Same Day Surgery Registered Nurse FT
About The Position
The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing surgery, endoscopic procedures, and post-anesthesia recovery. The role covers pre-operative, intra-procedural, and post-operative care across Same Day Surgery (SDS), the Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act. The nurse conducts pre-procedure assessments, verifies patient records and consents, supports procedure readiness, assists the procedural team, and monitors patients through recovery and discharge. The position also involves patient and caregiver education, coordination with physicians and anesthesia providers, participation in quality and safety activities, mentoring as assigned, and maintaining clinical spaces and supplies. The work takes place in a fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals. Frequent standing and lifting up to 50 pounds are required. The role may include irregular hours and call coverage as required by the surgical schedule.
Requirements
- Registered Nurse position; the posting does not specify a degree or years of experience.
- ACLS certification required within 45 days of hire.
- PALS certification required within 45 days of hire.
- Ability to lift up to 50 pounds and perform frequent standing and a full range of motion for patient handling and equipment setup.
- Ability to respond rapidly to patient care needs and changing conditions.
Responsibilities
- Review patient history, verify consents, and ensure pre-procedure testing is complete.
- Collect and document patient data, including labs, progress notes, and history and physical information, using the EHR and other systems.
- Conduct complete pre-procedure nursing assessments for surgical and endoscopy patients.
- Evaluate patient education needs and reinforce understanding of procedures, NPO status, sedation expectations, and post-procedure care.
- Initiate IV access and complete physician and CRNA pre-operative orders, including EKGs and medication administration.
- Coordinate care in a timely manner to support patient flow and surgical schedule readiness.
- Assist in preparing patients and procedure rooms for surgery or endoscopy.
- Ensure documentation, supplies, and medications are ready and available to support the procedural team.
- Maintain situational awareness to anticipate team needs and changes in patient status.
- Monitor and assess patients during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score.
- Provide post-procedure education about wound care, diet, activity restrictions, and signs of complications.
- Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed.
- Ensure discharge criteria are met before release and support transitions in care.
- Participate in staff meetings, training, and skills validation for SDS, PACU, and Endoscopy responsibilities.
- Communicate with physicians, anesthesia providers, and interdisciplinary staff to support safe, coordinated care.
- Support quality and safety initiatives, including infection prevention and patient experience efforts.
- Precept and mentor new staff as assigned.
- Participate in review and follow-up of adverse events, variances, and near misses.
- Order and restock supplies in SDS, PACU, and Endoscopy areas.
- Clean rooms and equipment between cases or during off-hours.
- Maintain readiness of clinical and patient care spaces.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
