RN - PreOp/PACU

Role And Responsibilities The RN opening PACU/Pre-op/Step-down for the day includes: Check crash cart and 02 tank. Restock refrigerator with fluid supply. Readies area to receive patients from surgery. Checks drug out-dates monthly. Makes Pre- and post-operative phone calls to patients. Post-operative care of the surgical patient includes: Airway maintenance Stabilization of vital signs. Safe emergence from anesthesia. Control of pain and nausea by administration of drugs. Orientation to surroundings. Administration of special equipment (i.e., ice bags, post-op shoes, slings). Duties for opening the Pre-op area for the day: Review anesthesia health history. Check schedule against pre-op phone call Check for H&P's Make pre-op phone calls when indicated. Assesses physical and emotional needs of patients and implements appropriate measures needed. Nursing interventions. Include confirmation of the following information: Allergies Medications taken day of surgery prior to arrival Dentures, contacts, or glasses Pertinent medical conditions Pertinent current/past medical history Confirmation of consent and operative side Confirmation of responsible party Assesses or performs the following: Obtains VS (age specific) Temperature Weight and height Accu-Chek for blood sugar, if applicable Pregnancy test, if applicable Start IV on all patients, except those who have an order not to start an IV. Utilizes anesthesia orders regarding IV fluids and catheter size. Respects patients’ right to privacy, dignity, and confidentiality. Assists the patient to undress, if patient needs assistance, and gives locker key to patient’s family or places key on front of charts. Follows appropriate Pre-Op/Admitting policies and procedures. Performs pre-operative instruction and explanation according to facility policy and procedure. Provides preoperative instruction and explanation of patient rights and Responsibilities. Describes the perioperative experience to the patient and the participation of the significant other, including what to expect before, during and after the procedure. Completes the nursing pre-assessment record. Follow proper procedures regarding exposure to Category I tasks. Follows proper procedures for handling hazardous waste materials. Documents vital signs, nurse's notes and drugs administered on the appropriate record. Notes and following providers orders. (Both surgeons and anesthesia provider). Reviews discharge instructions and educates patient and/or responsible adult with appropriate information to alleviate fears and maintain optimal post-op care in the home environment. Obtains discharge order from anesthesia provider or surgeon (if local anesthesia) prior to discharge. Makes Post Op calls of previous days' patients to check patient's condition. Records patient reports and any complications. Proper documentation on all transfers to a higher level of care and files QA Variance Report with Supervisor. Assists with nerve blocks performed by anesthesia providers in the Pre-Op /PACU area. Cleans stretchers, bays & equipment after each patient and restock supplies. Just prior to leaving, does the following: Cleans the Pre-op, PACU, and Step-down areas and prepares it for the following day Locks drug cupboards. Deposit keys in locked box. Turns off all appropriate appliances. Secures medical charts, prescription pads. Closes supply closet door. Logs off computers. Turn off all lights. Attends and participates in staff meetings and staff development programs, including mandatory ones. Participates in CQI process and activities. Reports and completes appropriate forms for incidents related to patients, visitors, and employees. Is knowledgeable about and responsive to emergency situations, i.e., cardiac arrest Other duties as assigned. Qualifications And Education Requirements Licensed as Registered Nurse in the State of Kansas Current CPR certification. ACLS certification. PALS certification Demonstrate ability to stand and/or walk at least five hours per day Demonstrates ability to lift and/or carry over 20 pounds on a regular basis Demonstrates ability to push/pull over 25 pounds on a regular basis. We are an equal opportunity employer and welcome applications from diverse candidates.

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