Registered Nurse PreOp PACU II, Pool - PRO Surgery Center

SCA Health•Bellevue, WA

About The Position

SCA Health is hiring a Registered Nurse (RN) PreOp PACU for PRO Surgery Center. The nurse assesses patients before and after surgery at intervals established by facility policies, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status. The role interprets information from noninvasive and invasive monitors, applies appropriate patient-transfer and discharge scoring systems, and develops and implements individualized perianesthesia plans of care. Care includes preparing patients for and managing recovery from general, monitored anesthesia care, regional, and local anesthesia; preventing injury and infection; maintaining patient systems and fluid, electrolyte, acid-base, wound, tissue-perfusion, and temperature status; managing pain, medications, fluids, and comorbid conditions; and educating patients or designated support people. The nurse protects patient rights, dignity, privacy, and confidentiality; provides age-specific and culturally competent care; evaluates progress toward outcomes; and transfers care with accurate hand-off reports. The position also involves complete and accurate documentation, appropriate delegation, collaboration with other disciplines, participation in quality improvement and performance appraisal activities, maintaining competencies, professional growth, team meetings, training, and safety huddles. The nurse follows facility policies and procedures, demonstrates fiscal responsibility, and performs other assigned duties.

Requirements

Graduate of an accredited school of nursing.
One year of preoperative or PACU experience.
Medical/surgical nursing experience.
Current state licensure 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 patients’ preoperative and postoperative status at required intervals, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status.
Interpret information from noninvasive and invasive monitors and apply appropriate discharge and transfer criteria.
Develop and implement individualized perianesthesia plans of care, including recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury related to positioning, thermal sources, or extraneous objects, and prevent infection.
Communicate patient status throughout the perianesthesia continuum and provide accurate, concise, pertinent hand-off reports when transferring care.
Manage acute pain, comfort, medications, prescribed fluids, and comorbid conditions as applicable.
Maintain or restore patients’ wound and tissue integrity, organ-system status, fluid and electrolyte balance, acid-base balance, and normothermia.
Assess patient or support-person knowledge and provide education about psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected procedural responses.
Involve patients or designated support people in decisions about perioperative care and rehabilitation.
Protect patient rights, dignity, privacy, and confidentiality, and provide age-specific, culturally competent, ethical care within legal standards.
Evaluate patient progress toward outcomes and provide consistent, comparable care across settings.
Delegate tasks in accordance with applicable laws, regulations, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate with other disciplines and participate in quality review and performance improvement projects.
Participate in performance appraisal, team meetings, training, and daily safety huddles.
Use problem-solving and conflict-resolution skills to support effective work relationships.
Maintain required competencies and pursue professional growth.
Comply with facility policies and procedures, demonstrate fiscal responsibility, and perform other assigned duties.