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REGISTERED NURSE-PACU IN THE ACUTE-OPERATING ROOM FULL-TIME DAYS 22796

Bergen New Bridge Medical Center • Full-time • Paramus, New Jersey, United States • 4m ago

The PACU Registered Nurse independently provides surgical patient care by assessing, planning and implementing the nursing care preoperatively, intraoperatively and postoperatively as patients are recovering from anesthesia, including general, regional, and local. PACU nurses effectively interact with patients and significant others and conduct pre and postoperative education. In addition, nurses at this level will provide leadership and act as a clinical resource for all ancillary personnel. PACU nurses work collaboratively with other professional disciplines including surgeons, anesthesiologists, surgical technicians, nurse practitioners and/or physician assistants and other OR nurses. This nurse is under the general supervision of the Director of Nursing for Acute Care Services.

Assessment, treatment and patient care responsibilities are delivered with a knowledge of patient growth and development and are appropriate to the ages of the patient served.

ASSESSMENT

Identifies and documents initial observation, admission and ongoing assessment of the patient, including review of patient profile, head to toe assessment, vital signs, cardiac monitoring.

Assesses, intervenes, and documents appropriately to meet the patient’s educational, psychosocial and discharge planning needs.

Continued ongoing assessment to detect and respond to changes in the patient’s condition.

DIRECT PATIENT CARE

Ensure that operative consents are complete, signed and correct.

Provide preoperative instructions to the patient.

Provides safe, competent and efficient patient care within hospitals policies procedures and standards to post anesthesia patients regardless of complexity.

Establishes priorities adapting to changing patient and PACU situations.

Assumes responsibility for effectively managing nursing care of individual patients as a primary nurse.

Recognizes potential problems and sets priorities according to change in the patient status and unusual occurrences.

Initiates interdisciplinary collaboration related to the care of patient’s in the immediate post anesthesia period.

Administers intravenous medications in compliance with policies and procedures.

Titrates medicated infusions as per physician’s prescriptives, protocols and standard.

Interprets clinical data and notifies the physician promptly if immediate changes in management are indicated.

Documents all pertinent information related to assessments, treatments, responses to care and progression to goals and reflecting a comprehensive and integrated approach to nursing care.

Seeks clarification of physician’s orders that are unclear or inappropriate.

Plans patient care to facilitate discharge in a timely manner.

Completes the discharge assessment and documentation.

Provides comprehensive patient care report when transferring a patient from PACU to an inpatient unit.

SAFETY

Complete checks to ensure that all emergency equipment is on hand and in good working order.

Recognizes and reports malfunction or failure of equipment used in the area to Biomedical Engineering through entering an electronic service request; takes appropriate action to immediately remove and replace such equipment.

Assures that all monitoring equipment and ventilator alarms are set according to physician orders and standards.

INDIRECT PATIENT CARE ACTIVITIES

Applies principles of infection control and safety.

Assists in orientation of new personnel.

Provides leadership and acts as a clinical resource for all ancillary personnel.

OTHER JOB DUTIES

Effectively utilizes the hospital computer system as it pertains to job responsibilities and in accordance with hospital policy.

Orients patient’s significant others to the new environment; develops rapport and initiates and follows through with patient and family education.

Works collaboratively and assists other personnel as needed.

Participates in an on c all Rotation for coverage during Operating Room off hours and holidays based on department/hospital needs.

Assists in data collection and analysis of Quality Assurance/Performance Improvement measures.

Participates in continuing education activities; attends scheduled in-service programs; keeps current with competencies and mandatories.

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