Registered Nurse Pre-Op/PACU

Basic Function:

The staff nurse is responsible for providing therapeutic, effective patient/family-centered care according to physician order, in compliance with the philosophy of the Organization, standards of practice and regulations of governing agencies.

Working Relations

Position reports to: CLINICAL Manager

Position supervises: None

Internal relationships: As a representative of the Organization all comments, attitudes, actions and behaviors have a direct effect on the Organization’s image and perceptions of quality service. Interaction with patients, families, physicians, referral services, affiliating schools, visitors, volunteers, coworkers, supervisors, venders, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative and professional. This behavior should promote an atmosphere of teamwork in line with Organization standards and guidelines to promote positive relationships and excellent patient care.

Position Requirements

Licenses or Certificates: Current nursing licensure in the state in which the Organization is located. Successful completion of Basic Cardiac Life Support Course. Current ACLS certification.

Total education, vocational training and experience: Graduate of an accredited school of nursing. At least one year of PREOP and PACU nursing and/or critical care experience and/or emergency room experience.

Skills and abilities:

1. Ability to correlate clinical data with patient’s medical and nursing care.

2. Ability to set priorities.

3. Ability to provide direction to others that is clear, concise and promotes efficiency on the unit.

4. Ability to communicate well with patients, families, co-workers, etc.

5. Utilizes specialized nursing knowledge, nursing process and discriminative judgment while giving direct or indirect care.

6. Recognizes legal and policy limits of individual practice.

7. Recognizes the importance of teamwork.

8. Respects patient’s right to privacy, dignity and confidentiality.

9. Provides a safe, efficient and supportive patient atmosphere.

10. Assesses physical and emotional needs of patients and implements appropriate nursing interventions.

11. Monitors the activities of non-professional nursing personnel.

12. Is cognizant of health care cost.

13. Maintains accurate records of controlled substances.

14. Attends staff meetings and inservice programs.

15. Participates in staff meetings.

16. Is knowledgeable of and in compliance with administrative, medical and nursing policies and procedures.

17. Reports to supervisor needed repairs or maintenance of equipment or building. In the absence of the supervisor notifies the appropriate repair services and follows up to be certain the problem is resolved.

18. Participates in inventory count.

19. Assists with housekeeping tasks.

20. Receives and documents physician orders.

21. Is knowledgeable about Medical staff privileges.

22. Is knowledgeable about response to emergency situations (i.e., cardiac arrest, malignant hyperthermia, drug reactions, fire, etc.)

23. Performs all duties assigned by supervisor.

24. Participates in the Organization Quality Improvement process and activities including the areas of safety, infection control, patient education, teaching, documentation, adherence to guidelines for cleaning/decontamination of the center, adherence to guidelines for sterilization of instruments and supplies, patient satisfaction, physician satisfaction, compliance with OSHA standards and risk management.

25. Demonstrates competency in performing job task and operating equipment on an annual basis.

26. Possesses clinical skills necessary to provide quality care to all patient age populations from pediatric to geriatric patients.

Specific Duties:

1. Checks updated schedule each morning and prepares room supplies and equipment.

2. Checks and documents defibrillator and laryngoscope functions each morning.

3. Admits patient according to procedure.

4. Administers and charts medications as ordered by physician.

5. Reinforces and clarifies physician instructions and explanation of procedures to patient.

6. Provides nursing care and appropriate monitoring according to policies and procedures.

7. Communicates relevant information to physician, Administrator, and appropriate staff.

8. Provides for patient safety by use of monitors, side rails, and assistance in ambulating and instruction on the use of call bell in bathroom.

9. Completes Pre-operative and Recovery Room charting.

10. Reviews written post-operative instructions with patient and/or family member.

11. Completes inventory sheet.

12. Provides emergency care according to physician and administrative policy.

13. Discharges patient upon order of anesthesiologist and/or attending physician accordance with procedure.

14. Arranges transfer of patient to hospital, as needed, according to procedure as ordered by physicians.

15. Sets priorities to facilitate the flow of patient efficiently.

16. Cleans equipment according to procedure.

17. Assists with pre-operative and post-operative calls.

18. Reviews charts for completeness and signatures of physicians.

19. Prepares and restocks area for following day.

20. Checks inventory and notifies appropriate staff member to re-order.

21. Notifies appropriate staff member to order non-drug supplies.

22. Assists with cleaning of recovery room according to policies and procedures.

23. Initiates appropriate infection control measures.

Job Knowledge

1. Assesses, plans, evaluates and ensures the implementation of the patient’s care to achieve identified outcomes.

2. Assesses patient status on admission and on as ongoing basis.

3. Implements appropriate standards of care based on assessment data and patient’s own goals.

4. Coordinates nursing interventions to enhance achievement on an ongoing basis.

5. Ensures provision of patient care daily in an organized and timely manner.

6. Adheres to all Organization policies and procedures when providing patient care.

7. Utilizes nursing care standards when planning and implementing patient care.

8. Demonstrates ability to direct and provide for patient care in emergency situations.

9. Assesses learning needs according to patient’s level of understanding and readiness to learn.

10. Evaluates patient’s progress toward outcome achievement on an ongoing basis.

11. Revises plan of care based on change in patient statue and/or information gathered at the interdisciplinary staffing conference.

12. Documents patient’s progress toward achievement of outcomes.

13. Directs others in the implementation of the teaching plan.

14. Assumes a leadership role in the provision of quality nursing care for patients receiving care.

15. Analyzes nursing care provided in the Organization related to the established standards of care.

16. Participates in the monitoring and evaluation of nursing care provided.

17. Demonstrates ability to coordinate the nursing care provided in the Organization.

18. Assigns patient care responsibilities based on patient needs and abilities of available staff.

19. Assumes charge nurse responsibility as assigned.

20. Demonstrates ability to make decisions concerning Organization based problems.

21. Participates on quality council to facilitate improvement of nursing care and achievement of the mission of the Organization, as requested.

22. Participates in the orientation of nursing staff.

23. Participates in developing standardized patient education programs, as requested.

24. Participates in team conferences on assigned patients.

25. Demonstrates continued competence in assessing, treating and caring for individuals based upon age-specific needs utilizing a developmental perspective.

26. Displays an understanding of each patient’s cognitive, physical, emotional and chronological maturity in the assessments, treatment and care undertaken.

27. Appropriately modifies approach to the patient based upon patient age utilizing a developmental perspective.

28. Provides appropriate interventions related to safety issues.

29. Demonstrates appropriate knowledge and competence of designated skills identified for position.

30. Maintains work area and equipment in an orderly manner.

31. Maintains dress and appearance according to standards as observed by management.

32. Strives to be professional, courteous, helpful and cooperative.

33. Performs all other duties as assigned by supervisor.

Attendance

1. Follows established Organization policies and procedures with regard to attendance.

1.1 Maintains attendance according to guidelines and policy established by

Organization.

1.2 Adheres to tardiness policy.

1.3 Provides notification for unscheduled absences or tardiness in accordance with established departmental procedures as noted by supervisor.

1.4 Requests scheduled time off according to procedure as noted by supervisor.

Machines/equipment used: Clinical equipment used for patient care, i.e., suction machine, defibrillator, patient lift, IV pumps, accuchek. Office equipment: Computer, Copy machine, Telephone, Facsimile.

Environmental conditions: Indoors in climate controlled environment. Patient care environment with potential exposure to unpleasant t odors, to blood and body fluids which may carry infection, to infectious disease and to chemical and electrical hazards. Occasional exposure to outdoor climate.

Physical requirements: Good visual acuity, accurate color vision. Ability to lift/transfer patients in excess of 100 pounds, which may require pushing, pulling and essentially utilizing a full range of body movement. Ability to stand, walk, stoop, kneel, crouch and/or crawl. Ability to reach, grasp, use fine finger movement and feel fine sensation to discern temperature, texture, size and shape. Ability to speak and hear.

Degree of supervision provided to position: Minimal, must be self directed and able to work independently.

Job Type: Full-time

Pay: $28.18 - $50.29 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Orthopedics
• Perioperative Care
• Surgery

Physical setting:

• Ambulatory surgery center

Standard shift:

• Day shift

Weekly schedule:

• 4x10
• Monday to Friday

Experience:

• Nursing: 1 year (Required)

License/Certification:

• BLS Certification (Required)
• RN (Required)

Work Location: In person

Salary : $28 - $50