Registered Nurse PreOp PACU II, Pool - Advanced Endoscopy Center

SCA Health•New York, NY

About The Position

SCA Health is hiring a Registered Nurse (RN) PreOp PACU for the Advanced Endoscopy Center. The nurse assesses patients before and after procedures, monitors their status, develops and implements individualized perianesthesia plans of care, and evaluates progress toward expected outcomes. The role includes preparing patients for recovery from general, monitored anesthesia care, regional, and local anesthesia; providing acute pain and comfort management; administering medications safely; protecting patients from injury and infection; and supporting recovery across relevant body systems and fluid balances. The nurse educates patients or their designated support persons, involves them in care decisions, protects patient rights and privacy, provides age-specific and culturally competent care, and transfers care with accurate hand-off reports. The role also involves documentation, delegation within applicable rules, collaboration with other disciplines, participation in quality improvement and performance appraisal activities, maintaining competencies, pursuing professional growth, attending team meetings and safety huddles, and complying with facility policies. Other duties may be assigned.

Requirements

Graduate of an accredited school of nursing.
One year of preoperative or PACU experience required.
Medical/surgical nursing experience.
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.
When pediatric care is included in the facility scope of services, complete Pediatric Advanced Life Support (PALS) within 90 days of employment, or provide documentation of current certification.

Responsibilities

Promote the mission, vision, and values of SCA.
Assess patients’ preoperative and postoperative status at intervals according to facility or health care organization policies and procedures, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status.
Interpret information accurately from noninvasive and invasive monitors.
Describe the pathophysiology of commonly encountered disease processes and the physiology associated with anesthesia techniques and surgical or procedural interventions.
Apply the relevant scoring system or discharge criteria for patient transfer accurately, as defined by organizational policy.
Develop and implement individualized perianesthesia plans of care.
Prepare for and manage patient recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury caused by positioning, thermal sources, and extraneous objects.
Communicate the patient’s current status throughout the perianesthesia continuum of care.
Provide acute pain and comfort management as needed.
Administer medications safely and correctly using the 8-rights of safe medication administration.
Maintain wound integrity and tissue perfusion at or above baseline levels.
Perform interventions to maintain relevant body systems and fluid, electrolyte, and acid-base balances at or above baseline levels.
Ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
Protect patients from infection and manage comorbid conditions and prescribed fluids as applicable.
Assess patient or support-person knowledge and provide education regarding psychosocial response, nutrition, medications, pain and comfort, wounds, and expected responses to the procedure.
Involve patients or designated support persons in decisions about the perioperative plan of care and rehabilitation process.
Protect patient rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards and consistent care across settings.
Evaluate patient progress toward outcomes and transfer care as needed.
Provide accurate, concise, pertinent hand-off reports to teammates.
Delegate tasks according to applicable nurse practice acts, regulations, laws, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate effectively with other disciplines.
Participate in quality review, performance improvement projects, and the performance appraisal process.
Use problem-solving and conflict-resolution skills to foster effective work relationships.
Maintain required competencies and pursue professional growth.
Comply with facility policies and procedures and participate in team meetings, trainings, and daily safety huddles.
Demonstrate fiscal responsibility.
Perform other duties as assigned.