Part-Time Circulator RN/PACU RN

Job Title: Post Anesthesia Care Unit Registered Nurse

Department: Medical

Reports To: Medical Director & Practice Manager

FTE Status: 0.25

Stiller Aesthetics Mission Statement:

Stiller Aesthetics is committed to providing a safe, caring and understanding environment that promotes self-love, happiness and encourages all to embrace who they truly are.

General Summary:

The PACU Registered Nurse is responsible for the monitoring of post-op patients who are recovering a surgical procedure in an outpatient setting. The PACU Nurse must oversee vital signs, change bandages, administer necessary medications, assess overall recovery, and educate patients and their families about homecare instructions.

Essential Job Responsibilities

• Utilized the nursing process to provide quality patient care according to established standards of care which includes planning, implementing, evaluating, and adjusting plan of care and discharge planning based on expected patient outcomes.
• Admits, transfers, and discharges patients.
• Completes ongoing patient asessment and documents according to policy.
• Participates in the development of patient plan of care to include patient problems, goals, evaluations, and interventions.
• Reports symptoms and significant changes in patient's condition to appropriate personnel.
• Assesses, collaborates, and coordinates patient's discharge planning needs and readiness for discharge with other members of the care team.
• Follows age specific standards in administering medications based on patient's age.
• Follows age specific standards of care during altered states of consciousness related to analgesia, conscious sedation, or anesthesia.
• Incorporates cultural and developmental needs into plan of care.
• In collaboration with the patient/family, and in a developmentally and culturally appropriate manner implements the plan of care.
• Demonstrates competency in the provision of nursing care according to established standards of nursing practice and in a developmentally appropriate manner.
• Provides documentation of patient care in the patient record according to established standards of nursing care.
• Maintains and protects confidentiality regarding all aspects of patient care, personnel, and strategic issues. Adheres to confidentiality policy.
• Receives patient from the operating room with report of pertinent history and procedure (surgery performed, medications, fluids, complications, anesthetic/sedation/reversal agents, emotional status pre-procedure.)
• Obtains baseline pre-procedure vital signs.
• Performs physical exam and vital signs per facility protocol.
• Proficient in basic dysrhythmia interpretation.
• Includes patient, family/significant other, legal guardian whenever possible in plan of care action development during PACU admission.
• Achieves organization goals by accepting ownership for completing new requests and exploring opportunities to add value to the organization.
• Expertise in pain management and ability to train other nurses on techniques of PO and IV sedation.
• Contributes information to staff meetings and reviews, resolves problems, and identifies system improvements.
• Maintains nursing guidelines while working within accreditation standards.
• Establishes a compassionate environment.
• Promotes patients' independence by providing detailed pre-operative and post-operative care instructions tailored to specific surgical procedures.
• Orders specimen containers and schedules pick up specimens with the lab.
• Audits the Surgical Logbook to ensure accurate logs of surgical procedures are completed.
• Maintains nursing supplies in inventory by studying usage, identifying trends, and anticipating needed supplies.
• Routinely monitors OR and PACU equipment to insure proper function and upkeep. Troubleshoots malfunctions and calls for repairs as needed.
• Updates physician preference cards as needed.
• Maintains organized inventory of various compression garments, and orders additional sizes and styles as needed.
• Conducts patient follow-up calls as needed and answers medical questions over the phone.
• Conducts Pre-Operative appointments with patients prior to surgery as needed. Reviews medical history, signs consents, answers questions, discusses sedation techniques, explains post-operative care, and takes photos.
• Reviews upcoming surgery charts for adequate medical clearance, labs, EKGs, medications orders, and caregiver information to ensure the patient is ready for surgery.
• Conducts post-operative follow-up appointments with surgical patients. Makes assessments, changes dressings, removes drains and sutures, provides interventions, answer questions, educates patients, and updates physician on patient status.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Competencies:

• Analytical
• Problem Solving Skills
• Technical Skills
• Customer Service
• Interpersonal Skills
• Strong Oral and Written Communication
• Teamwork
• Motivation/Hard Working
• Organizational Skills
• Timely in Attendance
• Dependable
• Willing to take Initiative

Education and/or Experience:

• Must be a graduate of an accredited nursing program with an associate of nursing degree or above and current Washington State RN licensure.
• 4+ years proven success in the health care industry working in a PACU

Certificates, Licenses, Registrations:

• Current Washington State RN License
• Current American Heart Association Basic Life Support for Healthcare Providers (BLS) and Advanced Cardiac Life Support Certification (ACLS).

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential job functions required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required to be on their feet up to 8 hours a day. They must be able to work at a counter height between 29 ½ to 40 inches. The employee must be able to routinely lift 30 pounds and use proper body mechanics when lifting and retrieving supplies and equipment. The employee will occasionally need to transfer patients from a chair and/or wheelchair, to exam table and back, or assess the situation and ask for assistance as needed.

Work Environment:

Registered Nurse at Stiller Aesthetics can expect to work in a versatile and fast-paced clinic environment.

Pay: $50.00 - $60.00 per hour

Education:

• Bachelor's (Preferred)

Experience:

• EMR systems: 4 years (Preferred)
• PACU: 4 years (Preferred)

License/Certification:

• BLS Certification and ACLS Certification (Preferred)
• RN License (Preferred)

Work Location: In person