Registered Nurse PreOp PACU II - Premier Surgery Center of Michigan

SCA Health•Clinton Township, MI

About The Position

SCA Health is hiring a Registered Nurse for PreOp/PACU care at Premier Surgery Center of Michigan. The role supports the organization’s mission, vision, and values by providing individualized perioperative care and promoting patient safety, dignity, privacy, and quality outcomes. The nurse assesses patients before and after surgery, develops and implements a plan of care, evaluates progress, and coordinates care and handoffs across the perianesthesia continuum. Care includes preparing patients for and managing recovery from general, monitored anesthesia care, regional, and local anesthesia; interpreting information from monitors; managing pain, medications, fluids, wounds, comorbidities, and body-system needs; preventing injury and infection; maintaining normothermia; and educating patients or their support persons. The nurse also documents care, delegates within applicable legal and professional requirements, collaborates with other disciplines, participates in quality improvement and team activities, maintains competencies, and pursues professional growth. Other duties may be assigned.

Requirements

Graduate of an accredited school of nursing.
One year of preoperative or PACU experience.
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.

Nice To Haves

PALS certification, or successful completion of the course within 90 days of employment, is required 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 intervals according to facility policies, including cardiovascular, respiratory, neurological, hemodynamic, pain and comfort, airway-management, and mental-status needs.
Interpret information accurately from noninvasive and invasive monitors.
Describe commonly encountered disease processes and the physiology associated with anesthesia techniques and surgical or procedural interventions.
Apply organizationally defined scoring systems and discharge criteria accurately when determining patient transfer readiness.
Develop and implement individualized perianesthesia plans of care.
Prepare patients for and manage recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury caused by positioning, thermal sources, and extraneous objects.
Communicate patients’ 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 body-system status and fluid, electrolyte, and acid-base balances at or above baseline levels.
Intervene to ensure patients are at or return to normothermia at the conclusion of the immediate postoperative period.
Protect patients from infection and manage applicable comorbid conditions and prescribed fluids.
Assess the knowledge of patients or designated support persons and educate them about expected psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected responses to procedures.
Involve patients or designated support persons in decisions about perioperative care plans and rehabilitation.
Protect patients’ rights, dignity, privacy, and confidential health information; provide age-specific, culturally competent, ethical care within legal standards and consistent care across settings.
Evaluate patient progress toward desired outcomes and transfer care as needed.
Provide accurate, concise, pertinent hand-off reports to teammates.
Delegate tasks according to applicable nurse practice acts, nursing-board or professional-registration requirements, state laws, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate effectively with other disciplines.
Participate in quality review and performance improvement projects, performance appraisals, team meetings, trainings, and daily safety huddles.
Use problem-solving and conflict-resolution skills to foster effective working relationships.
Maintain required competencies and pursue professional growth.
Demonstrate fiscal responsibility and comply with facility policies and procedures.
Perform other duties as assigned.