RN PreOp PACU II

SCA Health•Fishers, IN

About The Position

The Registered Nurse (RN) PreOp PACU promotes SCA Health’s mission, vision, and values while providing individualized perianesthesia care. The role assesses patients’ preoperative and postoperative status, interprets information from invasive and noninvasive monitors, develops and implements individualized plans of care, and evaluates patient progress. Care includes managing recovery from general, monitored anesthesia care, regional, and local anesthesia; addressing pain and comfort; administering medications safely; protecting patients from injury and infection; managing comorbid conditions and prescribed fluids; and maintaining or restoring body-system function and normothermia. The nurse educates patients or designated support people, involves them in care decisions, protects patient rights and privacy, and provides age-specific, culturally competent, ethical care. The role also includes transferring care and providing hand-off reports, delegating appropriately, documenting nursing care, collaborating with other disciplines, participating in quality improvement and team activities, maintaining competencies, pursuing professional growth, and complying with facility policies and procedures. Compensation is USD $28.94–$44.00 per hour.

Requirements

Graduate of an accredited school of nursing.
One year of preoperative or PACU experience required.
Medical/surgical nursing experience.
Current state licensure to practice in good standing.
BLS or BCLS certification, or successful completion of the course within 90 days of employment.
ACLS certification, or successful completion of the course within 90 days of employment.
PALS certification, or successful completion of the course within 90 days of employment, when pediatric care is included in the facility’s scope of services.

Responsibilities

Promote the mission, vision, and values of SCA.
Assess patients’ preoperative and postoperative status at intervals established by facility or organizational policies, including cardiovascular, respiratory and airway, neurological, hemodynamic, pain and comfort, and mental status.
Interpret information accurately from noninvasive and invasive monitors.
Describe pathophysiology of commonly encountered disease processes and physiology associated with anesthesia techniques and surgical or procedural interventions.
Apply organizationally defined patient-transfer scoring systems and discharge criteria accurately, such as Aldrete, Modified Aldrete/PARSAP, PADSS, or White score.
Develop and implement individualized perianesthesia plans of care.
Prepare for and manage patient recovery from general, monitored anesthesia care, regional, and local anesthesia.
Protect patients from injury caused by positioning, thermal sources, and extraneous objects.
Communicate the patient’s status throughout the perianesthesia continuum of care and provide acute pain and comfort management as needed.
Administer medications safely and correctly using the 8 rights of safe medication administration.
Maintain wound integrity and tissue perfusion at or above baseline levels.
Maintain or restore the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels.
Maintain or restore normothermia by the end of the immediate postoperative period and protect patients from infection.
Manage comorbid conditions and prescribed fluids as applicable.
Assess patient or support-person knowledge and provide education about expected psychosocial responses, nutrition, medications, pain and comfort, wound care, and expected responses to the procedure.
Involve patients or designated support people in decisions about perioperative care and rehabilitation.
Protect patient rights, dignity, privacy, and confidentiality; provide age-specific, culturally competent, ethical care within legal standards and consistent care regardless of setting.
Evaluate patient progress toward outcomes and transfer care as needed.
Provide accurate, concise, pertinent hand-off reports to teammates.
Delegate tasks in accordance with applicable laws, nursing practice requirements, and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate effectively with other disciplines.
Participate in quality review and performance improvement projects and in the performance appraisal process.
Use problem-solving and conflict-resolution skills to foster effective work 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 assigned duties.