RN - PRE-OP/PACU - PRN

Responsible for the planning, executing, directing and evaluating the nursing care given to the surgical patient by assuming the preoperative role. The role is defined as the pre-operative and the post-operative period. May have contact with the patient in each phase of the surgical experience. The responsibility includes the preparation, assembly and organization of the environment, equipment and supplies necessary to perform the activities necessary for the preparation and the recovery of the ambulatory surgical patient.

• Participates in the preparation of the patient for surgery. Performs the pre-admission assessment either over the telephone or in person. Provides pre instructions. Ascertains that all appropriate data is in the patient’s record prior to admission or immediately following admission and prior to procedural intervention. Communicates abnormal and/or extensive medical history to the anesthesiologist as soon as discovered.
• Maintains communication with reception area and OR/Endoscopic rooms to assure efficient movement of patients. Assists with the preparation of medications for blocks and/or local injections. Admits the patient in the pre-op area and follows the admission protocols.
• Receives patient from OR/Endoscopic rooms and assesses patient's condition on admission and discharge, and documents on PACU records.
• Observes and monitors the post-op/procedure patient by taking vital signs, EKG and documenting patient’s progress while in PACU.
• Administers medications, IV’s and treatments; maintain records regarding dispensing of it; observes patient’s reaction and acts appropriately in the event of adverse reactions.
• Performs/assists Physician in sterile and non-sterile dressing changes and other procedures as requested.
• Assures patient that he/she is not, and will not be, left alone in the Recovery Areas. Provides a summary of Post-op instructions to patient to discharge from the unit.
• Makes sure patient has follow-up appointment before being discharges; if ordered by the physician. Gives immediate respiratory assistance or support, including use of AMBU bag, airways, and endotracheal tubes; administers CPR; assists with defibrillation, and performs venipuncture, in emergency situations.
• Knows and maintains Code Blue/crash cart. Recognizes and utilizes safety precautions and procedures. Remains familiar with equipment and supplies, including function, location, and upkeep. Assists in restocking unit as needed. Maintain a comfortable, orderly, clear, safe environment in the Recovery Area.
• Performs other duties as deemed necessary.