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.
- Graduate from an accredited school of professional nursing.
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)
Active RN license as required by state of employment.
Required valid BCLS Certification upon employment. *online certification not acceptable.
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