Rn - Pacu (Surgery Center)

Job Summary: Responsible for the delivery of safe, effective, and quality patient-family centered care in the post anesthesia care unit and other areas of perioperative services for all patient populations. The PACU nurse will provide care for post-operative patients recovering from general, regional, and local anesthesia. Responsible for observing and treating a post-operative patients, ensuring safe emergence from anesthesia. Documentation and patient education are key components of the PACU nursing role.

SPECIFIC JOB DUTIES AND RESPONSIBILITIES:

• Document nursing care completely, accurately, and legibly.
• Implement the plan of care including the following interventions:
  • managing patient recovery from anesthesia – general;
  • managing patient recovery from anesthesia – monitored anesthesia care;
  • managing patient recovery from anesthesia – regional;
  • managing patient recovery from anesthesia – local;
  • protecting patient from injury caused by positioning, thermal sources, and extraneous objects;
  • providing acute pain and comfort management as needed;
  • administering medications correctly by implementing the 7-rights of safe medication practices (ie, right patient, right medication, right dose, right time, right route, right indication, right documentation);
  • performing interventions to maintain the integrity of the patient’s wound and 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 patient from infection;
  • managing patient’s other co-morbid conditions as applicable;
  • managing patient’s fluid as prescribed
  • assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure;
  • involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process;
  • protecting patient’s rights, dignity, and privacy;
  • providing age-specific, culturally competent, ethical care within legal standards of practice; and
  • providing consistent and comparable care regardless of the setting.
• Respiratory system and airway management needs,
• Transfer care as needed.
• 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;
• Providing consistent and comparable care regardless of the setting.
• Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period;
• Pain and comfort needs, and
• Managing patient recovery from anesthesia – monitored anesthesia care;
• Managing patient recovery from anesthesia – regional;
• Develop an individualized perianesthesia plan of care.
• Maintain required competencies.
• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
• Managing patient recovery from anesthesia – local;
• Assess patient’s postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s:
  • cardiovascular system,
  • respiratory system and airway management needs,
  • neurological system,
  • hemodynamic stability,
  • pain and comfort needs, and
  • mental status.
• Performing interventions to protect patient from infection;
• Performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels;
• Hemodynamic stability,
• Participate in quality review and performance improvement projects.
• Participate in the performance appraisal process.
• Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process;
• Describe the underlying pathophysiology of commonly encountered disease processes.
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions.
• Neurological system,
• Use critical thinking, problem-solving and conflict resolution skills to foster effective work relationships with team members.
• Pursue professional growth and participate in a professional organization.
• Administering medications correctly by implementing the 7-rights of safe medication practices (ie, right patient, right medication, right dose, right time, right route, right indication, right documentation);
• Managing patient’s fluid as prescribed
• Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure;
• Apply the relevant scoring system/discharge criteria for patient transfer (eg, Aldrete Score, Modified Aldrete Score [ie, PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy.
• Protecting patient’s rights, dignity, and privacy;
• Providing age-specific, culturally competent, ethical care within legal standards of practice; and
• Evaluate the patient’s progress toward attaining outcomes.
• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
• Managing patient’s other co-morbid conditions as applicable;
• Mental status.
• Managing patient recovery from anesthesia – general;
• Protecting patient from injury caused by positioning, thermal sources, and extraneous objects;
• Interpret information accurately from various noninvasive and invasive monitors.
• Collaborate effectively with other disciplines as needed.
• Support the mission, vision, and values of the organization.
• Cardiovascular system,
• Providing acute pain and comfort management as needed;

EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION:

Required:

• Basic Life Support (BLS) certification
• Associate’s degree in nursing required, Bachelor’s degree preferred
• Two years post anesthesia care experience
• Current registered nurse licensure in state of employment
• Graduate from an accredited school of nursing
• Proficient in electronic medical record documentation
• Advanced Cardiac Life Support (ACLS) certification

Preferred:

• Basic computer skills (eg, Microsoft® Word)
• Certified Post Anesthesia Nurse (CPAN) or Certified Ambulatory Perianesthesia Nurse (CAPA) certification

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

• Pushing and pulling heavy objects
• Standing and walking for extensive periods of time
• Working under stressful conditions.
• Lifting and carrying items weighing up to 50 pounds
• Manual and finger dexterity
• Exposure to blood and body fluids, communicable diseases, chemicals and other hazardous materials, radiation, and repetitive motions
• Physically demanding, high-stress environment
• Corrected vision and hearing to within normal range
• Hand and eye coordination
• Full range of body motion including handling and lifting patients

REASONING ABILITY:

• Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

INTERPERSONAL SKILLS:

• Must interact and exchange information regarding patients with physicians and other departmental personnel, and outside agencies on a frequent basis while respecting the confidentiality of patient information.
• Must interact and communicate both verbally and in written form.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Specific vision abilities required by this job include close vision and the ability to adjust focus.
• The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• While performing the duties of this job, the employee is regularly required to talk or hear.

WORK ENVIRONMENT:

The work environment involves potential exposure to blood and body fluids, communicable diseases, chemicals and other hazardous materials, radiation, and repetitive motions while performing the essential functions of this job. Team members are offered appropriate vaccinations and safety training.