OrthoVirginia, Virginia's largest provider of expert orthopedic and therapy care, is currently seeking a PRN, experienced Registered Nurse- Pain Management to join our team!
Summary
The primary purpose of the Registered Nurse for Preop/Pacu position is to be responsible for the delivery of safe, effective, and quality patient-family centered care in the areas of perianesthesia/perioperative services for all patient populations. Supports the mission, vision, and values of the organization.
Essential Duties and Responsibilities include the following:
Support the mission, vision, and values of the organization.
Assess patient's pre and 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.
Interpret information accurately from various non-invasive and invasive monitors.
Describe the underlying pathophysiology of commonly encountered disease processes.
Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions.
Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score i.e., PARSAP , Post Anesthesia Discharge Scoring System PADSS , White) score accurately as defined by organizational policy.
Develop an individualized perianesthesia plan of care.
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;
communicating the patient's current status throughout the perianesthesia continuum of care;
providing acute pain and comfort management as needed;
administering medications correctly by implementing the 7-rights of safe medication practices (i.e., 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.
Evaluate the patient's progress toward attaining outcomes.
Transfer care as needed.
Delegate tasks according to scope of practice and job descriptions.
Document nursing care completely, accurately, and legibly.
Collaborate effectively with other disciplines as needed.
Participate in quality review and performance improvement projects.
Participate in the performance appraisal process.
Use critical thinking, problem-solving and conflict resolution skills to foster effective work relationships with team members.
Maintain required competencies.
Pursue professional growth and encouraged to participate in a professional organization.
Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
Compliance Responsibilities
Compliant with all federal and state statues including OSHA. Compliant with all AAAHC (Accreditation Association for Ambulatory Health Care) standards and OV Policies.
Job Requirements
Required:
Graduate from an accredited school of nursing
Current registered nurse licensure in state of Virginia
BLS, ACLS, and PALS certification
Basic Computer Skills
At least 1 year of ICU or ER Experience
Prefer Perianestheia or Perioperative Experience
BSN preferred
CAPA, CPAN preferred
Physical Demands:
.
Physically demanding, high-stress environment
Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions
Pushing and pulling heavy objects
Full range of body motion including handling and lifting patients
Manual and finger dexterity
Hand and eye coordination
Standing and walking for extensive periods of time
Lifting and carrying items weighing up to 50 pounds
Working with lead apron during special procedure cases
Corrected vision and hearing to within normal range
Working under stressful conditions
Working irregular hours including evenings