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Job Description

Job Type

Full-time

Spokane, WA

PACU (Recovery) RN

DESCRIPTION:

The registered nurse is an essential member of the health care team who is responsible for assessing, planning, implementing, evaluating, and coordinating the total care of patients aged eighteen throughout their life span. Provides safe, knowledgeable, compassionate, educative, individualized, and goal-directed nursing care to patients and their families in the Surgery Center.

SUPERVISION:

Received: Clinical Director

Given: LPNs, MA/CNA

RESPONSIBILITIES (including but not limited to):

· Provides or directs the provision of nursing care in accordance with the Nurse Practice Act and legal responsibilities as defined by the State Board of Nursing.

· Monitors and assesses the physical status of the patient through personal observation and interaction.

· Utilizing professional nursing judgment and takes action to implement plan for nursing care of the patient. Implements medical treatment plan as ordered by medical staff.

· Assesses and responds to the individual, psychosocial, and spiritual needs of the patient and significant others. Acts as patient advocate in the coordination of patient care.

· Demonstrates understanding and interpretation of diagnostic measures such as lab tests, radiology exams, and electrocardiograms.

· Identifies goals for the individual patient and communicates these goals to other members of the health care team.

· Assesses and provides appropriate and knowledgeable instructions/training/education to patients and family members throughout the perioperative process.

· Reports and documents all pertinent observations and nursing interventions.

· Utilizes supplies, equipment, and resources to contain cost without compromising delivery of care.

· Demonstrates genuine concern and empathy to internal and external customers by treating each person with respect and dignity.

· Delegates tasks based on skill level and knowledge base of assistive personnel.

· Demonstrates fundamental knowledge and skill to administer medications.

· Evaluates the patient's response to treatments and nursing interventions and revises plan accordingly.

· Maintains knowledge of all equipment and supplies and is familiar with their location, especially emergency drugs, supplies, and equipment.

· Maintains clinical competencies and nursing knowledge and the ability to perform pre-operative, intra-operative and post-operative care.

· Maintains accountability for customer satisfaction.

· Coordinates admission process in a timely and accurate fashion to facilitate patient readiness for procedure.

· Consistently maintains awareness during procedure to anticipate team's needs.

· Accurately performs physical assessment of patient pre-operatively and communicates pertinent data to anesthesia and OR RN.

· Checks patient charts to assure completeness, including but not limited to the accuracy of consent form, presence of history and physical, and physician's orders.

· Accurately completes documentation including but not limited to pre-op assessment record, nursing care plan and notation of all physician orders.

· Formulates nursing care plan based on assessment.

· Assists physician with pain management patients, including appropriate documentation.

· Assesses and accurately records vital signs, including BP, pulse, respirations, and oximetry.

· Initiates and monitors IV fluids and accesses indwelling IV devices appropriately.

· Recognizes signs and symptoms of adverse change in patient condition and initiates intervention.

· Recognizes basic arrhythmia's and initiates appropriate intervention.

· Demonstrates the 7 Rs of medication administration.

· Communicates patient condition to Phase II RN/LPN/MA/Anesthesiologist.

· Assures availability and readiness of emergency equipment and responds appropriately in emergency situations.

· Demonstrates safe patient transfer and transport.

· Utilizes universal precautions when providing patient care.

· Utilizes universal precautions when providing patient care and uses appropriate personal protective equipment as necessary.

· Disposes and transports biohazardous waste appropriately.

· Assess and accurately records vital signs post-operatively. Assists and initiates appropriate interventions for pain/discomfort/nausea and documents patient response to intervention.

· Manages intake and output appropriately.

· Discharges patient according to discharge criteria and provides post-operative instructions, including follow-up appointments.

· Performs follow-up phone calls within 48 hours of discharge. Documents information obtained and communicates to anesthesia/coordinator/physician/administrator when necessary. Initiates follow-up letter when indicated.

· Accurately maintains daily narcotic count.

· Accurately completes logbooks. Participates in QAPI program through monitoring, data collection, and tabulation. Continuously seeks improvement in processes to promote improved economics in conjunction with quality awareness.

· Routinely assists in inventory, ordering and restocking supplies and communicating supply needs to the coordinator.

· Seeks guidance, direction, and assistance when needed.

· Performs other duties as may be appropriately required or assigned.

Physical Demands/Working Conditions

· Work hours are variable based on patient care needs.

· Ability to sit and stand for prolonged 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 enough 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 lifting/moving up to 50 pounds and occasional lifting/moving more than 50 pounds.

· Ability to move quickly in response to patient needs.

· Ability to make constant/frequent judgment/response to problems.

· Exposure to noisy equipment.

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

· Work is performed in a patient care setting and may involve exposure to infections, communicable diseases, hazardous materials, radiation, laser, waste gases, and blood and body fluids.

· Frequent exposure to water and chemicals used in disinfection/sterilization processes.

Behavioral Specific Expectations:

· Supports and adheres to all company and Surgery Center policies and procedures, Codes of Conduct, Ethics, Compliance, and HIPAA requirements

· Participates in Best Practices, Quality/Risk Initiatives and other committees to improve patient care.

· Interacts with patients, patient's families, fellow employees, physicians and other persons in a manner which encourages quality patient care, harmonious work relationships, and enhances the image and reputation of the Surgery Center.

· Demonstrates commitment to the mission and goals of the Surgery Center as well as all entities associated with the Surgery Center.

· Demonstrates dependability and accountability.

· Supports the center's mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments and a willingness to help others and enhances teamwork.

· 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 changes in practices to enhance safety.

Age-Specific Care:

· The patient care requirements include those of adult and geriatric patient population.

QUALIFICATIONS :

· Current State licensure as Registered Nurse.

· Ability to verbalize understanding of the nursing process, assessment, planning, implementation, and evaluation.

· Has knowledge and understanding of physical and emotional disease processes, clinical nursing skills, and administration of medications.

· Current Basic Life Support Certification and Advanced Cardiac Life Support (ACLS) required.

· Excellent communication and interpersonal skills.

Compensation details: 35-45 Hourly Wage

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