36 D/E Registered Nurse, PACU

Beth Israel Lahey Health•Plymouth, MN

7d•$37 - $82

About The Position

The Registered Nurse, PACU assesses patients’ physical, mental, psychological, and spiritual status using age-appropriate knowledge, and plans, evaluates, and supervises care for assigned patients. The nurse builds rapport with preoperative and postoperative patients and their families, provides compassionate support, and promotes patient knowledge and independence through education about conditions, procedures, and medications using the teach-back method. The nurse maintains quality and safety by following perioperative and perianesthesia standards, hospital policies, the state nurse practice act, regulatory requirements, infection prevention practices, medication procedures, and controlled substance regulations. Responsibilities include documenting assessments and care in ORM, PCS, and eMAR; confirming preoperative testing and records; verifying implanted electronic devices; completing designated preoperative antibiotic orders; and communicating relevant findings to physicians and anesthesia providers. The position requires effective SBAR handoffs, patient confidentiality, continued professional learning, and cooperative communication with healthcare teams. The nurse may float to PAT and the Pain Clinic after completing competencies, and may be floated to other areas as needed. Schedule is 36 hours per week, Monday through Saturday, 9:00 a.m. to 9:30 p.m. flex, with call. Weekend and holiday call coverage includes 24-hour coverage. Staff assuming call coverage must be within 30 minutes’ travel time from the hospital. The position is covered by a collective bargaining agreement. Beth Israel Lahey Health requires staff vaccination against influenza as a condition of employment.

Requirements

Current Massachusetts RN license.
1–2 years of recent PACU experience.
Experience working with patients on drips and ventilators.
Current BLS, ACLS, and PALS certifications.
Ability to float to PAT and the Pain Clinic after completing competencies.
Ability to assume call coverage within 30 minutes’ travel time from the hospital.
Staff may be floated to areas where they are needed.
Influenza vaccination is required as a condition of employment.

Responsibilities

Assess patients’ physical, mental, psychological, and spiritual status using age-appropriate knowledge.
Plan, evaluate, and supervise care for assigned patients.
Establish rapport with preoperative and postoperative patients and family members.
Provide emotional, psychological, and spiritual support to patients, friends, and families.
Educate patients and families about conditions, surgical procedures, and medications using the teach-back method, and promote patient independence.
Adhere to perioperative and perianesthesia standards, care goals, hospital policies, the state nurse practice act, and regulatory requirements.
Maintain a safe and clean working environment and follow infection prevention, medication reconciliation and administration, and controlled substance procedures.
Complete and document assessments, medication reconciliation, home medication lists, and patient care in ORM, PCS, and eMAR.
Ensure preoperative testing requirements are met, including laboratory work, x-rays, and medical or cardiac clearance.
Investigate implanted electronic devices and obtain primary-source verification for perioperative management.
Complete designated preoperative antibiotic medication orders using Order Management.
Review preoperative records and results and communicate them to the attending physician, surgeon, and/or anesthesia as needed.
Use SBAR for handoff reports when transferring care to another healthcare provider.
Maintain patient confidentiality.
Maintain professional and technical knowledge through formal and informal education and incorporate it into practice.
Communicate information to maintain cooperative relationships among healthcare teams.
Model the organization’s Core Values: Integrity, Trust, Respect, Teamwork, and Excellence.
Assume call coverage within 30 minutes’ travel time from the hospital.
Float to PAT, the Pain Clinic, or other areas as needed, with competencies completed where required.