Registered Nurse - PACU

Job Description

Job Description

REGISTERED NURSE - PACU

SITE OF SERVICE:

· U.S Naval Hospital, Guam

· Full Time

POSITION QUALIFICATION/REQUIREMENTS:

· Education: Bachelor of Science in Nursing

· Accreditation: Shall be a graduate from a baccalaureate degree (BSN) program in nursing accredited by a national nursing accrediting agency recognized by the US Department of Education. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)

· Cardiac Certifications : Possess and maintain the following certifications:

o Basic Life Support (BLS)

o Advance Life Support (ALS)

o Pediatric Advanced Life Support (PALS)

· Experience: Shall have (2) two years of experience in the last 5 years as a Registered Nurse in an APU/PACU setting

· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse in any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

· U.S. Citizenship: Shall be a U.S. citizen

· English Language Requirement: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.

· Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.

DUTIES:

· Ensure patient care is carried out in accordance with the Standards of Nursing Care and the policies and procedures of the Hospital and/or Clinic.

· Check patients into the clinic and triage using clinic guidelines. Inform the nurse, physician extender, or physician of the patient’s condition and potential problems.

· Obtain and document patient and pertinent family history.

· Perform a full range of diagnostic support duties which include taking vital signs, collecting specimens, obtaining, recording, and tracking results of diagnostics tools.

· Assist the physician in a variety of diagnostic examinations such as lumber punctures, colposcopies, and sigmoidoscopies, by preparing, positioning, and monitoring patients, and setting out and handling instruments and equipment.

· Perform, record, and report results for laboratory tests such as checking urine for sugar and stool for blood and record and report results.

· Perform a range of treatment procedures that include sterile dressing changes, applying compresses, monitoring IV fluids, inserting catheters and suctions, inserting nasogastric tubes, administering medications, giving enemas, setting up and giving treatment that requires auxiliary equipment such as oxygen and suction. Ambulate patients to other areas to include Radiology, various clinics, and physical therapy.

· Prepare patients to test, examinations, treatments, and/or surgery. Collect specimens such as urine sputum, and stool. Label specimens for laboratory examination and follow up by using MHS Genesis or by calling the laboratory for reports. Alert provider to conditions which deviate from expected findings.

· Prepare, start, monitor, and discontinue intravenous fluids with accuracy and in accordance with established procedures.

· Observe, report, and document all observed symptoms, reactions, treatments, and changes in the patient condition to the registered nurse, physician extender or physician. Make careful observations to assess that nursing procedures and treatment do not cause additional distress.

· Perform routine nursing care activities such as taking blood pressures, temperatures, baths, and hygiene care, passing and removal of trays, changing linen, and otherwise assist in the care of the physical need of the patient.

· Operate basic equipment required in delivery of patient care such as pumps, IV pumps, oxygen administration apparatus, and incentive spirometers.

· Execute physician’s orders within the guidelines of standard nursing practice. Ensure accurate medication is administered in correct form and dosage to the proper patient as directed by the physician.

· Maintain records of nursing care, dose, and time of medication administered, and indicate if the medication was not administered and the reason.

· Recognize conditions which require isolation. Ensure universal precautions are used in all patients encounters.

· Recognize emergency situations and assist with, or institute emergency measures for sudden adverse developments in patients such as cardiac arrest.

· Perform preoperative procedures for minor surgery and fill out pre-op checklist.

· Assist patients in admission, transfer, and perform discharge planning follows up and documentation.

· Support the patient and/or family members toward the achievement of treatment plan goals. Provide instructions to the patient on invasive procedures, surgical procedures, and post-surgical conditions which were previously provided to the patient by a nurse, physician extender, or physician.

· Instruct patients on how equipment is used such as oxygen, suction, cardiac monitor, and pulse oximeter. Instruct patients and family on use of prescribed medications, contraindications of medications, and the necessity of proper follow up care.

· Provide emotional support to patients and families.

· Ensure necessary supplies to patients and families.

· Provide and orderly, clean, and safe environment for patients and staff.

· Handle telephone information requests with courtesy, accuracy, and respect for patient confidentiality. Receive information and distribute messages as necessary.

· Alert Nurse Manager when maintenance and re-supply of pharmaceuticals in the clinic is needed.

· Ensure upkeep and perform checks of emergency equipment (i.e., oxygen, emergency cart, suction apparatus, etc.) and maintain appropriate logs. Inform the in-charge nurse of any discrepancy on daily checks.

· Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes, and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.

· Demonstrate sound knowledge base and action in the care and decision making for designated patient situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at Contractor expense.

· Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.

· Establish priorities of patient care based on essential patient needs and available unit, MTF, and community resources including time, personnel, equipment, and supplies.

· Participate actively in multifaceted staff development activities at the unit, Director, and MTF level such as clinically mentoring to paraprofessional personnel. Assist the facilitator of training sessions such as MTF’s Basic Cardiac Life Support classes and other training that promotes staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.

· Provide individual, group, and family/significant other counseling and health teaching in relation to the patient’s condition and his/her ability for self-care. Provide accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.

· The HCW shall assist during the performance of clinical procedures. Such rection and interaction will adhere to Government and professional clinical standards and clinical protocols.

HOURS:

· Services shall be provided Monday through Friday, between the hours of 0630 and 1900 hours. Shifts will normally be scheduled for an 8.5-hour period, to include an uncompensated 30-minute lunch break. In no instance will the HCW be required to provide services in excess of 80 hours per two-week period.

· May be required to work on Federal Holidays.

Base Down Days:

During a planned closure of the facility due to training, closures before or after holidays family down days, Employee will only be compensated for the actual hours worked. If clinic is closed and employee is not able to work, employee will be required to use leave or take LWOP (without penalty).

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

LUKE is an Equal Opportunity employer

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