Registered Nurse- PACU 21

Good Shepherd Health Care•Hermiston, OR

1d•Onsite

About The Position

The Registered Nurse specializing in perioperative practice provides nursing care during the pre-anesthesia, post-anesthesia Phase I, and post-anesthesia Phase II portions of a patient's surgical experience. The recovery nurse monitors patients having “local only” procedures in the operating room and may administer conscious sedation if certified. The nurse promotes quality care for pre- and post-procedure patients using the nursing process, established standards of care, and applicable policies and procedures. The peri-anesthesia nurse advocates for patients and directs and supervises assigned personnel. The position participates in a regular scheduled on-call rotation for the Post-Anesthesia Unit and supports the hospital's mission, vision, values, policies, and procedures. This is a full-time, 40-hour-per-week day-shift role. The schedule is Monday through Friday, 6:00 a.m. to 2:30 p.m., with Holiday Rotation A. The listed wage range is $48.18–$81.97 per hour, and the posting offers a sign-on bonus of up to $20,000.

Requirements

Associate of Applied Science in Nursing.
Current Registered Nurse license in the State of Oregon.
BLS, PALS, ACLS, and TNCC certifications.
One year of critical care experience or two years of medical-surgical experience.
Ability to meet the physical and sensory requirements of the position, including continuous walking and standing, occasional sitting for long periods, and the ability to lift up to 50 pounds independently.
Ability to frequently push, pull, carry, or reposition objects or patients weighing up to 25 pounds, and occasionally lift or transfer individuals weighing over 100 pounds using appropriate techniques, mechanical aids, or team assistance.
Ability to work in an indoor healthcare environment with exposure to infectious and contagious diseases, hazardous materials, medical equipment, variable indoor temperatures, noise, and fast-paced or emergency situations.

Nice To Haves

Bachelor of Science in Nursing.
Conscious sedation certification.
CAPA or CPAN certification.
Ultrasound Guided IV certification.
Previous Day Surgery, PACU, pre-admission services, or ambulatory surgery center experience.
Familiarity with glucometers, arterial lines, space labs, Epic charting, bladder scanners, ultrasound machines, Belmont rapid infusers, and blood warmers.

Responsibilities

Complete nursing assessments for patients in the preoperative and postoperative phases of care.
Perform patient admissions according to hospital standards of care.
Initiate and manage intravenous access.
Monitor patients for changes in heart rate, respiratory rate, oxygen saturation, blood pressure, and consciousness; report changes and intervene according to medical guidelines.
Use the Aldrete scoring system during PACU care.
Maintain patient airways and adequate respiratory function.
Perform interventions to maintain patients’ genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, as well as fluid and electrolyte balance.
Keep medical staff consistently informed about patient status.
Administer pain medication and assess its effectiveness.
Treat postoperative nausea using medications and comfort measures.
Develop an individualized peri-anesthesia plan of care.
Assist anesthesia staff with nerve blocks as needed.
Administer medications according to the eight rights of safe medication practices.
Assess surgical sites and perform interventions to maintain their integrity, enhance tissue perfusion, and prevent infection.
Perform interventions to maintain normothermia throughout the continuum of care.
Assess patients’ and designated caretakers’ knowledge and provide education about expected outcomes, medication management, wound care, diet, activity, anesthesia side effects, when to seek medical care, signs and symptoms of complications, and other educational needs.
Assess patient progress toward desired outcomes.
Collaborate with other disciplines and nursing staff as needed.
Transfer patient care as needed.
Delegate tasks according to Oregon State Board of Nursing guidelines.
Use critical-thinking, problem-solving, and conflict-resolution skills to build effective team relationships.
Pursue professional growth and development.
Advocate for patients and safeguard their privacy and health information.
Involve patients and/or support persons in decisions affecting the perioperative plan of care.
Follow safety protocols, including fall-risk and infection-control procedures.
Document accurately in the electronic medical record.
Maintain required competencies.
Support the hospital mission, vision, values, policies, and procedures.
Participate in required education for applicable DNV programs.
Perform other related duties as assigned.
Participate in the regular scheduled on-call rotation for the Post-Anesthesia Unit.