Registered Nurse (PACU)

Shift Information

Mon – Fri, 3pm – 11:30pm

Job Description

The Registered Nurse specializing in perioperative practice performs nursing activities during the pre-anesthesia, post-anesthesia Phase I, and post-anesthesia Phase II care of patients undergoing surgical procedures. The PACU nurse monitors patients having local procedures in the operating room and may administer conscious sedation if certified. This role is pivotal in ensuring quality care for pre and post-procedure patients by utilizing the nursing process, established standards of care, and appropriate policies and procedures. The peri-anesthesia nurse acts as a patient advocate and is responsible for directing and supervising any assigned personnel, while supporting the overall mission and values of the institution.

Essential Job Functions

• Conduct nursing assessments on patients in pre and postoperative phases of care.
• Perform patient admissions in accordance with hospital standards.
• Initiate and manage intravenous access.
• Monitor patients for changes in vital signs and consciousness, reporting and intervening as needed.
• Utilize the Aldrete scoring system during the PACU phase of care.
• Ensure patients maintain airway and adequate respiratory function.
• Implement interventions to sustain the status of various physiological systems and fluid balance.
• Consistently inform medical staff about patient status.
• Administer pain medications and evaluate their effectiveness.
• Treat postoperative nausea through medications and comfort measures.
• Develop individualized peri-anesthesia care plans.
• Assist anesthesia with nerve blocks as necessary.
• Follow safe medication practices, including the 8 rights of medication administration.
• Assess and implement interventions to maintain the integrity of surgical sites.
• Perform actions to maintain normothermia throughout the continuum of care.
• Educate patients and their caretakers on expected outcomes and post-operative care.
• Evaluate patient progress towards desired health outcomes.
• Collaborate effectively with interdisciplinary teams.
• Transfer patient care appropriately as needed.
• Delegate tasks according to Oregon State Board of Nursing guidelines.
• Utilize critical thinking and problem-solving skills to foster effective team relationships.
• Engage in professional growth and development activities.
• Advocate for patients and protect their privacy and health information.
• Involve patients and/or support persons in care decisions.
• Adhere to safety protocols, including infection control measures.
• Document accurately in electronic medical records.
• Maintain required competencies. Participate in education relevant to position.
• Float to other departments as qualified prior to core staff being floated.
• Perform other related duties as assigned.

Qualifications

Education

• Required: Associate of Applied Science in Nursing.
• Preferred: Bachelor of Science in Nursing.

Licenses/Certifications

• Required: Current Registered Nurse License in the State, BLS, PALS, ACLS, and TNCC certifications.
• Preferred: Conscious sedation certification, CAPA/CPAN certification, Ultrasound Guided IV certification, CRASE training (if applicable for travel assignments over six months).

Experience

• Required: One year of critical care experience or two years of medical-surgical experience.
• Preferred: Prior experience in Day Surgery, PACU, Pre-admission services, or ambulatory surgery centers. Familiarity with glucometers, arterial lines, electronic charting systems, bladder scanners, ultrasound equipment, rapid infusers, and blood warmers.

Physical Requirements

This position requires auditory, visual, and tactile abilities to perform essential functions effectively. Clear communication is necessary for interactions with patients and healthcare team members. The role entails continuous walking and standing, with occasional lifting and repositioning of patients. The ability to lift up to 50 pounds independently and engage in team-assisted lifting for heavier individuals is