Registered Nurse PreOp PACU II - Atrius Health Ambulatory Surgery Center

SCA Health•Waltham, MA

19h•Onsite

About The Position

SCA Health is hiring a Registered Nurse to provide preoperative and post-anesthesia care at the Atrius Health Ambulatory Surgery Center. The nurse assesses patients before and after procedures, monitors their condition, develops and implements individualized plans of care, and evaluates progress toward desired outcomes. Care includes preparing for and managing recovery from general, monitored, regional, and local anesthesia, as well as supporting pain management, patient safety, education, and recovery. The role involves communicating and documenting patient status, transferring care, collaborating with other disciplines, delegating tasks appropriately, and participating in quality improvement, performance appraisal, team meetings, training, and safety huddles. The nurse is expected to protect patient rights and confidentiality, comply with facility policies, maintain competencies, pursue professional growth, and promote SCA Health’s mission, vision, and values.

Requirements

Graduate of an accredited school of nursing.
At least one year of preoperative or PACU experience.
Medical/surgical nursing experience.
Current state licensure in good standing.
Current BLS or BCLS certification, or successful completion within 90 days of employment.
Current ACLS certification, or successful completion within 90 days of employment.
If pediatric care is included in the facility’s scope of services, current PALS certification or successful completion within 90 days of employment.

Responsibilities

Promote the mission, vision, and values of SCA Health.
Assess patients’ preoperative and postoperative status at required intervals, including cardiovascular, respiratory, neurological, hemodynamic, pain and comfort, and mental status.
Interpret information from noninvasive and invasive monitors.
Apply the appropriate patient transfer and discharge scoring criteria according to organizational policy.
Develop individualized perianesthesia plans of care and implement appropriate interventions.
Prepare for and manage recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury related to positioning, thermal sources, and extraneous objects.
Communicate patient status throughout the perianesthesia continuum of care and provide accurate, concise hand-off reports.
Provide acute pain and comfort management as needed.
Administer medications safely using the 8 rights of medication administration.
Maintain wound integrity, tissue perfusion, body systems, fluid and electrolyte balance, and normothermia at or above baseline levels as appropriate.
Protect patients from infection and manage comorbid conditions and prescribed fluids.
Assess patient or support-person knowledge and provide education about expected psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected procedural responses.
Involve patients or designated support persons in decisions about care and rehabilitation.
Protect patient rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards.
Evaluate patient progress toward outcomes and transfer care as needed.
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 foster effective work relationships.
Maintain required competencies and pursue professional growth.
Comply with facility policies and procedures, demonstrate fiscal responsibility, and perform other duties as assigned.