180590 Lawton, OK Monday-Friday 0800-1630 or 0900-1730 depending on needs
06/22/2021 90
*Wages are based on average rates and may be impacted by facility budgets and seasonality and may include a combination of taxable and non-taxable earnings and reimbursements.
PACU RNDEFINITION: Responsible for the delivery
of safe, effective, and quality patient care in the immediate postoperative/post
anesthesia unit and other areas of perioperative services for all patient
populations. He/she will maintain skills in setting priorities, organizing
workload effectively, changes in assignment and integrating multiple
assignments with multilevel personnel. Develop and implement total
nursing care for patients by assessment, nursing diagnosis, patient care plans,
provides leadership by working cooperatively with ancillary nursing and other
patient team personnel in maintaining standards for professional nursing
practice in the clinical setting. Develop
systems to provide care to a population including infants, children,
adolescents, adults and geriatrics. Is expected to flex hours to accommodate unit schedule
and cover call during weekends, nights and holidays EDUCATION:As required by the State Board of Nursing. REGULATORY
REQUIREMENTS (IF APPLICABLE):1. Current
Basic Life Support. ACLS2. As
required by the State Board of Nursing.3. PALS & CPAN Preferred MINIMUM
QUALIFICATIONS:1. Graduate
of a Registered Nurse Program with current Oklahoma Registered Nurse license. PREFERRED
QUALIFICATIONS:1. BSN.
2. Experience,
school attendance record and performance record may be considered. PRINCIPLE
RESPONSIBILITIES: 1. Participates and implements age specific
care and interaction.1.1. Employee
has attended departmental orientation (training) and annual inservice education
for age specific training. Implements
age specific training.2. Collaborates with the healthcare team (RN,
LPN, NA, Physician and ancillary disciplines) in the assessment of the
patient/family.2.1. Performs
a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the patient
population.2.2. Adequately
assesses and reassesses pain. Utilizes
appropriate pain management techniques.2.3. Interprets
data about the patients status in order to identify each patients age
specific needs and provide care needed by the patient group.3. Collaborates with the healthcare team to
develop a plan of care to meet the physiological, spiritual, emotional, mental,
social and developmental needs of the patient.3.1. Treats
patients and their families with respect and dignity. Identifies and addresses psychosocial,
cultural, ethnic and religious/spiritual needs of patients and their families. 3.2. Acts
appropriately to address requests for additional resources or issue resolution.3.3. Identifies
and addresses psychosocial needs of patients and family.3.4. Formulates
a teaching plan based upon identified learning needs and evaluates
effectiveness of learning. Family is
included in teaching, as appropriate.3.5. Interacts
professionally with patient/family and involves patient/family in the formation
of the plan of care.3.6. Consults
other departments as appropriate to provide for an interdisciplinary approach
to the patients needs.3.7. Coordinates
and supervises patient care as necessary.4. Collaborates with the healthcare team in
the implementation of the patients plan of care.4.1. Demonstrates
knowledge of the principles of growth and development over the life span and
the skills necessary to provide age appropriate care to the patient population
served.4.2. Performs
patient care responsibilities considering needs specific to the standard of
care for patients age and clinical condition.4.3. Performs
all aspects of patient care in an environment that optimizes patient safety and
reduces the likelihood of medical/health care errors.4.4. Demonstrates
an ability to be flexible, organized and function under stressful situations.4.5. Demonstrates
an ability to assist physicians with procedures and performs services requiring
technical and manual skills.4.6. Demonstrates
ability to perform treatments and provide services within scope of practice.5. Administers medications accurately and
safely.5.1. Knows
medications and their correct administration based on age of the patient and
their clinical condition.5.2. Follows
the five medication rights and reduces the potential for medication errors.6. Accurately and consistently evaluates
patient/family responses to interventions to determine the patients progress
and revise the plan of care.6.1. Revises
plan of care as indicated by the patients response to treatment and evaluate
overall plan daily for effectiveness.6.2. Educates
the patient and family regarding pain management.7. Communicates (verbal and written)
effectively, accurately and professionally with patient/family and all members
of the healthcare team.7.1. Communicates
appropriately and clearly to patient, family, co-workers, physicians and
nursing supervisors.7.2. Documents
to current standards and policies.7.3. Documents
post-anesthesia care and identity of second person in the recovery room during
the patients recovery from anesthesia/sedation according to approved policies
and procedures7.4. Communicates
with health care team members regarding both in hospital and post-discharge
needs.7.5. Appropriately
utilizes available technology to facilitate communication and enhance patient
safety.8. Participates in the education/development
of staff and students.8.1. Facilitates
the orientation of new employees and professional development of members of the
healthcare team by providing instruction and demonstration of skills,
principles and practice of nursing.8.2. Fosters
healthy relationships with students and faculty.9. Complies with professional requirements,
organizational and departmental policies and procedures.9.1. Maintains
patient confidentiality at all times.9.2. Uses
computerized punch time system correctly.9.3. Completes
work within designated time.9.4. Completes
annual educational requirements and monthly inservices in a timely fashion.9.5. Adheres
to dress code.9.6. Wears
identification badge while on duty.9.7. Attends
required staff meetings as appropriate. Reads all monthly staff meeting
minutes.9.8. Actively
participates in performance improvement.9.9. Legally
complies with all regulatory agencies including, but not limited to, the
Oklahoma Nurse Practice Act. SPECIFIC UNIT/AREA
RESPONSIBILITIES: 1. ACLS
and PALS required within six months of hire; must be certified within 3
attempts.2. On-call
for surgery after normal operating hours (1830 subject to change).3. On-call
for general c-section patients.4. On-call
for GI Lab patients when the call team is here and GI Lab has a case to follow.5. Provides
nursing care to meet patient needs related to surgical condition and type of
anesthesia administered6. Monitors
patients vital signs, breathing, alertness, awareness following the surgical
procedure and informs surgeon and anesthetist of observed complications7. Performs
thorough post-operative patient assessment prior to discharge of the patient
from the PACU8. Able
to assess level of consciousness, skin condition, body mobility, sensory
impairments, pain, temperature, cardiovascular, and respiratory status.9. Provides
assistance and directs others in safely transferring and positioning the
patient and applies safety devices.10. Verifies
and implements post-operative physician orders (i.e., blood, lab, x-ray,
medications, etc.).11. Perform
interventions to ensure the patient is at or returned to normothermia at the
conclusion of the immediate postoperative period. WORKING CONDITIONS:
Exposure
to diseases and foul odors.
Exposure
to hazardous chemicals.
Exposure
to sharp objects.
PHYSICAL
REQUIREMENTS: HAND AND ARM USE:
Must
possess sufficient dexterity to initiate IVs, to prepare medications and
to give injections.
Must
be able to operate and handle medical equipment and technologically
complex devices, including but not limited to, keyboards, monitors and
IVACs.
Must
be able to write neatly and legibly.
LIFTING AND CARRYING:
Requires
lifting of adult and