RN - Surgical Services Procedural Recovery
St. James Healthcare - Butte, MT

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Provides professional nursing care to patients being admitted for surgical and other procedures in the Surgical Services Department, including, Pre-op Holding, PACU, Advanced Recovery, Endoscopy and the Pain Clinic. This position requires rotational call coverage for PACU, including weekdays, weekends and holidays.

Essential duties and responsibilities include the following . Other duties may be assigned.

Serves as a role model of excellent customer service by responding with courtesy and respect to the needs of all those he/she interacts with on a daily basis.

Exhibits flexibility and adaptability to move from department to department as needed and/or directed to meet the patient/staffing needs of all surgical services departments.

Maintains patient confidentiality as outlined by privacy and HIPAA guidelines

Ensures that standards which meet Joint Commission and other accrediting organizations’ requirements are maintained and documented.

Maintains customer satisfaction by accurately accumulating required information and communicating results to appropriate personnel in all departments affected as well as physicians and physician office personnel.

Optimizes customer satisfaction, provider time, and organizational resources effectively, in person or over the phone.

Maintains awareness of safety needs of patient and provides an atmosphere conducive to patient comfort.

Plans, organizes and implements nursing care interventions based on patient/family needs and circumstantial/procedural complexities.

Develops age appropriate plan of care in collaboration with patient, family and health care team.

Demonstrates knowledge and competence in the care of patients undergoing surgical and/or invasive procedures.

Explains procedures and treatments to patient to gain cooperation, understanding and allay apprehension.

Maintains communication with patients and their families.

Input physician’s orders appropriately to patient’s records

Observes patient, records significant conditions and reactions, and notifies Physician of patient’s condition and reaction to drugs, treatments, and significant incidents.

Recognizes abnormal test results and contraindications relative to scheduled procedures and reports abnormal results to appropriate physician or department for further guidelines.

Demonstrates ability to assess/reassess nursing care needs by age group.

Ability to assess and interpret clinical reports and data to provide optimum care of surgical services patient.

Assists and participates in the planning, implementation and evaluation of departmental Quality Assessment and Performance Improvement activities

Acts as a resource for surgical services and other hospital staff.

Maintains productive, professional and collaborative relationship with all associates and departments.

Demonstrates comprehensive time management, communication, and team building skills.

Demonstrates knowledge of regulatory and institutional requirements.

Demonstrates behaviors consistent with organizational mission, vision, and goals.

Follows all applicable hospital policies.

Follows policies and procedures for infection control and facility safety in accordance with regulatory guidelines.

Provides age appropriate teaching to patient/families and members of healthcare team.

Demonstrates competent clinical nursing skills and knowledge when performing, teaching, and supervising nursing procedures.

Demonstrates skill and competency in IV venipuncture

Demonstrates proficiency in use of IV Pumps

Maintains and updates knowledge of care of various surgical and special procedures, therapeutic drug and IV administration.

Demonstrates proficiency in cardiac monitoring, specialized central line care and modalities of treatment, airway maintenance, BLS, ACLS, PALS, and Moderate Sedation skills.

Demonstrates knowledge and competency in care of sedated patient.

Demonstrates knowledge and competency in the assessment, reassessment, and modalities to alleviate pain pre- and post- procedure.

Verifies pre-operative/procedural chart and checklist completion

Demonstrates knowledge of standing physician orders for procedures as well as the pre-op minimum laboratory testing guide.

Demonstrates skill and competency in phlebotomy and follows laboratory services guidelines.

Demonstrates skill and competency in phlebotomy and follows blood banking guidelines.

Provides pre-operative care of surgical patients, (i.e. Pre –op chart completion, IV starts, TED hose and SCD application, sedation, and monitoring).

Demonstrates knowledge and competency in care of patients in Phase I and II Post Anesthesia Care.

Demonstrates knowledge and competency in care of anesthetized or sedated patients.

Demonstrates knowledge and competency in the transport of critical/high risk patients.

Demonstrates knowledge and competency in care of Endoscopy patient.

Demonstrates operational knowledge of Endoscopy equipment.

Demonstrates knowledge and competency in the care of the patient experiencing acute/chronic pain management needs.

Demonstrates knowledge of specific procedures and medication used in the management of acute/chronic pain.

Aids anesthesia care provider during anesthesia procedures for the treatment of acute/chronic pain.

Develops, directs and implements a plan for patient and family teaching for post-procedure care and follow-up.


Associate Degree in Nursing required.

Bachelor’s Degree in Nursing from a four-year college or university (in progress or achieved) preferred;


Current Montana state RN license.

Current BLS certification required upon hire

ACLS required (must complete within 6 months of accepting position)

PALS required (must complete within 6 months of accepting position)

Moderate Sedation required (must complete within 3 months of accepting position)

Specialty Certification Preferred

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