STAFF REGISTERED NURSE - AMBULATORY CARE / POST ACUTE CARE

About the role

Job Summary: The Perioperative Ambulatory RN provides skilled, patient-centered care during the preoperative and postoperative periods, with cross-training to support patient care across multiple areas including the Ambulatory Care Unit (ACU), Post-Anesthesia Care Unit (PACU), Pre-Anesthesia Clinic (PAC), and Endoscopy.

Department Scope of Service: Services at BMH encompasses care from infancy (10 months) through end-of-life, providing comprehensive surgical and procedural services across the following areas: Pre-Anesthesia Clinic (PAC), Operating Room (OR), Post-Anesthesia Care Unit (PACU), Ambulatory Care Unit (ACU), Endoscopy, Minor Procedures, Sterile Processing Department (SPD). The department is staffed by Registered Nurses (RNs), Surgical Technologists, Scheduler/Assistant Staffing Coordinator, Sterile Processing Technicians, Operating Room Assistants, Unit Secretary/LNAs, Perioperative Workflow Coordinator, Perioperative Supervisor, Director of Perioperative Services. OR operates 24/7 with elective surgery hours from 7:00 AM to 3:30 PM. PACU provides immediate postoperative care, preoperative nerve block placement, monitoring prior to admission, transfer, or discharge, intensive observation post-surgery or procedure. ACU provides pre and postoperative assessment, care and education, preoperative nerve block placement, discharge planning & education. Pre-Anesthesia Clinic provides pre-surgical patient interviews and assessments, review of preoperative consults and test results, compliance with anesthesia guidelines to ensure surgical patient readiness. Sterile Processing Department decontaminates and sterilizes instruments for the OR and physician practices, ensuring all equipment meets hospital policy and safety standards.

Responsibilities

• Assessing the health status of individuals and groups including patients' physical and psychological readiness for surgery
• Collecting patient history, vital signs, and other relevant data
• Preparing patients for surgery, including education on the procedure, medications, and post-operative care
• Establishing nursing diagnoses and goals to meet identified health care needs
• Planning and implementing nursing interventions in collaboration with other healthcare professionals
• Evaluating patient responses to interventions and adjusting care plans accordingly
• Delegating and supervising interventions performed by others as appropriate
• Educating patients, families, and colleagues
• Maintaining a safe environment for effective nursing care
• Ensuring all necessary paperwork and consent forms are completed

Requirements

• Education: Graduate of an RN accredited nursing program; BSN preferred.
• Experience/Skill Sets: 3-5 years recent outpatient clinical nursing experience preferred; Acute care experience preferred.
• Licensure/Certification(s): Active State of Vermont RN license; Current Healthcare Provider CPR certification.
• Mental Efforts: Ability to think quickly and respond to multiple requests for information; Ability to handle multiple priorities simultaneously; Significant use of PC monitor; Stressful environment due to extremely busy board and emergent situations; Ability to adapt to a diversity of customers; Vision and hearing corrected to within normal limits.
• OSHA Category: OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.
• Physical Demands: On-the-job time spent in standing, walking, sitting, talking or hearing; This position requires that weight be lifted or force be exerted up to 30 pounds; Vision requirements: Close Vision (clear vision at 20 inches or less), Color Vision (ability to identify and distinguish colors), Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus); Hearing: Ability to hear calls, Ability to hear instructions from physician/department staff/others; Typical noise level for an office environment is