HCA, Hospital Corporation of America PACU Nurse PRN in Las Vegas, Nevada

GENERAL SUMMARY OF DUTIES: Contributes to the company by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered postoperatively until patient is dismissed from the facility.

SUPERVISOR - Nurse Manager, Nurse Supervisor, or designee.

SUPERVISES - None

CLASSIFICATION – Non-Exempt

OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:

  • Demonstrates necessary practical, technical, or specialized skills required for the role of the post-operative nurse in accordance with patient care and regulatory standards of practice.

  • 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.)

  • Demonstrates understanding of principles 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 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.

  • Prepares patient for transfer to hospital when necessary.

  • 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.

  • Utilizes appropriate body mechanics in moving patients and stretchers to prevent injury to patient and self.

  • Complies with principles of hand hygiene, aseptic and sterile technique.

  • Demonstrates knowledge related to maintenance and cleanliness of instruments and equipment. Maintains a sanitary environment for the provision of patient care.

  • Appropriately handles the disposal of biohazardous materials.

  • Restocks area daily, using appropriate par levels and daily stock sheets.

  • Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Center’s goals and objectives.

  • Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.

  • Takes personal initiative to maintain current RN licensure, BCLS, ACLS, and PALS (if indicated) and other professional certifications current as defined by job role.

  • Uses facility resources appropriately and avoids wasteful practices.

  • Attends all mandatory in-services, staff meetings, and participates in emergency drills.

  • Participates in the orientation of new employees.

  • Completes annual competency and other required education as assigned.

  • Maintains confidentiality and security of records and patient information at all times.

Age Specific Care:

  • The patient care requirements may include those of pediatric, child, adolescent, adult, and geriatric populations.

BEHAVIORAL SPECIFIC EXPECTATIONS:

  • Adheres to all company and Center policies.

  • Adheres to HCA Code of Conduct and HIPAA requirements.

  • Adheres to personnel policies which specify privileges and responsibilities of employment, including: compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program.

  • Participates in Best Practices, Quality/Risk Initiatives, RCA’s and other teams to improve patient care.

  • Interacts with patients, fellow employees, physicians, and other stakeholders in a manner which encourages quality patient care, harmonious working relationships, positive customer relations, and enhances the image and reputation of the center.

  • Demonstrates dependability and accountability.

  • Demonstrates a willingness to help others.

  • Supports the center’s mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments.

  • Maintains a professional image through proper attire, language, and conduct.

  • Keeps management informed of any malfunctions in instruments, equipment, and supplies.

  • Displays willingness to speak up about safety issues or change practices to enhance safety.

  • Asks for help when needed

KNOWLEDGE, SKILLS & ABILITIES:

  • Knowledge of peri-operative care standards and post-anesthesia techniques.

  • Demonstrates attention to detail by ensuring that all documentation is legible, complete, accurate, and factual.

  • Knowledge of organizational policies, procedures, systems, and objectives.

  • Maintains advance knowledge of advances in peri-operative field of nursing.

  • Has knowledge of patient rights and strives to improve patient outcomes by respecting each patient’s cultural, psychosocial, and spiritual values.

  • Knowledge of applicable regulatory, compliance, and accreditation standards and requirements.

  • Possesses critical thinking skills.

  • Demonstrates a willingness to listen to others and openly expresses respect for differing opinions.

  • Demonstrates leadership, effective organizing, and planning skills.

  • Effective problem solving skills to include data analysis and judgment to make effective decisions.

  • Ability to work with minimal supervision.

  • High Impact Communication - Effective oral and written communication skills

  • Computer Skills – Knowledge and basic use of computer skills.

  • Maintains high level of confidentiality at all times.

  • Ability to build trust and gain respect through effective team leadership and participation skills.

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.

PHYSICAL DEMANDS/WORKING CONDITIONS:

  • Work hours are variable based on patient care needs.

  • Ability to sit and stand for prolong periods of time, ability to walk, some bending, stooping and stretching;

  • Capability for overhead and low reaching activities;

  • Requires hand-eye coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and occasional use of other office equipment;

  • Requires normal range of hearing/eyesight/voice projection to record, prepare, and communicate appropriately.

  • Physical strength for equipment needs and patient care activities; may require frequent lifting/moving up to 50 pounds and occasional lifting/moving in excess of 50 pounds;

  • Ability to move quickly in response to patient needs.

  • Ability to make constant/frequent judgment/response to problem.

  • Exposure to noisy equipment.

  • Subject to varying and unpredictable situations, high stress/pressure, handles emergency or crisis situations, regular interaction with emotional patients and/or family members.

  • Work may involve exposure to infections, communicable diseases and hazardous materials, and blood and body fluids.

Title: PACU Nurse PRN

Location: Nevada-Las Vegas-Las Vegas Surgicare

Requisition ID: 07386-2407