Registered Nurse PreOp PACU II, Pool - Same Day Surgicare

SCA Health•Arlington, MA

13d

About The Position

The Registered Nurse (RN) PreOp PACU assesses patients’ preoperative and postoperative status, develops and implements individualized perianesthesia plans of care, and evaluates progress toward expected outcomes. The role includes preparing patients for and managing recovery from general, monitored anesthesia care, regional, and local anesthesia; responding to patient needs throughout the perianesthesia continuum; and transferring care with accurate, concise hand-off reports. The RN provides safe medication administration, acute pain and comfort management, wound and tissue-perfusion care, fluid management, infection prevention, and interventions to maintain patients’ body systems and balances at or above baseline levels. The nurse educates patients or designated support persons, involves them in care decisions, protects patients’ rights and privacy, and provides age-specific, culturally competent, ethical care. The role also includes documentation, delegation as permitted by applicable laws and professional requirements, collaboration with other disciplines, participation in quality improvement and team activities, maintaining competencies, and pursuing professional growth.

Requirements

Graduate of an accredited school of nursing.
One year of preoperative or PACU experience.
Medical/surgical nursing experience.
Current state licensure in good standing to practice.
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 within 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 patients’ preoperative and postoperative status at required intervals, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental-status needs.
Interpret information from noninvasive and invasive monitors and apply appropriate discharge or transfer scoring criteria.
Develop individualized perianesthesia plans of care and implement interventions for recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury related to positioning, thermal sources, and extraneous objects.
Communicate the patient’s current status throughout the perianesthesia continuum of care.
Provide acute pain and comfort management and administer medications safely using the eight rights of medication administration.
Maintain wound integrity and tissue perfusion, support body systems and fluid, electrolyte, and acid-base balances, promote normothermia, prevent infection, manage comorbid conditions, and manage fluids as prescribed.
Assess patient or support-person knowledge and provide education about expected psychosocial responses, nutrition, medications, pain and comfort, wounds, and expected procedural responses.
Involve patients or designated support persons in decisions about the perioperative plan of care and rehabilitation.
Protect patient rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards and deliver consistent, 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 board or registration requirements, laws, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate with other disciplines as needed and participate in quality review and performance-improvement projects.
Participate in performance appraisal, 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, comply with facility policies and procedures, and perform other duties as assigned.