RN- PACU

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions

• Captures and documents patient assessments accurately, reporting changes in condition to the appropriate care team members.
• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
• Maintains a clean, safe environment for patients and staff by implementing and adhering to infection control protocols.
• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
• Documents patient care and education thoroughly and promptly in the medical record.
• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.

PACU RN Specific Functions

• Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia.
• Evaluates pain levels and administers pain medications as prescribed.
• Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches.
• Maintains a clear airway and provide oxygen support as needed.
• Administers medications, including pain relievers and other post-operative medications, as prescribed.
• Regulates intravenous (IV) fluids and monitor fluid balance.
• Checks and changes dressings on surgical wounds.
• Provides patient and family education on post-surgery care, potential complications, and discharge instructions.

Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required.
• Strong knowledge of the nursing process and clinical nursing practices.
• Ability to perform thorough patient assessments and communicate findings effectively.
• Proficient in administering medications and monitoring for side effects.
• Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
• Strong organizational skills and attention to detail in documenting patient care.
• Knowledge of safety standards, infection control, and quality improvement initiatives.
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required.
• BCLS - Basic Life Support required.
• ACLS - Advanced Cardiac Life Support preferred.
• PALS - Pediatric Advanced Life Support preferred.
• NRP - Neonatal Resuscitation preferred.