Registered Nurse PreOp II, Pool - Surgical Center of Greensboro

SCA Health•Greensboro, NC

About The Position

The Registered Nurse PreOp promotes SCA Health’s mission, vision, and values while providing individualized preoperative and perianesthesia nursing care. The role includes assessing patients’ cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status; interpreting information from invasive and noninvasive monitors; and applying knowledge of disease processes, anesthesia techniques, and surgical or procedural interventions. The nurse develops and implements an individualized plan of care that protects patients from injury and infection, supports pain management, medication safety, wound and tissue integrity, normothermia, fluid management, and care of comorbid conditions. The nurse provides patient and support-person education, involves them in care decisions, and protects patients’ rights, dignity, privacy, and confidentiality. Care must be age-specific, culturally competent, ethical, and consistent with legal standards, facility policies, and Universal Protocol. The role also includes evaluating progress toward outcomes, transferring care and providing accurate handoffs, documenting care, collaborating with the perioperative team, participating in quality improvement and team activities, maintaining competencies, and pursuing professional growth. Other duties may be assigned.

Requirements

Graduate of an accredited school of nursing.
Current state licensure to practice in good standing.
Complete Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment, or provide documentation of current certification.
Complete Advanced Cardiovascular Life Support (ACLS) within 90 days of employment, or provide documentation of current certification.
Complete Pediatric Advanced Life Support (PALS) within 90 days of employment, or provide documentation of current certification, when pediatric care is included in the facility’s scope of services.

Nice To Haves

One year of ICU, ED, PACU, and/or medical-surgical nursing experience.
Specialty certification in perioperative or perianesthesia nursing.

Responsibilities

Promote the mission, vision, and values of SCA.
Assess patients’ preoperative status at intervals according to facility or organizational policies, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status.
Interpret information accurately from invasive and noninvasive monitors.
Apply knowledge of commonly encountered disease processes and the physiology associated with anesthesia techniques and surgical or procedural interventions.
Develop and implement an individualized perianesthesia plan of care.
Prepare and protect patients from injury related to positioning, extraneous objects, and chemical, electrical, mechanical, or thermal sources.
Communicate patients’ current status throughout the perianesthesia continuum of care.
Operate equipment and machinery safely and report and correct unsafe situations; speak up about safety concerns and advocate for patients.
Handle specimens according to facility policy and procedures and follow standard precautions, including personal protective equipment use.
Provide acute pain and comfort management as needed; administer medications safely using the 8 rights of medication administration.
Perform interventions to maintain wound integrity and tissue perfusion at or above baseline, achieve or restore normothermia, and protect patients from infection.
Provide nursing care and monitoring in accordance with policies and procedures; manage comorbid conditions and fluids as prescribed.
Assess patient or support-person knowledge and provide education about psychosocial responses, nutrition, medical and pain management, wound management, and expected responses to procedures.
Involve patients or designated support persons in decisions about perioperative care and rehabilitation.
Protect patients’ rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards.
Comply with Universal Protocol and facility site-validation and time-out policies.
Evaluate patient progress toward outcomes, transfer care as needed, and provide accurate, concise, pertinent handoff reports.
Delegate tasks in accordance with applicable nursing practice acts, regulations, laws, and job descriptions.
Document episodes of care completely, accurately, and legibly.
Communicate and collaborate effectively with perioperative team members and other stakeholders; serve on a multidisciplinary care-planning team.
Participate in quality review and performance improvement projects and in the performance appraisal process.
Use problem-solving and conflict-resolution skills to foster effective working relationships.
Maintain required competencies and pursue professional growth.
Comply with SCA and facility policies and procedures when providing care.
Participate in team meetings, trainings, and daily safety huddles.
Demonstrate fiscal responsibility.
Perform other duties as assigned.