HCA, Hospital Corporation of America PACU Nurse in Austin, Texas
“Are you ready for a work schedule that fits your lifestyle? “We offer No nights, No weekends, No call"
TheAmbulatory Surgery Divisionoperates over 100 ambulatory surgery centers across the U.S. Ambulatory Surgery Centers (ASCs) perform surgeries that do not require hospital admission. They provide cost-effective services and a convenient environment. Procedures are performed in a fully equipped operating room and recovery is under the care of highly skilled nurses. Surgeries performed include eye, ear, nose and throat (ENT), general surgery, gynecologic, plastic surgery, podiatry and orthopedics. We manage a collection of highly motivated and innovative leaders who are committed to excellence in every aspect of their career. Apply today!
At theBailey Square Surgery Center, the demand for compassionate & quality care has never been greater. As a result, we are seeking a qualified Pre-Op Nurse to join our growing team.Bailey Square Surgery Center is the state's very first freestanding multispecialty ambulatory surgery center. Founded in 1973, Bailey Square Surgery Center led the way in developing a safe, convenient, high-quality alternative to in-patient hospitalization. Since then, outpatient surgery has become more than accepted; it has grown to be the preferred alternative. Today, Bailey Square Surgery Center combines the depths of experience we have gained as industry leaders with a state-of-the-art facility that includes private rooms for patients staying 23 hours. The mission of Bailey Square Surgery Center and St. David's HealthCare is to provide exceptional care to /every/ patient /every/ day with a spirit of warmth, friendliness and personal pride.
*GENERAL SUMMARY OF DUTIES: *Contributes to the company’s mission and vision by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered preoperative and postoperative until patient is dismissed from the facility. Nursing care meets the standards of the profession, the policies and procedures of the Center, and is appropriate to the Center’s patient population to identify patient and family needs.
OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO: * Demonstrates necessary practical, technical or specialized knowledge and skills required for the role of the peri-operative nurse in accordance with patient care and regulatory standards of practice.
- Prepares patient care area adequately before case and ensures availability of necessary equipment and supplies.
- Greets patient and family in a timely manner and keeps them informed of any delays/changes.
- Verifies two patient identifiers utilizing the armband prior to any interventions.
- Conducts complete patient assessment and evaluation of each patient prior to surgery or treatment, which includes review of patient history and diagnostic tests, physical, and psychological assessment.
- Assess patient’s understanding of procedure and checks surgical consent for accuracy and completeness. Obtains and witnesses patient’s signature if needed.
- Consistently reviews charts for completeness, in accordance with clinical protocols, prior to surgery (i.e. consents, H/P, diagnostic studies, assessments, home medications list, etc.) o Ensures that H/P is a complete full examination of all body systems and dated within 30-days prior to procedure. o Ensures that H/P, orders for the procedure, and consent form are consistent prior to placing in medical chart.
- Verifies surgical site verbally with patient per policy.
- Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia.
- Initiates intravenous therapy as prescribed, utilizing aseptic technique utilizing appropriate IV start kit, catheter and fluid. Ensures that medication is labeled appropriately.
- Receives and acknowledges preoperative physician’s orders and implements accordingly. Utilizing appropriate documentation for verbal/telephone orders.
- Administers pre-operative medications as prescribed and utilizes safety medication practices (i.e. aseptic preparation, labeling medications, identifying high alert and independent check medications, 7 medication rights, narcotic waste, etc.). Monitors patient until transferred to OR.
- Monitors patient if IV sedation given in pre-op setting to assure patient maintains airway and vital signs are stable. Administers oxygen and provides continuous monitoring and support as needed.
Demonstrates knowledge/understanding of pain blocks and is readily available to assist anesthesia as needed.
Prepares patient care area adequately and ensures availability of necessary equipment and supplies.
- Demonstrates proper airway management techniques (oral airway, extubation, pulse oximetry monitoring, O2 administration, etc.)
- Understand principals of hemodynamic monitoring and monitors patient according to policy (vital signs, temperature, cardiac, etc.).
- Recognizes signs and symptoms of patient’s condition that indicate potential post procedure or anesthesia related complications and report to anesthesiologist immediately.
- Monitors and maintains proper intravenous intake and output.
- Exhibits proper technique for insertion, maintenance, and removal of IV catheters and saline locks.
- Performs head to toe assessment of patient and evaluates patient utilizing approved scoring system upon admission and as indicated by policy.
- Documents patient assessment upon admission.
- Checks dressings and/or operative site and reports abnormalities to the surgeon.
- Provides a safe and comforting environment for patient and family while restraining patient for safety reasons, as needed and in accordance with facility policy.
- Prepares and administers medications in accordance with current practice (i.e. antibiotics, narcotics, preparing/labeling medications, identifying high alert medications, utilizing 7 patient rights for medication administration and appropriate handling of narcotic waste).
- Demonstrates thorough understanding of medications utilized intra and poster operatively and recognizes the need for use of reversal drugs, when necessary.
- Recognizes emergency situations and responds effectively in a calm and controlled manner.
- Assures that patient meets all discharge criteria. o Patient is evaluated by a physician/anesthesia provider prior to discharge. o Written discharge order is received from the attending physician prior to patient discharge. o Patient is discharged home with a responsible adult, unless otherwise approved by physician.
- Confirms that patient and family receives and verbalizes understanding of written discharge instructions.
- Documents all appropriate patient information in accordance with charting guidelines.
- Conducts patient post procedure calls. Documents and reports to patient’s physician any abnormalities communicated by patient/family member during the follow up call.
- Takes responsibility for careful and accurate handling and/or logging of narcotics.
*EDUCATION: * * Graduate from an accredited school of professional nursing.
EXPERIENCE:· Minimum 2 years experience in a PACU or ICU setting; preferably in an ambulatory surgery center. · Additional specialty experience may be required as per facility practices(i.e. Pediatric, GI, etc)
CERTIFICATION/LICENSE:· Active RN license as required by state of employment. · Required valid BCLS Certification upon employment.** **online certification not acceptable. · ACLS required. · PALS as required by facility.
Title: PACU Nurse
Location: Texas-Austin-Bailey Square Surgical Center
Requisition ID: 07432-47937