Description:

Work Schedule:

40 hours per week

Day Shift, 10 hour shift

Monday-Friday Call Coverage

For Information on Employee Benefits and WSNA Contract

Other Compensation:

$8,000 Sign-On Bonus

BSN (or higher) premium - $1.00/hour

Certification premium - $1.00/hour

Night Differential - $4.75

Evening Differential - $3.25

Weekend Differential - $4.00

$8,000 Sign-On Bonus to eligible new employees joining.

Exciting opportunity for a Registered Nurse within the Surgical Services team.

Job Purpose:

The Registered Nurse for Recovery is responsible for providing professional, research-based nursing care during the pre- and post-operative process for patients undergoing surgical and other invasive procedures. This position is an integral part of the patient’s care team through the pre-, intra-, and post-procedural phases of care working closely with the Anaesthesiologists, Surgeons, and other health care professionals to support an optimal care experience.

Duties:

Utilizes the nursing process as a basis of care. Acknowledges, coordinates, and implements diagnostic and therapeutic orders of each patient. Accountable for administration of, observation, charting and reporting effects of drugs, intravenous procedure, other therapeutic and diagnostic measures in a safe and accurate manner.

Arranges outpatient postoperative appointments with surgeon's office during office hours. Gives nourishment as indicated by surgeons’ orders, patient's condition or desire. Reviews outpatient postoperative instructions with patient and/or responsible party verbally and in writing. Discharges outpatients according to Discharge Protocol. Makes follow-up outpatient calls according to protocol.

Performs pre-op physical assessment according to protocol. Checks chart for completion of consent, history and physical, and reports of ordered diagnostic studies. Takes nursing history in reference to reason for hospitalization, allergies, physical limitations/special considerations influencing positioning and care during surgery. Communicates with appropriate O.R. nurses and anaesthesiologist regarding information gathered from patient interviews.

Assesses patient's condition: vital signs, patency of airway, level of consciousness, condition of wound, dressing, patency of IV and condition of site, patency of drains and tubes, level of block in regional anaesthesia. Takes vital signs every 15 minutes or more often as indicated by patients' condition. Medicates for pain as indicated, as ordered by anaesthesiologist or surgeon. Checks surgeon's postoperative orders and implements those requiring immediate action. Communicates with family regarding patient's status. Notifies nursing unit personnel prior to transfer from PACU.

Ensures compliance with all established hospital policies, procedures, and guidelines.

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.

Verifies provider has entered orders into patient’s record.

Ensures that operative and informed consents are in orders.

Determines the surgeon and procedure being carried out.

Takes and records vital statistics of patients to ensure readiness for surgical procedure.

Initiate IVs and ensures that patients are informed about the procedure and attending medical staff.

Postoperative Duties of PACU Nurse

Assesses patients’ condition after a surgery has been performed.

Ensures that all vitals are within normal range.

Logs all findings in patients’ files.

Answers patients’ questions and ensure that they are kept comfortable.

Ensures that all relevant IVs are in check.

Develops individualized care plans based on each individual patient’s condition.

Ensures that all nursing activities are carried out in accordance to individual patient care plan.

Monitors patients for condition changes and report any changes to the doctor.

Monitors and identifies cardiac rhythms and initiates related necessary interventions.

Initiates patient education programs to ensure that both patients and families are educated on procedures and medications.

Determines when patients are ready to be moved to their rooms.

Performs intervention duties in cases of post-operative emergencies.

Records sedation levels and body temperature.

Manages blood and fluid transfusions and draw specimens.

Ensures that the post-operative space is clean and sanitized.

Changes bandages and dress surgical wounds.

Verifies transfer orders are entered and reviews discharge instructions with patient.

Skills/Qualifications:

Demonstrates knowledge of the principles of growth and development over the life span and can identify each patient's/employee’s requirements relative to his/her age-specific needs.

Demonstrates ability to identify EKG rhythms.

Demonstrates proficiency with IV skills and techniques.

Must be able to identify, analyse and implement effective problem-solving techniques.

Must display initiative, flexibility, cooperation, and adaptability.

Must be able to function effectively and efficiently in a fast-paced, rapidly changing care environment.

Requirements:

A Experience in Hospital experience required with two (2) years of previous critical care experience strongly preferred.

Must maintain an active Registered Nurse license issued by the WA Department of Health.

Must maintain active BLS, ACLS and PALS certifications.

CPAN certification encouraged, BSN preferred.

Work Environment:

Because patients need round-the-clock care, working hours include days, nights, weekends, and holidays (including On-call requirements). The number of patients assigned per shift will vary with schedule and specialty. 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. The work of this position is performed inside, exposing the employee to indoor environmental conditions, protected from weather conditions but not necessarily from temperature changes. The employee may be exposed to dust, pollens, pollutants, fumes, communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common a health care environment. The noise level in the work environment is usually moderate.

Physical Demands:

While performing the responsibilities of this position, the employee is regularly required to stand for extended periods of time; push, pull and reach; occasionally bend, sit, stoop, and stretch. The employee will need full range of body motion, including handling and lifting of patients, should have the hand-eye coordination and manual dexterity needed to operate a keyboard, photocopier, telephone, calculator, and medical equipment. Normal range of hearing and eyesight to record, prepare and communicate appropriate reports are required; specific vision requirements: close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus. Occasionally lift and carry up to 50 pounds.

Job Type: Full-time

Pay: $35.83 - $67.91 per hour

Medical specialties:

• Surgery

Physical setting:

• Outpatient
• PACU

Standard shift:

• Day shift

Supplemental pay types:

• Differential pay
• Signing bonus

Supplemental schedule:

• On call

Weekly schedule:

• Monday to Friday

Ability to Relocate:

• Anacortes, WA 98221: Relocate before starting work (Required)

Work Location: In person