Registered Nurse, Pre-op/PACU Per Diem

City of Hope•Goodyear, AZ

About The Position

City of Hope is hiring a per diem Registered Nurse to provide preoperative and post-anesthesia care. The nurse assesses, plans, implements, evaluates, and documents care for medical/surgical, ambulatory care, and same-day surgery patients from pre-procedure through Phase 1 recovery and discharge. The role includes recovering patients from the OR, Endoscopy, Interventional Radiology, and Radiation Oncology, and transferring patients from the OR to the ICU or Medical/Surgical units. The nurse administers and monitors sedation and analgesia as ordered and in accordance with hospital protocols. The role requires care for patients with complex needs, including hemodynamic compromise and mechanical ventilation, along with the ability to operate and interpret cardiac and other invasive and noninvasive monitors and respond appropriately to rhythms and trends. Responsibilities also involve complex IV therapies and the use of less invasive life-supporting modalities, management of a range of lines and tubes, medication administration, specimen collection, and monitoring patients with PCA and epidural catheters.

Requirements

One year of experience in pre-op and PACU.
Associate Degree in Nursing or equivalent.
Arizona Registered Nurse License or a Registered Nurse License from a Compact State.
Basic Life Support (BLS) certification from an approved American Heart Association training site, American Safety & Health Institute, or Red Cross; if the current certification does not meet the stated guidelines, certification must be obtained through an onsite initial BLS course within 30 days of hire and renewed every two years.
Advanced Cardiovascular Life Support (ACLS) certification; American Heart Association ACLS certification must be obtained within 30 days of hire and renewed every two years. The nurse may not independently provide ACLS to patients until obtaining the AHA ACLS card.

Responsibilities

Administer and monitor sedation and analgesia according to physician orders and hospital protocols.
Assess preoperative and postoperative patients’ neurological, cardiac, and respiratory status.
Transfer patients from the OR to the ICU or Medical/Surgical units.
Assess and treat unplanned hypothermia.
Assess, plan, implement, evaluate, and document pre- and post-procedure care for medical/surgical, ambulatory care, and same-day surgery patients, from Phase 1 through discharge.
Recover patients from the OR, Endoscopy, Interventional Radiology, and Radiation Oncology.
Interpret and operate cardiac and other invasive and noninvasive monitors; recognize normal and abnormal rhythms and trends, and institute appropriate interventions.
Care for patients with complex needs, including hemodynamic compromise and mechanical ventilation.
Initiate and maintain complex IV therapy, including thrombolytic administration, vasoactive medications, and care involving central IV catheters, dialysis catheters, and arterial lines.
Use less invasive life-supporting modalities, including BiPAP, ETCO2, arterial pressure-based CO/CI and SVO2 monitoring, and core temperature monitors.
Care for patients with IV lines, arterial lines, central lines, ports, chest tubes, pleural catheters, tracheostomy tubes, and endotracheal tubes.
Maintain and provide care for patients with ostomies, ileostomies, and urostomies.
Administer medications through all routes using the six rights and a medication bar scanner, and monitor patients for side effects.
Collect blood specimens and blood cultures.
Care for, assess, and monitor patients with Patient Controlled Analgesia (PCA) and epidural catheters.