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Registered Nurse

Houston Physicians' Hospital

This is a Contract position in Webster, TX posted September 3, 2021.

JOB SUMMARY

To act as patient advocate, providing continuity of care designed to meet individual patient needs through collaboration with other members of the health care team at the facility. Supports the philosophy, objectives and goals of the organization. The PACU nurse will ensure quality care to the individual patients recovering from surgery including but not limited to geriatric, adult, pediatric, and adolescent patients.

QUALIFICATIONS:

  •  Licensure as Registered Nurse in the State of Texas.
  • Current CPR, PALS and ACLS certification required
  • Cooperative work attitude towards and with co-workers, management, patients, visitors and physicians.

OCCUPATIONAL EXPOSURE

Category I exposure to bloodborne pathogens, frequent exposure to chemical hazards and may encounter radiation hazards.

RESPONSIBILITIES:

  •  Duties of the RN opening PACU for the day include:
    • Check crash cart and 02 tank
    • Conducts and documents departmental audits
  • Post‑operative care of the surgical patient includes:
    • Airway maintenance.
    • Stabilization of vital signs.
    • Safe emergence from anesthesia.
    • Control of pain, nausea and other conditions by administration of drugs, under the direction of physician orders.
    • Orientation to surroundings.
    • Administration of special equipment (i.e., ice bags, post-­op shoes, slings).
    • Offer nourishments.
  • Follows proper procedures regarding exposure to Category I tasks.
  • Follows proper procedures for handling hazardous waste materials.
  • Follows appropriate PACU policies and procedures.
  • Accurately, timely and completely documents vital signs, nurse’s notes, assessment and medications administered in/on the PACU record.
  • Acknowledge and follows physicians’ orders. (Both surgeons and anesthesiologists).
  • Reviews discharge instructions and educates patient and/or responsible adult with appropriate information to alleviate fears and maintain optimal post‑op care in the home environment.
  • Obtains discharge order from anesthesiologist or surgeon (if local anesthesia) prior to discharge.
  • Makes Post Op calls of previous days’ patients to check patient’s condition. Records complications and document in Variance Reporting system.
  • Assists with nerve blocks performed by anesthesiologist in the PACU area.
  • Respects patient’s right to privacy, dignity and confidentiality.
  • Is knowledgeable about and responsive to emergency situations, i.e. cardiac arrest, malignant hyperthermia, drug reactions, fire, disaster, etc.
  • Reports and completes appropriate forms for incidents related to patients, visitors, and employees. Reports to immediate supervisor timely.
  • Attends and participates in staff meetings and staff development programs, including mandatory ones.
  • Participates in CQI process and activities.
  • Assist with all other duties as the need arises or as assigned.
  • Cleans stretchers after each patient and restocks supplies. Prepares PACU bay for next patient.
  • Set priorities to facilitate the timely and efficient flow of patients throughout the day.
  • Prepares and restocks the PACU area for the following day.

PHYSICAL DEMANDS                                                                                                   

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
  • The employee must be able to lift and/or carry over 20 lbs. unassisted on a regular basis and be able to push/pull over 25 pounds on a regular basis.
  • The employee must be able to stand and/or walk at least five hours per day.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.