Pre Post Operative Ambulatory RN DM

Montefiore Nyack Hospital • Nanuet, NY

5d • $55 • Onsite

About The Position

The Pre Post Operative Ambulatory RN provides comprehensive nursing care during the pre- and post-operative phases at an ambulatory surgery center. The nurse coordinates care for appropriate patient age groups with the Center’s team and other health team members, advocates for patients in accordance with the Patient’s Bill of Rights, and demonstrates professional growth and accountability for nursing practice.

The role includes assessing patients’ physiological and psychological health, formulating nursing diagnoses and care plans, implementing and evaluating nursing actions, monitoring patients before and after surgery, and coordinating safe patient transfers and discharge planning. The nurse also supports patient and family education, administers prescribed medications, manages equipment and supplies, maintains a safe and sanitary environment, and communicates and documents care across the surgical and health care team. The role includes supporting colleagues, participating in orientation and quality improvement activities, attending meetings and educational opportunities, and following AORN recommendations, Center policies, and regulatory requirements.

Requirements

• Associate degree in nursing required.
• At least 1 year of perioperative or critical care experience.
• Registered Nurse credential from the New York State Board of Nursing required.
• BLS Basic Life Support certification from the American Heart Association required.
• ACLS Advanced Cardiac Life Support certification from the American Heart Association required.
• Prior knowledge of pre- and post-operative equipment or the ability to learn it.

Nice To Haves

• Bachelor’s degree preferred.
• Experience in an ambulatory setting preferred.

Responsibilities

• Assess patients’ physiological status, including operative procedure verification, skin condition, mobility, diagnostic results, vital signs, prostheses, nutritional status, and information relevant to surgery and discharge.
• Assess patients’ and families’ psychological status, expectations, understanding, language needs, and cultural, religious, or philosophical beliefs; communicate and document relevant information.
• Formulate nursing diagnoses and establish attainable goals and plans of care based on patient assessment.
• Collaborate with physicians, peers, and other health care team members to coordinate patient care from initial assessment through discharge.
• Participate in pre-operative phone calls and provide instructions about arrival and surgery times, NPO status, and other pertinent information.
• Provide positioning aids and coordinate equipment, supplies, and safety measures for intraoperative care, including electrosurgery and laser equipment.
• Organize and prioritize nursing activities and assign activities to personnel according to qualifications and patient needs.
• Maintain required CPR and ACLS certifications and respond effectively to emergencies.
• Communicate and document plans of care and critical patient information using appropriate handoff techniques.
• Transfer patients according to the plan of care, confirming identity, selecting appropriate transport personnel and methods, supporting emotional needs, and documenting transport.
• Participate in pre-operative teaching and document patient and family education.
• Anticipate, select, check, maintain, and restock equipment and supplies; perform patient-bay turnover and remove malfunctioning equipment from service for repair.
• Administer prescribed medications and solutions according to policy, document administration and errors, and participate in daily narcotic counts.
• Monitor physical symptoms, behavioral changes, intake and output, and vital signs; respond to changes and emergencies and communicate and document findings.
• Maintain a safe care environment, follow safety and infection-control procedures, manage environmental conditions and traffic patterns, and use information systems competently.
• Respect patient rights, promote safety and confidentiality, and document actions related to patient rights.
• Exercise sound judgment, adapt to changes in practice, respond constructively to feedback, maintain ethical and legal standards, pursue continued learning, and document nursing actions.
• Evaluate patient outcomes and the effectiveness of nursing care; adjust care plans and participate in Quality Improvement Program activities.
• Act as a resource to other staff and participate in orientation of new employees, students, and approved program participants.
• Adhere to OSHA Universal Precautions and use appropriate personal protective equipment.
• Attend Center and unit meetings, huddles, and educational opportunities; demonstrate punctuality, satisfactory attendance, and flexibility to meet Center needs.
• Follow AORN Recommended Practices, Center policies, institutional standards, and regulatory requirements; assist visitors, staff, and physicians with good guest relations.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree