.
• Preparing for and managing patient recovery from anesthesia - regional.
• Preparing for and managing patient recovery from anesthesia - local.
• Preventing patient from injury caused by positioning, thermal sources, and extraneous objects.
• Communicating the patient’s current status throughout the perianesthesia continuum of care.
• Providing acute pain and comfort management as needed.
• Administering medications safely and correctly by using the 8-rights of safe medication administration.
• Maintaining the integrity of the patient’s wound and tissue perfusion at or above baseline levels.
• Maintaining the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels.
• Maintaining the status of the patient’s temperature at or returning to normothermia at the conclusion of the immediate postoperative period.
• Maintaining the patient’s resistance to infection.
• Managing patient’s other co-morbid conditions as applicable.
• Managing patient’s fluid as prescribed.
• Providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure.
• Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
• Protecting patient’s rights, dignity, and privacy.
• Providing age-specific, culturally competent, ethical care within legal standards of practice.
• Providing consistent and comparable care regardless of the setting.
• Evaluating the patient’s progress toward attaining outcomes.
• Transferring care as needed.
• Providing hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.
• Delegating tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
• Documenting nursing care completely, accurately, and legibly.
• Collaborating effectively with other disciplines as needed.
• Participating in quality review and performance improvement projects.
• Participating in the performance appraisal process.
• Using problem-solving and conflict resolution skills to foster effective work relationships with team members.
• Maintaining required competencies.
• Pursuing professional growth.
• Acting as a patient advocate and maintaining privacy and confidentiality of individuals and health information.
• Complying with all facility policies and procedures when providing patient care.
• Actively participating in team meetings, trainings, and daily safety huddles.
• Demonstrating fiscal responsibility.

Qualifications

• Graduate of an Accredited School of Nursing.
• One year of Pre Operative or PACU experience required.
• Medical / surgical nursing experience.
• Current state licensure to practice within good standings.
• Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification.
• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.
• Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification.

Pay

• $32.07/Hr.
• $46.50/Hr.