Perianeshesia RN - FT (AGENCY)

Carenest Health Services•Coos Bay, OR

About The Position

The Perianesthesia RN functions as a team member in Pre-Op, PACU Phase 1, and PACU Phase II. Within the scope of practice defined by the Oregon State Board of Nursing, the RN applies the nursing process to patient care, teaches patients and significant others, documents care in the medical record, and collaborates with the interdisciplinary team to coordinate care. The role includes preparing patients for surgery, assisting with procedures, providing anesthesia recovery and moderate sedation care, and supporting discharge planning. The RN is expected to support Bay Area Hospital’s mission, vision, and values; follow applicable laws and regulations, behavioral standards, the Code of Conduct, and the Compliance Program; and communicate effectively with people from varied backgrounds. The position is affiliated with ONA. Duties listed are representative and not exhaustive.

Requirements

  • Licensed to practice as a Registered Nurse in Oregon.
  • American Heart Association Healthcare Provider Basic Life Support (BLS) certification.
  • Excellent airway management skills.
  • Ability to read, write legibly, and communicate effectively in English.
  • Critical-thinking and problem-solving skills.
  • Flexibility and ability to prioritize and adapt to rapidly changing patient and unit needs.
  • Effective teaching skills and ability to respond effectively to patient crises and emergencies.
  • Computer proficiency, including internet access, word processing, and electronic medical record documentation.
  • Regular, consistent, and punctual attendance.
  • Ability to sit, stand, walk, bend, squat, reach, and stretch frequently.
  • May be required to lift up to 50 pounds.
  • Use standard precautions due to risk of exposure to blood and body fluids.
  • Ability to communicate effectively by reading, writing, and speaking in person or by telephone.
  • Frequent use of a personal computer.
  • Manual dexterity.
  • Ability to take rotating call nights, weekends, and holidays and be within 30 minutes’ travel time to the hospital.

Nice To Haves

  • Recent acute care hospital experience within the past five years is preferred.
  • Specialty certification (CPAN or equivalent) is preferred.
  • American Heart Association Advanced Cardiac Life Support (ACLS) certification, or obtain it by the last day of the month after the six-month grace period.
  • American Heart Association Pediatric Advanced Life Support (PALS) certification or Emergency Nurse Pediatric Course card, or obtain one by the last day of the month after the one-year grace period.

Responsibilities

  • Assist physicians with endoscopic examinations and perform gastric manometer testing.
  • Coordinate the interdisciplinary team to ensure patients are ready for surgery.
  • Review and assess patient status in relation to planned surgery, including physical parameters, laboratory values, medications, learning needs, and understanding of the procedure.
  • Consult with surgeons, anesthesia providers, and other providers to resolve patient issues in a timely manner and help prevent avoidable surgery cancellations.
  • Begin interdisciplinary discharge planning with patients and caregivers.
  • Perform EKGs as ordered.
  • Manage patient care, including pain control, during anesthesia recovery.
  • Care for patients undergoing moderate sedation, including medication administration, monitoring, and routine and emergency airway management.
  • Identify and interpret cardiac rhythms and use cardiorespiratory monitoring equipment.
  • Assess patients within the scope of care, including physical and psychosocial status, learning needs and barriers, age- and culture-related needs, and discharge-planning needs.
  • Establish nursing diagnoses based on assessments and in collaboration with the interdisciplinary team; plan and update care accordingly.
  • Implement individualized nursing care, which may include activities of daily living, fall-risk management, safe patient handling, medication administration, skin and wound care, pain management, and operation of patient-care and testing equipment.
  • Assist physicians and other licensed independent practitioners with invasive and non-invasive procedures.
  • Teach patients and families about illness, medical tests, medications, general health care, disease prevention, and wellness promotion.
  • Assign, supervise, and direct unlicensed assistive personnel to support optimum patient care.
  • Coordinate and facilitate overall care with the interdisciplinary team.
  • Document assessments, interventions, care, and teaching in the electronic medical record and, as needed, on paper; ensure documentation is complete, concise, timely, and legible.
  • Evaluate care, and communicate patient status and care results to the interdisciplinary team.
  • Maintain regular, consistent, and punctual attendance at the assigned job location.
  • Take rotating call at night, on weekends, and on holidays, while remaining within 30 minutes’ travel time of the hospital.
  • Perform other duties as assigned.
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