SURGERY - PREOP/PACU REGISTERED NURSE

IDAHO FALLS COMMUNITY HOSPITAL LLC•Idaho Falls, ID
•Onsite

About The Position

The Pre-Op/Admitting Registered Nurse provides nursing care to patients being admitted for surgery. This role focuses on assessing patients, identifying and addressing nursing care and pre-operative needs, starting and monitoring IVs, administering pre-operative medications, and explaining procedures and patient rights. The nurse is expected to cooperate with colleagues and supervisors. The PACU Phase I Registered Nurse cares for patients returning from surgery and helps them transition from anesthesia to an awake state. Responsibilities include supporting adequate ventilation, hemostasis, and circulation; assessing consciousness and pain; providing pain management; and maintaining patient safety until transfer to another unit. The nurse is expected to cooperate with colleagues and supervisors. Idaho Falls Community Hospital describes its work environment as collaborative, purpose-driven, and people-centric. The hospital provides emergency care around the clock and has an emergency department, stroke and diagnostic cardiac center, and trauma center.

Requirements

  • Graduate of an accredited school of nursing.
  • Licensed as a Registered Nurse in the State of Idaho.
  • Current BLS, ACLS, and PALS certifications.

Nice To Haves

  • Two years of Critical Care or PACU experience preferred.

Responsibilities

  • Maintain the pre-operative and PACU areas in a state of readiness, with necessary equipment in working order and age-specific supplies available.
  • Assess patients’ physical and emotional needs and implement appropriate nursing interventions.
  • Complete the nursing pre-assessment record, including allergies, home medications, relevant medical conditions and history, consent and operative-site confirmation, responsible-party confirmation, and confirmation that ordered laboratory and test results are on the chart.
  • Respect patients’ privacy, dignity, and confidentiality.
  • Assist patients with undressing when needed and store their belongings appropriately.
  • Assess or obtain vital signs, height and weight, blood glucose when applicable, pregnancy testing when applicable, and pain level.
  • Start IVs unless an order directs otherwise, following anesthesia protocols for fluids and catheter size.
  • Provide pre-operative instruction and explain procedures and patient rights.
  • Ensure patients are seen by the anesthesia provider before being taken to the operating room.
  • Set priorities to support timely and efficient patient flow.
  • Carry out physician and anesthesia-provider orders and document pertinent patient information in nursing notes.
  • Assess PACU patients on admission, including airway, respirations, vital signs, level of consciousness using the Aldrete scale, and pain level.
  • Record vital signs every five minutes and the Aldrete scale every 15 minutes.
  • Use appropriate devices and techniques to assist respirations and maintain optimum blood oxygen saturation.
  • Assess the surgical site for bleeding, reinforce dressings, and notify the physician of increased drainage.
  • Assess and treat post-operative pain effectively.
  • Position patients as ordered by the physician.
  • Assess and record fluid intake and output.
  • Maintain cooperative behavior with colleagues and supervisors.

Benefits

  • Medical, dental, and vision insurance.
  • Paid time off, including vacation, holidays, and sick days, and medical paid time off.
  • Retirement plan with a 401(k) match of up to 6%.
  • Earned quarterly bonus program.
  • Education reimbursement program.
  • Discounts for medically necessary procedures performed at Idaho Falls Community Hospital and Mountain View Hospital.
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