Registered Nurse, PreOp/PACU, PRN
Surgicare of South Austin - Austin, TX

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The Registered Nurse in this area assumes the responsibility of team leader utilizing the nursing process in planning, executing, and evaluating the nursing care given to the surgical patient during the pre-operative and recovery period. He/she also applies knowledge of the principles of growth and development over the life span to identify patient and family requirements relative to age specific needs. Under the direction of the department supervisor, the Registered Nurse in this area is responsible for the assessment and education of patients prior to and following their surgical procedure. He/she is also responsible for providing professional nursing care within other assigned units of the Surgery Center as needed.
      Pre-Op RN:

      Care of the patient prior to surgery.

            · Identifies patient by name and greets family. · Performs thorough patient interview including name, NPO status, allergies, surgeon and procedure, prepares patient accordingly. · Checks patient armband for accuracy. · Assures that physician's preoperative orders are complete. · Consistently reviews charts for completeness (signed consent, H&P, labs, pregnancy test, EKG, order, etc) · Verifies patient's understanding of procedure and checks operative consent for accuracy and completeness. · Verifies operative site with patient, having patient indicate correct site per policy and procedure · Obtains signature on operative consent when appropriate. · Obtains history and performs physical and emotional assessment of the patient. · Obtains vital signs upon admission, recheck if abnormal. · Reports abnormal findings, or lab values and any other pertaining findings to surgeon, anesthesiologist, operating room staff or other pre-operative staff as necessary. · Initiates intravenous therapy as indicated, utilizing aseptic technique with appropriate catheter and IV fluid. · Administers pre operative medication as prescribed and monitors the patient appropriately until transferred to the operating room. · Assists anesthesiologists with anesthetic blocks. · Explains all preoperative procedures to the patient and family prior to completing them. · Documents all care and assessment in a legible, concise manner. · Assesses patient's level of fear/anxiety and provides comfort and support for the patient and their family. · Maintains patient's confidentiality and privacy. · Participates appropriately during codes. · Provides comfortable waiting environment for the family during the patient's surgery and keeps family informed of patient status. · Prepares adequately before cases and for the following day of service by having all the necessary supplies, equipment, patient stretchers and medications available/ready. · Complies with universal precautions, as well as applicable standards, regulations, and policies and procedures. PACU-Phase II RN: Care of the patient upon arrival from the Operating Room/Recovery Room through discharge from the surgical center/patient care area · Prepares adequately before cases and for the following day of service by having all the necessary supplies, equipment, patient stretchers and medications available/ready. · Assesses infant, pediatric, adolescent, adult and aging adults respiratory status, continually monitors adequacy of ventilation and provides airway support as needed. · Assesses circulatory status by properly taking pulses and demonstrating correct use of automatic blood pressure and pulse oximeter when indicated. · Reports patient's condition, vital signs and any significant changes to the anesthesiologist as necessary. · Performs physical assessment, observing operative site, drains, dressings, etc. and reporting abnormalities to the surgeon. · Administers medications as needed per orders. Achieves safe and optimum level of analgesia and relief from nausea and vomiting. · Demonstrates knowledge of airway management, hemodynamic stability, signs and symptoms of post op complications, anticipates needs of patients. Complies with principles of aseptic technique and handling of bio-hazardous materials. · Demonstrates knowledge/understanding of management of post op patient, including being available to anesthesia for airway management and extubation, anesthetic blocks and properly administering medications. · Recognizes emergency situations and responds effectively in a calm, controlled manner. · Participates appropriately during codes. · Assures that patients meet criteria for discharge from the Recovery Room/Surgical Center. · Assists in transferring patients from the Recovery Room and provides report to nursing personnel in the Patient Care area (if applicable). · Receives and gives report to appropriate personnel of oncoming and off going shifts. · Documents all care given in a legible, concise manner. · Complies with universal precautions, as well as applicable standards, regulations, and policies and procedures. Qualifications Required Job Qualifications include: Education: Education Required: Graduate of an accredited school of professional nursing Education Preferred: Completion of or actively pursuing a BSN degree License and Certifications: Current licensure as an RN in the state of Texas. Current certification as a BLS Healthcare Provider issued by the American Heart Association Current ACLS certification issued by the American Heart Association Current PALS certification issued by the American Heart Association or if a current PALS is not available will be required to obtain within 6 months of hire.Skills and Abilities Skills and Abilities : Customer service abilities including effective listening skills. Critical thinking skills, decisive judgment and the ability to work with minimal supervision in a fast paced environment. Ability to perform work that requires frequent standing, bending, reaching, squatting, kneeling, moving, lifting of patients and/or equipment up to 50 lbs. Experience : Experience Required: Minimum of at least six months to one year experience as staff RN - entry level graduate nurse may be considered on a case by case basis Experience Preferred: Computer skills. One year of PACU experience Reporting Relationship: Reports to: Charge Nurse/Manager Nursing/Director of Clinical Services Positions supervised: None

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