Role: Registered Nurse (RN - OPD/PACU)

Job Category: Surgical Services

Fulltime/Permanent

Location: Anacortes, WA

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 Anesthesiologists, 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 anesthesiologist 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 anesthesia. Takes vital signs every 15 minutes or more often as indicated by patients' condition. Medicates for pain as indicated, as ordered by anesthesiologist 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 the 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, analyze 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 minimum of two (2) years of nursing experience in an acute care hospital setting 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.

Job Type: Full-time

Pay: $50.11 - $67.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Anesthesiology
• Medical-Surgical

Physical setting:

• Acute care

Standard shift:

• Day shift

Supplemental pay types:

• Bonus opportunities
• Signing bonus

Weekly schedule:

• Monday to Friday
• Weekends as needed

Experience:

• Nursing: 1 year (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN (Preferred)

Ability to Commute:

• Anacortes, WA 98221 (Required)

Ability to Relocate:

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

Work Location: In person