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EAGLE ROCK ASC–REGISTERED NURSE–Pre-Op/PACU

Mountain View Hospital Llc

This is a Full-time position in Idaho Falls, ID posted February 5, 2021.

JOB SUMMARY: The Pre-Op/Admitting nurse provides nursing care to patients being admitted for surgery. The nursing role during this phase focuses on assessing, identifying, and solving nursing care and pre-operative problems. The nurse is responsible for starting and monitoring IVs, administering pre-operative medications, performing pre-operative instruction, explanation of patient’s rights and procedures. The nurse will be responsible to calling patients prior to procedure for the preoperative admission times and health history. They must facilitate and demonstrates cooperative behavior with colleagues and supervisors at all times.
The PACU, Phase I&II nurse provides nursing care to patients returning from surgery. The nursing role during this phase focuses on assisting the patient through the transition from an anesthetized state to an awake condition. The nurse is responsible for assisting and maintaining adequate ventilation, hemostasis and circulation; assessing level of consciousness, providing pain management, and ensuring the safety of the patient until transferred to another unit. He/she must facilitate and
demonstrate cooperative behavior with colleagues and supervisors at all times.

DUTIES AND RESPONSIBILITIES:

1. Adheres to and practices MVH Compliance Program and participates in Performance Improvement activities.
2. Is knowledgeable of policies and procedures of the department and facility.
3. Maintains professional competency through appropriate continuing education.
4. Performs other related duties incidental to the work described herein, or as assigned by the Team Leader/Charge Nurse, OR Manager, and Director of Surgical Services.
5. Demonstrates an awareness of safe conditions and safe acts as related to hospital employment.
6. Current BLS, ACLS and PALS Certification.
7. Complies with attendance requirements per Mountain View Hospital Policy.
The RN Pre-Op/Admitting:
1. Maintains area in a state of readiness at all times, ensuring that all necessary equipment is available and in good working order, with age specific supplies ready for use as needed.
2. Assesses physical and emotional needs of patients and implements
appropriate nursing interventions. Completes the nursing pre-assessment record, including confirmation of the following:
a. Allergies.
b. Medications taken at home.
c. Dentures, contact lenses and glasses.
d. Pertinent medical conditions listed.
e. Pertinent past medical history listed.
f. Confirmations of consent and operative site.
g. Confirmations of History and Physical within 30 days of surgery.
h. Confirmation of responsible party.
i. Confirmation of ordered labs/test results on chart.
3. Respects the patient’s right to privacy, dignity and confidentiality.
4. Assists the patient in undressing if needed and stores belongings appropriately.
5. Assesses or performs the following:
a. Vital signs.
b. Weight and height.
c. Accu-Check for blood sugar, if applicable.
d. Pregnancy test, if applicable.
e. Starts IV on all patients, except those who have an order not to start an IV. Utilizes anesthesia protocol regarding IV fluids and catheter size.
f. Pain level.
g. Clipping patient if necessary.
6. Performs pre-operative instruction and explanation of procedures and patient’s rights.
7. Gives appropriate preoperative medications per orders.
8. Ensures that patients are seen by the anesthesia provider prior to being taken to the O.R. Ensures device reps are there and met with patient prior to patient being taken to surgery.
9. Sets priorities to facilitate the timely and efficient flow of patents throughout the day.
10. Carries out physician/anesthesia orders.
11. Records pertinent patient information on the nurse’s notes.
12. Demonstrates an economic use of equipment and supplies.
13. Maintains confidentiality of all pertinent patient care information to assure patient’s rights are protected.
14. Demonstrates commitment to excellence in patient, family and physician relations.
15. Communicates appropriate information to other members of the healthcare team in a timely manner.
16. Acts as the nursing advocate for the patient by upholding patient rights.
17. Participates in overall Pre-Op/PACU Department functions, including, but not limited to:
a. Follows appropriate Pre-Op/Admitting policies/procedures.
b. Training new staff as needed.
c. Attends and participates in staff meetings.
d. Attends annual education in-services as required.
e. Is knowledgeable about and responsive to emergency situations, i.e. cardiac arrest, malignant hyperthermia, drug reaction, fire, disaster, etc.
18. Complete preoperative calls per policy.
19. At the end of shift:
a. Checks with PACU i.e. staffing needs, before leaving for the day.
b. Stocks the blanket warmer.
c. Prepares IV’s/tubing for the next working day.
d. Readies rooms: gurneys made up, O2 tanks >500psi.
e. Restocks IV trays. Restocks room carts.

PACU, Phase I & II RN:
1. Maintains the PACU area in a state of readiness at all times, ensuring that all necessary equipment is available and in good working order, with age specific supplies ready for use as needed.
2. Assess patients on admission to PACU for the following:
a. Patient airway
b. Respirations
c. Vital Signs
d. Level of consciousness according to the Aldrete scale
e. Level of pain
3. Assesses and records vital signs every 5 minutes for the first 20 minutes until awake, 15 minutes x2, then every 30 minutes and documents Aldrete scale every 15 minutes until patient meets criteria of PACU 2. Records pain scores every 15 minutes and documents discharge vital signs to include temperature.
4. Uses appropriate devices and techniques to assist patient’s respirations and maintains optimum blood oxygen saturation.
5. Assess surgical site for bleeding, reinforce dressing and notifying physician if increased drainage.
6. Able to assess and treat post-operative pain effectively
7. Proficient knowledge of drugs used in the PACU.
8. Positions patient as ordered by physician.
9. Assesses and records intake and output of all fluids.
10. Carries out physician / anesthesiologist orders.
11. Assesses patient for transfer to PACU 2 when Aldrete scale is at “8” with no “0” in any category.
12. Responds appropriately to emergency situations, recognizing the need for assistance and obtaining support from anesthesia personnel and/or physician as needed.
13. Preforms discharge instructions or appropriate report to staff.
14. Transfers patients to Medical Surgical unit when applicable.
15. Records pertinent patient information on nurse’s notes.
16. Demonstrates economic use of equipment and supplies.
17. Maintains confidentiality of all pertinent patient care information to assure the patient’s rights are protected.
18. Demonstrates commitment to excellence in patient, family and physician relations.
19. Acts as the nursing advocate for the patient, upholding the patient’s rights.
20. Communicates appropriate information to other members of the health care team in a timely manner.
21. Participates in overall Pre-Op/PACU Department functions including, but not limited to:
a. Follows appropriate PACU policies/procedures.
b. Training new staff as needed
c. Attends and participates in staff meetings
d. Attends annual educational in-services as required
e. Is knowledgeable about and responsive to emergency situations, i.e. cardiac arrest, malignant hyperthermia, drug reactions, fire, disaster, etc.
22. Stocks medication dispensing system with new stock.
23. End of Shift
a. Stocks the blanket warmer.
b. Restocks IV trays. Restocks room carts.
c. Readies rooms: gurneys made up, O2 tanks >500psi.
d. Re-verifies narcotic count/secures prescription pads
e. Locks drug cupboards and supply cart
f. Locks facility door upon exiting.

Duties of the RN if Team Leader/Charge Nurse:
1. Make copies of the surgery schedule for RN’s and anesthesia providers.
2. Reviews and updates the surgery schedule and staffing if needed.
3. Be available by the surgery phone for questions and concerns.
4. Coordinates the flow of patients and assignments with nurse manager.
5. Supervises and trouble-shoots the operations of the department for the day.
6. Checks with PACU i.e. staffing needs
7. Is knowledgeable about and responsive to emergency situations, i.e. cardiac arrest, malignant hyperthermia, drug reaction, fire, disaster, etc.

QUALIFICATIONS:

Education/Certification: Graduate from an accredited school of nursing. Current, unencumbered licensure as a Registered Nurse in the State of Idaho required. Current BLS, ACLS, and PALS certification required.
Experience: 1+ year of Pre-Op/PACU preferred.
Equipment/Technology: Pre-Op/PACU equipment and computer knowledge.
Language/Communication: Must have the ability to effectively read, write, and speak English.
Mathematical Skills: Dosage Calculation and General mathematical Skills
Mental Capabilities: Ability to work in a fast-paced environment. Can adapt to rapidly changing workloads due to changes in the
surgery census. Can frequently and consistently make sound
judgments.
Interpersonal: Works well with others.
Performance: Can work well under pressure and meet multiple and competing deadlines.

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