At HCA, It's You, It's Me, It's All of Us ® NO on-call, NO nights, and NO weekends.
PACU Nurse Full-time
HCA has been recognized as a World's Most Admired Company
in the Health Care Medical Facilities Industry by Fortune Magazine
and is a top employer in healthcare. The Ambulatory Surgery Division of HCA
operates and jointly owns with physicians 130 surgery centers across the United States Designed exclusively for outpatient surgery, our centers offer state-of-the-art facilities that use the most modern surgical equipment available today. We operate Monday-Friday during daytime hours removing the requirement of being on-call, working nights, or on the weekend. The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search additional members for our team!
We value you and your future. In addition to your salary and health insurance benefits, HCA provides a matching 401k that grows incrementally over time from a 3%-9% company match as well as an Employee Stock Purchase Plan (ESPP). As a result of our size, members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today!
GENERAL SUMMARY OF DUTIES:
Contributes to the company by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered postoperatively until patient is dismissed from the facility. OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Age Specific Care:
- Demonstrates necessary practical, technical, or specialized skills required for the role of the post-operative nurse in accordance with patient care and regulatory standards of practice.
- Prepares patient care area adequately and ensures availability of necessary equipment and supplies.
- Demonstrates proper airway management techniques (oral airway, extubation, pulse oximetry monitoring, O2 administration, etc.)
- Demonstrates understanding of principles of hemodynamic monitoring and monitors patient according to policy (vital signs, temperature, cardiac, etc.).
- Recognizes signs and symptoms of patient's condition that indicate potential post procedure or anesthesia related complications and report to anesthesiologist immediately.
- Monitors and maintains proper intravenous intake and output.
- Exhibits proper technique for insertion, maintenance, and removal of IV catheters and saline locks.
- Performs head to toe assessment of patient and evaluates patient utilizing approved scoring system upon admission and as indicated by policy.
- Documents patient assessment upon admission.
- Checks dressings and operative site and reports abnormalities to the surgeon.
- Provides a safe and comforting environment for patient and family while restraining patient for safety reasons, as needed and in accordance with facility policy.
- Prepares and administers medications in accordance with current practice (i.e. antibiotics, narcotics, preparing/labeling medications, identifying high alert medications, utilizing 7 patient rights for medication administration and appropriate handling of narcotic waste).
- Demonstrates thorough understanding of medications utilized intra and poster operatively and recognizes the need for use of reversal drugs, when necessary.
- Recognizes emergency situations and responds effectively in a calm and controlled manner.
- Prepares patient for transfer to hospital when necessary.
- Assures that patient meets all discharge criteria.
- Patient is evaluated by a physician/anesthesia provider prior to discharge.
- Written discharge order is received from the attending physician prior to patient discharge.
- Patient is discharged home with a responsible adult, unless otherwise approved by physician.
- Confirms that patient and family receives and verbalizes understanding of written discharge instructions.
- Documents all appropriate patient information in accordance with charting guidelines.
- Conducts patient post procedure calls. Documents and reports to patient's physician any abnormalities communicated by patient/family member during the follow up call.
- Takes responsibility for careful and accurate handling and/or logging of narcotics.
- Utilizes appropriate body mechanics in moving patients and stretchers to prevent injury to patient and self.
- Complies with principles of hand hygiene, aseptic and sterile technique.
- Demonstrates knowledge related to maintenance and cleanliness of instruments and equipment. Maintains a sanitary environment for the provision of patient care.
- Appropriately handles the disposal of biohazardous materials.
- Restocks area daily, using appropriate par levels and daily stock sheets.
- Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Center's goals and objectives.
- Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.
- Takes personal initiative to maintain current RN licensure, BCLS, ACLS, and PALS (if indicated) and other professional certifications current as defined by job role.
- Uses facility resources appropriately and avoids wasteful practices.
- Attends all mandatory in-services, staff meetings, and participates in emergency drills.
- Participates in the orientation of new employees.
- Completes annual competency and other required education as assigned.
- Maintains confidentiality and security of records and patient information at all times.
The patient care requirements may include those of pediatric, child, adolescent, adult, and geriatric populations.Qualifications: KNOWLEDGE, SKILLS & ABILITIES:
- Knowledge of peri-operative care standards and post-anesthesia techniques.
- Demonstrates attention to detail by ensuring that all documentation is legible, complete, accurate, and factual.
- Knowledge of organizational policies, procedures, systems, and objectives.
- Maintains advance knowledge of advances in peri-operative field of nursing.
- Has knowledge of patient rights and strives to improve patient outcomes by respecting each patient's cultural, psychosocial, and spiritual values.
- Knowledge of applicable regulatory, compliance, and accreditation standards and requirements.
- Possesses critical thinking skills.
- Demonstrates a willingness to listen to others and openly expresses respect for differing opinions.
- Demonstrates leadership, effective organizing, and planning skills.
- Effective problem solving skills to include data analysis and judgment to make effective decisions.
- Ability to work with minimal supervision.
- High Impact Communication - Effective oral and written communication skills
- Computer Skills - Knowledge and basic use of computer skills.
- Maintains high level of confidentiality at all times.
- Ability to build trust and gain respect through effective team leadership and participation skills.
Graduate from an accredited school of professional nursing. EXPERIENCE:
- Minimum 2 years experience in a PACU or ICU setting; preferably in an ambulatory surgery center.
- Additional specialty experience may be required as per facility practices(i.e. Pediatric, GI, etc)
- Active RN license as required by state of employment.
- Required valid BCLS Certification upon employment. ***online certification not acceptable.
- ACLS required.
- PALS as required by facility.
A little about us:
HCA is the nation’s leading private provider of healthcare services. Comprised of locally managed facilities which include 230,000 employees at over 160 hospitals, over 120 surgery centers and 100 urgent care facilities in 20 states and the United Kingdom