Surgery RN PACU - Per Diem*

Surgery RN PACU - Per Diem

Important Note: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

Position Summary:

Manages individualized, goal directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures.

Position Requirements:

Minimum Education:

• Graduation from an accredited school of nursing

License Required:

• Current NV Nursing license

Certification Required:

• BLS
• ACLS
• PALS (may obtain within 90 days of hire)

Minimum Work Experience:

• Demonstrated proficiency in acute care nursing, knowledge, and skills
• Ability to communicate effectively
• Must show initiative, maturity, and effectiveness in dealing with people
• Appreciation of and desire to be part of a healthcare team

Position Essential Functions:

Patient Care:

• Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients.
• Verification of patient identity, operative procedure, operative site, surgeon, consents, patient's allergies, NPO status and when the patient last voided.
• Assesses psychological status, including level of understanding, perception of surgery and anxiety level.
• Obtains pre-operative medical history and documents clearly in the patient record in accordance with department's policy and procedures.
• Checks the current history and physical, laboratory results, the execution of preoperative orders, and results of ordered diagnostic tests.
• Reviews completed chart with the Anesthesiologist on duty as necessary.

Communication:

• Develops, discusses, and communicates a realistic plan of care in collaboration with each patient/family/significant other, to address all identified needs.
• Develops patient/family teaching and discharge plan, ensuring patient/family is adequately informed of perioperative instructions.
• Follows procedures/preferences for pre-operative anesthesia interventions
• Communicates with and keeps family informed.

Judgment:

• Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications.
• Demonstrates knowledge of commonly used meds: action, dose, and side effects.
• Observes 10 rights of medication administration: right med, right dose, right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation (policy 105.724).
• Demonstrates proper procedures in all methods of medication administration.
• Initiates and maintains IV access according to hospital policy and procedures.
• Identifies priorities and executes nursing care accordingly.
• Provides emotional support and comfort measures.
• Gives information or explanation to patients and their families.
• Applies and monitors principles of aseptic technique throughout the perioperative period.
• Assures safe transfer/transport of patient to and from operating room.

Documentation:

• Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care.
• Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy.
• Medication administration record must reflect full signature and title of nurse administering med, time given, reason for omission, and site for injection (if applicable).
• Demonstrates proper access and documentation of narcotics in pyxis and EMR.
• Accurately and promptly documents unusual occurrences noted during the perioperative phase

Carson Valley Health is proud to be recognized as a finalist in the "Best Places to Work" - Northern Nevada, 2021, 2022, 2024 & 2025!

We look forward to welcoming you to our team!

Per diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.