PRN-RN PreOp PACU QASC

Registered Nurse PreOp-PACU

The PreOp-PACU Registered Nurse is responsible for assessing, planning, implementing and coordinating patient care from admission to discharge. The PreOp-PACU Registered Nurse is responsible for the achievement of patient outcomes through implementation of critical pathways and in accordance with the mission, vision, and values of the facility. The PreOp-PACU RN prepares the patient for surgery and cares for the patient post-operatively with on-going nursing assessment including vital signs, point of care testing, reviewing medical history, and frequently re-assessing the patient to ensure optimal outcomes. The PreOp-PACU RN is responsible for pain management, medication administration and discharge instructions. The PreOp-PACU RN is part of the peri-operative clinical nursing team.

Primary Responsibilities:

• Prepare patient for surgery.

• Assess patient status throughout the perioperative episode of care.

• Develop and implement an individualized perioperative patient plan of care by:

• Managing patient recovery from anesthesia – Moderate sedation and Monitored anesthesia care.

• Assessing patient status at intervals in accordance with facility policies and procedures.

• Providing nursing care and appropriate monitoring in accordance with policies and procedures.

• Performing interventions to maintain the patient’s tissue perfusion at or above baseline levels.

• Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels.

• Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.

• Performing interventions to protect the patient from infection.

• Assessing the knowledge level of the patient or designated support person.

• Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, and expected responses to the procedure.

• Involving the patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process

• Protecting the patient’s rights, dignity, and privacy.

• Providing age-specific, culturally competent, ethical care within legal standards of practice.

• Evaluate the patient’s progress toward attaining outcomes.

• Transfer care as applicable.

• Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.

• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.

• Document episode of care accurately, timely, completely, and legibly.

• Demonstrate effective communication and collaboration skills with members of the team and other stakeholders.

• Serve as a member of a multidisciplinary team in planning patient care.

• Participate in quality review and performance improvement projects.

• Use problem-solving and conflict resolution skills to foster effective work relationships.

• Maintain required competencies.

• Pursue professional growth

• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information

• Comply with all KU MedWest Ambulatory Surgery Center, LLC facility policies and procedures, regulatory and accreditation standards and professional guidelines when providing patient care.

• Actively participate in team meetings, trainings, and daily safety huddles.

• Demonstrate fiscal responsibility.

• Perform all other duties as assigned.

Education, Experience, and Licensure:

• Graduate of an accredited school of nursing.

• One year of PreOp, PACU, or medical/surgical nursing experience preferred.

• Current state nursing licensure to practice in good standings.

• Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 of employment or documentation of current BLS/BCLS certification

• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 6 months of employment or documentation of current ACLS certification.

• Successful completion of Pediatric Advanced Life Support (PALS) Course within 6 months of employment or documentation of current ACLS certification.