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Job Summary:

The Registered Nurse for Recovery is responsible for providing professional, research-based nursing care during the pre- and post-operative process for patients undergoing surgical and other invasive procedures. This position is an integral part of the patient's care team through the pre-, intra-, and post-procedural phases of care working closely with the Anesthesiologists, Surgeons and other health care professionals to support an optimal care experience.

Key Responsibilities:

Utilizes the nursing process as a basis of care. Acknowledges, coordinates and implements diagnostic and therapeutic orders of each patient.
Accountable for administration of, observation, charting and reporting effects of drugs, intravenous procedure, other therapeutic and diagnostic measures in a safe and accurate manner.
Arranges outpatient postoperative appointments with surgeon's office during office hours.
Gives nourishment as indicated by surgeons orders, patient's condition or desire. Reviews outpatient postoperative instructions with patient and/or responsible party verbally and in writing. Discharges outpatients according to Discharge Protocol. Makes follow-up outpatient calls according to protocol.
Performs pre-op physical assessment according to protocol. Checks chart for completion of consent, history and physical, and reports of ordered diagnostic studies. Takes nursing history in reference to reason for hospitalization, allergies, physical limitations/special considerations influencing positioning and care during surgery. Communicates with appropriate O.R. nurses and anesthesiologist regarding information gathered from patient interviews.

Assessment and Intervention:

Assess patient's condition: vital signs, patency of airway, level of consciousness, condition of wound, dressing, patency of IV and condition of site, patency of drains and tubes, level of block in regional anesthesia.
Takes vital signs every 15 minutes or more often as indicated by patients' condition. Medicates for pain as indicated, as ordered by anesthesiologist or surgeon. Checks surgeon's postoperative orders and implements those requiring immediate action. Communicates with family regarding patient's status. Notifies nursing unit personnel prior to transfer from PACU.
Ensures compliance with all established hospital policies, procedures and guidelines.

Requirements:

A minimum of two (2) years of nursing experience in an acute care hospital setting required with two (2) years of previous critical care experience strongly preferred. Must maintain an active Registered Nurse license issued by the WA Department of Health. Must maintain active BLS, ACLS and PALS certifications. CPAN certification encouraged, BSN preferred.

Work Environment:

This position is performed inside, exposing the employee to indoor environmental conditions, protected from weather conditions but not necessarily from temperature changes. The employee may be exposed to dust, pollens, pollutants, fumes, communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations and other conditions common a health care environment. The noise level in the work environment is usually moderate.

Physical Demands:

The employee is regularly required to stand for extended periods of time; push, pull and reach; occasionally bend, sit, stoop and stretch. The employee will need full range of body motion, including handling and lifting of patients, should have the hand-eye coordination and manual dexterity needed to operate a keyboard, photocopier, telephone, calculator and medical equipment. Normal range of hearing and eyesight to record, prepare and communicate appropriate reports are required; specific vision requirements: close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus. Occasionally lift and carry up to 50 pounds.