Registered Nurse- Preop/PACU

University of California, San Francisco•Burlingame, CA

11h•Onsite

About The Position

The Registered Nurse prepares patients for surgery and procedures using the ambulatory surgery center’s patient selection criteria, then provides care during post-procedure recovery. The nurse participates in procedural sedation cases and cares for patients receiving sedation, regional anesthesia, and general anesthesia, including patients emerging from anesthesia and the risks associated with recovery. Responsibilities include knowledge of Aldrete scoring and discharge criteria, and work in pre-operative care and phase one and phase two post-operative recovery. The nurse works at UCSF locations, including ambulatory surgery sites. The role delivers evidence-based nursing care, assesses and manages patients’ changing clinical needs, documents care using the nursing process, provides patient and family education, responds to emergencies, and supports continuity and safety of care. The nurse also communicates therapeutically with patients, families, and colleagues; participates in quality improvement and professional development; and provides leadership, delegation, and guidance to staff as appropriate. The position is accountable to the Nurse Manager 1 for overall work performance and carries out legal responsibilities within the scope of the Nurse Practice Act.

Requirements

At least seven years of recent nursing experience recovering patients in a multispecialty adult inpatient/outpatient Post-Anesthesia Care Unit; procedural experience does not count toward this requirement.
Alternatively, at least seven years of recent nursing experience in adult SICU or adult emergency department critical care may be considered.
Experience recovering patients from general, regional, and local anesthesia.
Ability to work variable days and shifts, including closing shift.
Flexibility to orient and work at all UCSF Medical Center and ambulatory surgery center locations.
Current California Registered Nurse licensure.
Current healthcare provider CPR certification.
ACLS and PALS.
Maintain current BLS and ACLS and specialty certification, and provide proof before expiration, per policy.

Nice To Haves

CPAN certification.
CAPA certification.
CCRN certification.
CEN certification.
Bachelor of Science in Nursing (BSN).

Responsibilities

Prepare patients for surgery and procedures using the ASC’s patient selection criteria.
Recover patients following procedures or surgery, including phase one and phase two recovery.
Participate in procedural sedation cases, including circulating in such cases when required.
Assess, plan, implement, and evaluate patient care based on clinical status and evidence-based nursing practice.
Use the nursing process to prioritize and organize care for a group of patients in accordance with department policies and procedures.
Complete nursing histories and ongoing assessments, including pain, discharge, and teaching needs; use Aldrete criteria for procedure and sedation patients.
Formulate and revise multidisciplinary care plans, and take action to reduce or prevent health risks.
Prepare and instruct patients about diagnostic and therapeutic procedures and treatments.
Perform nursing procedures within the scope of the clinical assignment and departmental and unit policies.
Respond to and participate in the management of clinical emergencies.
Safely administer medications and blood components as needed; perform waived laboratory testing and quality checks according to policy.
Provide age-appropriate care for adult, adolescent, and geriatric patients.
Document patient outcomes and responses to interventions, and provide post-operative instructions to patients and significant others.
Make and document post-operative phone calls targeted for completion no later than 24 hours after surgery, and promptly alert the attending surgeon to concerns identified during calls.
Identify patient and family learning needs and barriers, provide and evaluate appropriate teaching, and involve patients and caregivers in education.
Communicate supportively and therapeutically with patients, families, and staff; use conflict-resolution techniques and appropriate chains of command.
Maintain required licenses, certifications, evaluations, annual requirements, attendance, and compliance with departmental policies and health and safety procedures.
Protect patient rights and confidentiality; participate in quality improvement, performance improvement, research, and other required professional activities as appropriate.
Identify and report patient- and unit-related problems, contribute to solutions, and act as a resource to other staff.
Delegate and supervise duties within personnel’s scope of practice; guide staff, students, and support personnel in safe, individualized patient care.
Participate in staff orientation and unit orientation, perform the charge nurse role in accordance with policy, and attend at least 50% of staff meetings.
Work variable days and shifts, including closing shifts, and orient and work at UCSF Medical Center and ambulatory surgery center locations.