PACU Registered Nurse 6:00a - 6:30p

Children's National Hospital

2d • $36 - $64 • Onsite

About The Position

The Perioperative Services Department consists of the Operating Room (OR), Surgery Preparation, Post Anesthesia Care Unit (PACU), Sterile Processing Department (SPD), and Ambulatory Surgery Center (ASC) in Rockville, MD., Radiology, and Endoscopy Unit. The Shiekh Zayed Campus is equipped and available to provide 24 hours a day, seven days a week surgical care. In our delivery of care we aim for quality healthcare that is: patient centered, safe, timely, efficient, equitable, and effective. The department is engaged in quality, performance improvement and research to provide care that has the patient and family in mind.

Requirements

• Graduated from an approved school of nursing
• 2 years P ACU experience required or related clinical nursing experience in a comparable setting such as critical care or Peds ED.
• The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National.
• Must have strong skills of airway management and knowledge of anesthetic agents.
• Excel in organizational skills, adjust for changes and be able to complete assignment on time.
• Role model critical thinking skills by problem-solving patient care and unit/system issues.
• Demonstrate a collegial and respectful relationship with peers, physicians and other departments.
• Care will incorporate best practices based on benchmarks and evidence within the literature.
• Registered Nurse in District of Columbia
• Cardio-Pulmonary Resuscitation (CPR)
• Pediatric Advanced Life Support (PALS)

Nice To Haves

• BSN
• Certified Pediatric Nurse (CPN)
• Certified Post Anesthesia Nurse (CPAN)

Responsibilities

• Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery.
• Perform manual intermittent positive pressure ventilation (IPPV).
• Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families.
• Monitor cardiopulmonary function, airway patency, and oxygen saturation.
• Provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium.
• Evaluate and treat post-operative pain in a timely manner with appropriate intervention.
• Manage epidural administration of local anesthetics and opioids.
• Manage patients with central neuraxial and peripheral nerve blocks.
• Monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents.
• Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach.
• Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues.
• Role model procedures for escalation of issues and utilize chain of command.
• Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff.
• Take the lead in implementing change and support management decisions.
• Role model behavior reflecting empathy, concern and a desire to help others.
• Independently maintain regulatory requirements e.g. license, BLS.
• Initiate professional activities to enhance nursing practice.
• Engage in active review of peers giving constructive feedback through timely participation in evaluations.
• Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification.
• Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers.
• Serve as a resource as needed and know when to escalate to next level
• Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.
• Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions.
• Direct prioritization and organization for complex patient with rapidly changing needs.
• Documentation will exemplify adherence to the highest standards of practice.
• Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge.
• Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.
• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance.

Benefits

• Comprehensive health coverage, including medical, prescription, infertility, and transgender health services.
• Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day.
• Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts.
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans.
• Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior