Job description

Position Summary: Pre-Op/PACU RN

Position Pacu-RN
Post anesthetic care unit nurses are a welcome side for patients emerging from the haze of anesthesia. There are a number of tasks a PACU nurse needs to perform in a post-operative unit such as guiding patients to consciousness and assisting them in handling personal needs in the first few hours after surgery.

A PACU nurse is important not just for their role as a guide in the outcome of a surgery but also for handling medication administration duties which are very important at this stage. Even though most patients do not remember the PACU nurse that attended to their needs, they play an imperative role in helping patients start on the road to recovery.

PACU nurses handle a broad range of patients; from babies to adults, they are trained in handling the post-operative needs of all. There is quite a similarity between the duties that PACU and ICU nurses perform, the only variation being the fact that ICU nurses use mechanical ventilation. PACU nurses on the other hand manage respiratory instability and cardiac monitoring activities.

Position Responsibilities
Preoperative Duties of PACU Nurse:

• Manage patients’ admission processes to preoperative department in a hospital
• Assess the status of patients’ health in pre-op and ensure accuracy of identification wristband
• Ensure that operative and informed consents are in order
• Determine the surgeon and procedure being carried out
• Take and record vital statistics of patients to ensure readiness for surgical procedure
• Initiate IVs and ensure that patients are informed about the procedure and attending medical staff

Post-operative Duties of PACU Nurse:

• Assess patients’ condition after a surgery has been performed
• Ensure that all vitals are within normal range
• Log all findings in patients’ files
• Answer patients’ questions and ensure that they are kept comfortable
• Make sure that all relevant IVs are in check
• Develop individualized care plans based on each individual patient’s condition
• Ensure that the all nursing activities are carried out in accordance to individual patient care plan
• Monitor patients for condition changes and report any changes to the doctor
• Initiate patient education programs to ensure that both patients and families are educated on procedures and medications
• Determine when patients are ready to be moved to their rooms
• Perform intervention duties in cases of post-operative emergencies
• Record sedation levels and body temperature
• Manage blood and fluid transfusions and draw specimens
• Ensure that the post-operative space is clean and sanitized

• Change bandages and dress surgical wounds

Other Responsibilities

• Completes required orientation as directed by facility
• Follows facility and OSHA safety rules and procedures while on assignment
• Follows facility and GHR Unusual Occurrence Protocol
• Respects cultural and religious practices of patients
• Upholds HIPAA regulations
• Punctual and dependent for assigned/confirmed shifts

Position Requirements

• Graduate of an accredited nursing program
• ACLS Required and PALS preferred
• Current nursing license, in good standing with the State licensing board
• 2-3 years’ experience as a PACU RN
• Bariatrics experience a plus
• Cognitive skills as related to the position

Position: Pre-Op RN
This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the size of the facility the job duties may vary.
Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at-will.

Position Responsibilities:

• Carries out physician orders.
• Administers prescribed medications, applies dressings, and monitors vital signs.
• Maintains infection control policies and protocols and actively monitors situations which could lead to a breach in those processes.
• Ensures the proper handling of specimens.
• Serves as the primary coordinator of all disciplines for well-coordinated patient care.
• Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems.
• Provides age and culturally appropriate care.
• Orients and mentors new staff members.
• Follows Standard Precautions using personal protective equipment as required.
• Assess and evaluate the patient.
• Document the status of the patient and the care provided.
• Remain prepared for emergency situations by knowing correct emergency procedures, locations of emergency call system and location of emergency supplies and equipment.
• Ensure that Universal Precautions are maintained.
• Complete all necessary documentation on Recovery Room record.
• Assist with ordering drugs and supplies.
• Wipe down gurneys and recliners between patients with a germicidal solution. Remake beds as needed.
• Perform daily crash cart checks.
• Perform other duties as assigned.

Required Job Qualifications include:

• Current registered nursing license, in good standing with the State licensing board
• Current certification as a ACLS Healthcare Provider, PAL preferred
• Graduate of an accredited school of professional nursing.
• At least 1 year of recent Preop and PACU experience.
• Customer service abilities including effective listening skills.
• Critical thinking skills, decisive judgment and the ability to work with minimal supervision in a fast-paced environment.
• Ability to perform work that requires frequent standing, bending, reaching, squatting, kneeling, moving, lifting of patients and/or equipment up to 50 lbs.

Other Responsibilities

• Completes required orientation as directed by facility
• Follows facility and OSHA safety rules and procedures while on assignment
• Follows facility Unusual Occurrence Protocol
• Respects cultural and religious practices of patients
• Upholds HIPAA regulations
• Punctual and dependent for assigned/confirmed shifts

Working Conditions
Because patients need round-the-clock care, working hours include days, nights, weekends and holidays.
The number of patients assigned per shift will vary with facility and specialty, if applicable. Nurses spend considerable time walking, bending, stretching and standing; they assist in patient transfers, so they must follow proper body mechanics to guard against injury. Nurses may face hazards from exposure to chemicals and infectious diseases; they may be exposed to anesthetic gases, drugs and radiation. The use of disinfecting and sterilizing agents may cause damage to skin and respiratory system.

Physical Demands

• Ability to lift twenty (20) pounds. Moving, lifting or transferring of patients may involve lifting of up to fifty (50) pounds.
• Ability to stand for extended periods
• Fine motor skills
• Visual acuity

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms. The employee is occasionally required to sit and stoop, kneel, or crouch. The employee must frequently lift and/or move up to 20 pounds and occasionally lift or move 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The overall physical demand rating for a job of the nurse falls within the Medium classification (exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work) according to the Dictionary of Occupational Titles.

N (Not Applicable) Activity is not applicable to this position.
O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day)
F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day)
C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day)

Physical Demands Lift/Carry
Stand F 10 lbs or less O
Walk F 11-20 lbs O
Sit O 21-50 lbs O
Manually Manipulate F 51-100 lbs O
Reach Outward F Over 100 lbs O

Reach Above Shoulder F
Climb O Push/Pull
Crawl N 12 lbs or less F
Squat or Kneel O 13-25 lbs F
Bend O 26-40 lbs O
Grasp F 41-100 lbs O

Speak C

Employee Signature: D ate:

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate.

Job Types: Full-time, Part-time, PRN

Pay: $38.00 - $46.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Medical specialties:

• Surgery

Physical setting:

• JCAHO accredited facility

Standard shift:

• Day shift

Supplemental schedule:

• On call

Weekly schedule:

• Monday to Friday
• Weekend availability

Ability to commute/relocate:

• Dallas, TX 75231: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Nursing: 1 year (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN (Preferred)

Work Location: In person

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