Registered Nurse, PACU - 36 hpw

Beth Israel Lahey Health•Plymouth, MN

6d•$37 - $82

About The Position

Beth Israel Lahey Health is seeking a Registered Nurse for the Post-Anesthesia Care Unit (PACU). This position is 36 hours per week, with a flexible Monday–Saturday schedule from 11:00 a.m. to 11:30 p.m. and call coverage. Weekend and holiday on-call coverage includes 24-hour coverage. Staff must be able to assume call coverage within a 30-minute travel time from the hospital and may be floated to areas where they are needed, including PAT and the Pain Clinic when competencies are completed. The nurse assesses patients’ physical, mental, psychological, and spiritual status using age-appropriate knowledge; plans, evaluates, and supervises assigned patient care; and supports patients and families before and after surgery. The role promotes patient understanding and independence through education, including use of the teach-back method, and ensures care follows perioperative and perianesthesia standards, hospital policies, the state nurse practice act, and other regulatory requirements. The nurse completes and documents assessments, medication reconciliation, home medication lists, and patient care in ORM, PCS, and eMAR. Responsibilities also include verifying preoperative testing and records, coordinating implanted-device management, completing preoperative antibiotic orders for the designated population, and communicating relevant information to providers. The nurse uses SBAR during handoffs, protects confidentiality, maintains a safe and clean environment, follows infection-prevention and medication procedures, and works cooperatively with healthcare teams while modeling the organization’s values.

Requirements

Current Massachusetts RN license.
Two years of recent experience in a critical care unit, Level I/II ED trauma, or PACU.
Experience working with patients on drips and ventilators.
Current BLS, ACLS, and PALS certifications.
Demonstrated ability to float to PAT and the Pain Clinic after completing required competencies.
Must meet the organization’s influenza vaccination condition of employment.
Must be able to provide call coverage within a 30-minute travel time from the hospital.

Nice To Haves

Recent PACU experience preferred.

Responsibilities

Assess patients’ physical, mental, psychological, and spiritual status using age-appropriate knowledge.
Plan, evaluate, and supervise care for assigned patients.
Build rapport with preoperative and postoperative patients and family members to identify care requirements.
Provide emotional, psychological, and spiritual support to patients, friends, and families.
Promote patient knowledge and independence by identifying expectations and setting care goals.
Educate patients and families about conditions, surgical procedures, and medications using the teach-back method.
Deliver care in accordance with perioperative and perianesthesia standards, patient-care goals, hospital policies, the state nurse practice act, and regulatory requirements.
Maintain a safe and clean working environment by following procedures, rules, and regulations.
Follow infection-prevention, medication reconciliation and administration, and controlled-substance procedures.
Accurately complete and document assessments, medication reconciliation, home medication lists, and patient care in ORM, PCS, and eMAR.
Ensure preoperative testing requirements are met, including lab work, x-rays, and medical or cardiac clearance.
Investigate implanted electronic devices and obtain primary-source verification for perioperative management.
Complete preoperative antibiotic medication orders using Order Management for the designated population.
Review preoperative records and results and communicate them to the attending physician, surgeon, or anesthesia team as needed.
Use SBAR for handoff reports when transferring care to another healthcare provider.
Maintain patient confidentiality.
Maintain professional and technical knowledge through educational programs and apply it in practice.
Communicate information to sustain cooperative relationships among healthcare teams.
Model the Core Values of Integrity, Trust, Respect, Teamwork, and Excellence.
Provide call coverage within a 30-minute travel time from the hospital.
Float to PAT, the Pain Clinic, or other needed areas when qualified and competent.