About The Position

The Registered Nurse PreOp PACU II provides preoperative and postoperative nursing care at Stonegate Surgery Center. The role supports the mission, vision, and values of SCA Health and involves assessing patients throughout the perianesthesia continuum, planning and implementing individualized care, evaluating outcomes, and transferring care when needed. The nurse protects patients’ rights, dignity, privacy, and health information while providing age-specific, culturally competent, ethical care within legal standards and facility policies. The position includes monitoring and interpreting patient information, preparing patients for recovery from different types of anesthesia, managing pain and comfort, administering medications safely, maintaining patient systems and wound integrity, preventing infection, and educating patients or designated support persons. The nurse collaborates with other disciplines and teammates, participates in quality and performance improvement activities, maintains competencies, pursues professional growth, and contributes to meetings, training, safety huddles, and fiscal responsibility. SCA Health describes itself as part of Optum, with more than 15,000 professionals and a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics, and numerous labs and surgical hospitals. The offered benefits include medical, dental, and vision coverage, a 401(k) plan with company match, paid time off, and life and disability insurance. The stated pay range is USD $42.00 to $46.00 per hour.

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’s scope of services, complete Pediatric Advanced Life Support (PALS) within 90 days of employment or provide documentation of current certification.

Responsibilities

  • Promote SCA Health’s mission, vision, and values.
  • Assess preoperative and postoperative patient 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 relevant scoring systems and discharge criteria for patient transfer accurately according to organizational policy.
  • Develop an individualized perianesthesia plan of care and implement it, including preparing for and managing recovery from general, monitored anesthesia care, regional, and local anesthesia.
  • Protect patients from injury caused by positioning, thermal sources, or 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 eight rights of medication administration.
  • Maintain wound integrity and tissue perfusion at or above baseline levels.
  • Maintain patient systems and fluid, electrolyte, and acid-base balances at or above baseline levels through appropriate interventions.
  • Ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
  • Protect patients from infection, manage comorbid conditions as applicable, and manage fluids as prescribed.
  • Assess the knowledge of patients or designated support persons and provide education about expected psychosocial responses, nutrition, medications, pain and comfort, wounds, and expected responses to procedures.
  • Involve patients or designated support persons in decisions affecting the perioperative plan of care and rehabilitation process.
  • Protect patients’ rights, dignity, and privacy; provide age-specific, culturally competent, ethical care within legal practice 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 Nurse Practice Act, nursing or professional registration requirements, state laws, and job descriptions.
  • Document nursing care completely, accurately, and legibly.
  • Collaborate effectively 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.
  • Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
  • Comply with facility policies and procedures when providing patient care.
  • Participate actively in team meetings, trainings, and daily safety huddles.
  • Demonstrate fiscal responsibility.
  • 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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