STAFF REGISTERED NURSE - Ambulatory Care Unit/ Post Acute Care Unit

Brattleboro Memorial Hospital • Brattleboro, VT

20d • Onsite

About The Position

The Perioperative Ambulatory RN provides skilled, patient-centered care during the preoperative and postoperative periods, with cross-training to support patient care across multiple areas including the Ambulatory Care Unit (ACU), Post-Anesthesia Care Unit (PACU), Pre-Anesthesia Clinic (PAC), and Endoscopy. Key responsibilities include: Assessing the health status of individuals and groups including patients' physical and psychological readiness for surgery Collecting patient history, vital signs, and other relevant data Preparing patients for surgery, including education on the procedure, medications, and post-operative care Establishing nursing diagnoses and goals to meet identified health care needs. Planning and implementing nursing interventions in collaboration with other healthcare professionals. Evaluating patient responses to interventions and adjusting care plans accordingly. Delegating and supervising interventions performed by others as appropriate. Educating patients, families, and colleagues. Maintaining a safe environment for effective nursing care. Ensuring all necessary paperwork and consent forms are completed. This role requires flexibility, critical thinking, and collaborative practice in a multidisciplinary team setting. Call coverage is required.

Perioperative Services at BMH encompasses care from infancy (10 months) through end-of-life, providing comprehensive surgical and procedural services across the following areas: Pre-Anesthesia Clinic (PAC) Operating Room (OR) Post-Anesthesia Care Unit (PACU) Ambulatory Care Unit (ACU) Endoscopy Minor Procedures Sterile Processing Department (SPD)

The department is staffed by: Registered Nurses (RNs) Surgical Technologists Scheduler/Assistant Staffing Coordinator Sterile Processing Technicians Operating Room Assistants Unit Secretary/LNAs Perioperative Workflow Coordinator Perioperative Supervisor Director of Perioperative Services Surgical Services OR

The OR operates 24/7 with elective surgery hours from 7:00 AM to 3:30 PM. Procedures are conducted in three surgical suites by credentialed surgeons. Cesarean sections are performed in the Birthing Center OR. Scheduling and block times are coordinated by the Surgical Governance Council. Coordination involves physician offices, the OR, Anesthesia, and SPD.

PACU
The PACU provides: Immediate postoperative care Preoperative nerve block placement Monitoring prior to admission, transfer, or discharge Intensive observation post-surgery or procedure

ACU
The ACU delivers: Pre and postoperative assessment, care and education Preoperative nerve block placement Discharge planning & education

Pre-Anesthesia Clinic
Staffed by RNs, a Workflow Coordinator, and a Unit Secretary, the PAC supports: Pre-surgical patient interviews and assessments Review of preoperative consults and test results Compliance with anesthesia guidelines to ensure surgical patient readiness

Sterile Processing Department
SPD is responsible for: Decontaminating and sterilizing instruments for the OR and physician practices Ensuring all equipment meets hospital policy and safety standards

Requirements

• Graduate of an RN accredited nursing program
• Active State of Vermont RN license
• Current Healthcare Provider CPR certification
• OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards
• Standing - Up to 1/3
• Walking - Up to 1/3
• Sitting - 2/3 or more
• Talking or Hearing - 2/3 or more
• Use of hands to finger, handle or feel - Up to 1/3
• Pushing/Pulling - up 1/4
• Stooping, kneeling, crouching or crawling - Up to 1/4
• Reaching with hands and arms - Up to 1/3
• Tasting or smelling - None
• Up to 10 pounds - 2/3 or more
• Up to 35 pounds - 1/3 to 1/2
• Up to 50 pounds - None
• Up to 100 pounds - None
• More than 100 pounds - None
• Close Vision (clear vision at 20 inches or less)
• Color Vision (ability to identify and distinguish colors)
• Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)
• Work near moving mechanical parts - Up to 1/3
• Fumes or airborne particles - Up to 1/3
• Toxic or caustic chemicals - Up to 1/3
• None - Outdoor weather conditions
• None - Extreme cold (non-weather)
• None - Extreme heat (non-weather)
• None - Risk of electrical shock
• None - Work with explosives
• None - Risk of radiation
• None - Vibration
• Ability to hear calls
• Ability to hear instructions from physician/department staff/others

Nice To Haves

• BSN preferred
• 3-5 years recent outpatient clinical nursing experience preferred
• Acute care experience preferred

Responsibilities

• Assessing the health status of individuals and groups including patients' physical and psychological readiness for surgery
• Collecting patient history, vital signs, and other relevant data
• Preparing patients for surgery, including education on the procedure, medications, and post-operative care
• Establishing nursing diagnoses and goals to meet identified health care needs
• Planning and implementing nursing interventions in collaboration with other healthcare professionals
• Evaluating patient responses to interventions and adjusting care plans accordingly
• Delegating and supervising interventions performed by others as appropriate
• Educating patients, families, and colleagues
• Maintaining a safe environment for effective nursing care
• Ensuring all necessary paperwork and consent forms are completed
• Call coverage is required
• Immediate postoperative care
• Preoperative nerve block placement
• Monitoring prior to admission, transfer, or discharge
• Intensive observation post-surgery or procedure
• Pre and postoperative assessment, care and education
• Discharge planning & education
• Pre-surgical patient interviews and assessments
• Review of preoperative consults and test results
• Compliance with anesthesia guidelines to ensure surgical patient readiness
• Decontaminating and sterilizing instruments for the OR and physician practices
• Ensuring all equipment meets hospital policy and safety standards

Benefits

• The listed range represents the pay scale reasonably expected for a successful candidate based on factors such as relevant experience, education, internal equity, and market competitiveness. Final compensation will be determined during the hiring process.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree