About The Position

SCA Health is hiring a Registered Nurse (RN) PreOp PACU to provide preoperative and postoperative nursing care at an ambulatory surgical facility. The role supports SCA Health’s mission, vision, and values and involves assessing patients throughout the perianesthesia continuum, planning and implementing individualized care, evaluating progress, and transferring care as needed. The nurse monitors patients’ cardiovascular, respiratory, neurological, hemodynamic, pain, comfort, and mental status; interprets information from noninvasive and invasive monitors; and applies organizational discharge and transfer scoring criteria. The role includes preparing patients for and managing recovery from general, monitored, regional, and local anesthesia, administering medications safely, protecting patients from injury and infection, maintaining physiological systems and fluid balance, and managing comorbid conditions as applicable. The nurse educates and involves patients or their designated support persons in care decisions, protects patient rights and privacy, documents care, provides concise hand-off reports, collaborates with other disciplines, delegates appropriately, and participates in quality improvement, performance appraisal, team meetings, training, and safety huddles. The nurse also maintains competencies, pursues professional growth, demonstrates fiscal responsibility, and performs other duties as 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.
  • BLS or BCLS certification, or successful completion of the course within 90 days of employment.
  • ACLS certification, or successful completion of the course within 90 days of employment.
  • PALS certification, or successful completion of the course within 90 days of employment, when pediatric care is included in the facility’s scope of services.

Responsibilities

  • Promote SCA Health’s mission, vision, and values.
  • Assess preoperative and postoperative patient 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 noninvasive and invasive monitors.
  • Describe the pathophysiology of commonly encountered diseases and the physiology of anesthesia techniques and surgical or procedural interventions.
  • Apply the relevant scoring system and discharge criteria for patient transfer as defined by organizational policy.
  • Develop and implement an individualized perianesthesia plan of care.
  • Prepare for and manage patient recovery from general, monitored anesthesia care, regional, and local anesthesia.
  • Protect patients from injury related to 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.
  • Maintain or restore patient 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 the patient’s or support person’s knowledge and provide education about expected psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected responses to procedures.
  • Involve the patient or designated support person in decisions about the perioperative care plan and rehabilitation process.
  • Protect patient rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards; and provide consistent and comparable care across settings.
  • Evaluate patient progress toward outcomes and transfer care as needed.
  • Provide accurate, concise, pertinent hand-off reports to teammates.
  • Delegate tasks in accordance with applicable nursing practice laws, regulations, and job descriptions.
  • Document nursing care completely, accurately, and legibly.
  • Collaborate with other disciplines as needed.
  • 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 actively participate in team meetings, trainings, and daily safety huddles.
  • Demonstrate fiscal responsibility and perform other duties as assigned.

Benefits

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • 401(k) plan with company match
  • Paid time off
  • Life insurance
  • Disability insurance
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