RN PACU PRN

HCA Healthcare•Manchester, NH

3d•Onsite

About The Position

The PACU Registered Nurse provides immediate post-operative care to surgical patients, including airway support, close monitoring of neurological and cardiac status, prompt response to complications or side effects, initial wound care, and assessment of patient stability during recovery. The nurse collaborates with the surgical and anesthesia teams and is available for on-call coverage during selected non-business hours. The position delivers patient-centered care to patients and families with needs ranging from basic to complex, using the nursing process and maintaining a therapeutic environment. The nurse assesses and reassesses patients, identifies nursing diagnoses and care needs, develops and updates individualized plans of care with patients, families, and the interdisciplinary team, implements and evaluates interventions, and communicates patient status and response to care. The role also includes documenting assessments, care plans, interventions, and outcomes in the electronic medical record; coordinating diagnostic and therapeutic orders; anticipating and managing complications; and advocating for patients and families. The RN demonstrates proficient clinical practice, critical thinking, technical skill, and adherence to safety, ethical, organizational, and professional nursing standards. The nurse contributes to performance improvement, identifies trends and opportunities to improve practice, keeps current with evidence and resources, and serves as a resource or trainer for colleagues. The position is scheduled for 2–3 10-hour shifts weekly, with overnight call roughly twice per month and call every seventh weekend, which may be day or night shift.

Requirements

Current registration in the State of New Hampshire as a Registered Nurse.
Basic Life Support (BLS) certification.
Graduate of an accredited school of nursing.
At least 9 months of nursing experience.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Specialty certification.

Responsibilities

Provide immediate post-operative care, including airway support, neurological and cardiac monitoring, initial wound care, and assessment of patient stability.
Respond promptly to complications and side effects and anticipate and manage complications related to disease progression or invasive procedures.
Assess and reassess patients’ physical and psychosocial status, identify nursing diagnoses and care problems, and intervene to prevent crisis situations.
Develop, implement, review, and update individualized plans of care in collaboration with patients, families, and the interdisciplinary team.
Communicate patient status, needs, response to care, and changes in condition to the multidisciplinary team.
Coordinate and implement medical diagnostic and therapeutic orders as directed.
Perform clinical technical skills safely and competently and manage complex procedures common to the practice area.
Document care plans, assessments, interventions, and patient outcomes thoroughly and accurately in the electronic medical record.
Provide a calm, supportive, therapeutic environment and advocate for patients and families when appropriate.
Follow safety, organizational, ethical, ANA, and hospital standards and implement applicable core measures.
Contribute to performance improvement and identify trends, resources, and opportunities to improve patient outcomes and nursing practice.
Serve as a resource or trainer for colleagues on competencies, policies, procedures, and clinical practice.
Maintain on-call availability during selected non-business hours.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine plans.
Wellbeing support, including free counseling and referral services.
Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.