Registered Nurse PreOp PACU II - Bethesda Endoscopy Center

SCA Health•Rockville, MD

About The Position

SCA Health is hiring a Registered Nurse for PreOp/PACU at Bethesda Endoscopy Center. The role provides preoperative and postoperative nursing care, including assessment, monitoring, recovery from anesthesia, patient education, care coordination, and documentation. The nurse develops and implements individualized perianesthesia plans of care, evaluates patient progress, and supports safe transfer and handoff of care. The position also involves collaboration with other disciplines, participation in quality improvement and safety activities, and compliance with facility policies and professional standards.

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 within 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.
Assess patients’ preoperative and postoperative status at required intervals, including cardiovascular, respiratory, neurological, hemodynamic, pain, comfort, and mental status.
Interpret information from noninvasive and invasive monitors.
Apply relevant patient transfer and discharge scoring systems accurately according to organizational policy.
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 patients’ status throughout the perianesthesia continuum of care and provide accurate, concise, pertinent handoff reports.
Provide acute pain and comfort management and administer medications using the eight rights of safe medication administration.
Maintain wound integrity, tissue perfusion, body-system function, fluid and electrolyte balance, and normothermia; protect patients from infection and manage comorbid conditions and prescribed fluids.
Assess patient or support-person knowledge and provide education about psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected procedural responses.
Involve patients or designated support persons in decisions about perioperative care and rehabilitation.
Protect patients’ rights, dignity, privacy, and health information, and provide age-specific, culturally competent, ethical care within legal standards.
Evaluate patient progress toward outcomes and transfer care as needed.
Delegate tasks according to applicable laws, regulations, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate with other disciplines and participate in quality review, performance improvement, and the performance appraisal process.
Use problem-solving and conflict-resolution skills to foster effective working relationships.
Maintain required competencies and pursue professional growth.
Comply with facility policies and procedures and participate in team meetings, trainings, and daily safety huddles.
Demonstrate fiscal responsibility and perform other duties as assigned.