RN - PACU

RN - PACU

Pre-Op and PACU/Recovery Unit 3/12s Shift - Friday - Sunday PM Shift*Must have Pre-Op and Pacu Experience**No first time travelers**Must be proficient in EpicUnit/Job Details: All nurses are trained to work in Pre-op and Pacu combined unit** 2 years of experience required in ER, ICU or Pacu All RN Shifts are 12 hours with 0500 start time if in pre-op and 0800/0900/1000 in Pacu on weekdays Weekends are 4 RNs, 2 at 0600 and 2 at 0800 Call: Required 2-3 shifts per month (on call with 30 min call back) Call is required for all staff with the call shifts weekdays 2200-0500 and weekends are 12hr call 0600 and 1800 starts Night shifts are Mon Thurs 2000 0430 (only 10 positions) and weekends 12hr 1800 start RN will primarily work in either Pre-op or Pacu due to schedules, travelers are first to float All RNs required to take call unless working an off-shift (night or weekend) position as their regular shift. RNs will care for patients in both pre and post settings if called in and during off shifts Busy unit with majority of cases scheduled as add-on Unit supported with techs Average daily census: 35 50 12 rooms, 24 beds Patient age group: pediatrics, adolescents, adults, geriatrics Limited pediatrics, patient population 30s-100s Float required to Pre-Op and Post-Op within Surgical Services; may be floated to outpatient ortho surgery or same day surgery center (on rare occasions) All surgical patients are seen by pre-op RN Medication system: Omnicell Previous Charge experience preferred Scrubs: Royal Blue (provided) 2 requests off per contract acceptedSpecial Procedures: ICU, open hearts, neurosurg patients recover in ICU unless ICU on hold Surgical services includes: Bariatrics, Cardio Thoracic, General, GYN, GYN-Onc, Neuro, Spine, Ortho, Plastics, Podiatry, Urology, Vascular, Endovascular May cover IRL, EP, Cath, pulm, CT/MRI patients if off hours or recovery area is full Very busy Robotic program (6 Robots) and busy Ortho total joint program Unit staffed 24/7 Required Certifications/Experience: ACLS BLS NIH PALS Phase I Pacu Dysrhythmia recognition/management Starting IVs Airway assessment Obtain operative/procedural consent Straight Urinary Catheterization female and male Pain assessment and managementPreferred Skills/Experience: Ambulatory/Outpatient Inpatient Level 1 Trauma Center Level 2 Trauma Center Pre-Post Gastric Bypass Gastric Sleeve Lap Band Arterial line management Bariatrics Cardiac Endo/Laparoscopic General Gyn Neuro, Neuro/Spine Ortho, Ortho/Spine, Ortho/total joints Plastics Podiatry Robotics Thoracic Urology Vascular Carotid Endarterectomy Sheath Pull Vascular Surgery Hyperglycemia/Hypoglycemia Protocols Cholecystectomy Colon Surgery Whipple AV/Fistula/Shunt Renal Surgery TURP Bilateral Tubal Ligation Hysterectomy Mastectomy Blood Product Administration, Central Line care/management, Phlebotomy, PICC line care and management Medications: Antiarrhythmics, Anticoagulants, Antihypertensives, Emergency Medications, IV vasopressors, Narcotics/Analgesics, Reversal Agents Neurological: Anterior/ Posterior Fusion, Cervical Fusions, Craniotomy, Sine Surgery Ortho: Circulation Checks, Open Reduction and internal fixation, Total joint replacement Plastics: Abdominoplasty, breast augmentation Respiratory: Chest tube management, End-Tidal CO2 monitoring Anesthesia: conscious sedation, epidural, general, local, monitored anesthesia care (MAC), nerve blocks, spinal Pre/Post Op Care: Follow up calls, obtain 12 lead EKG, Pre/Post Operative procedures, Pre-op assessment, Pre-op education, Review history and physical, Wound Vacs Interpretation and communication of labs Isolation precautions Malignant hyperthermia protocols PCA pump and management