Prep/Recovery and PACU RN

<p>The Prep/Recovery & Post Anesthesia Care Unit (PACU) Registered Nurse (RN), known as Peri-anesthesia RN, is responsible for administering care to the patient pre and post surgical or other invasive procedural care in the 12 bed Prep/Recovery unit and the 7 bed PACU unit. The RN is responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.</p><h3>Major Duties</h3><p>Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Core elements of performance include knowledge and active participation in the unit/program level quality improvement process and initiatives as well as customer service programs. The Nurse II Peri-anesthesia RN provides specialized care in the assessment, planning, implementing and evaluation of care throughout the pen anesthesia continuum to include the Pre anesthesia Phase, Post anesthesia Phase I, Post anesthesia Phase II, and extended care from sedation/analgesia and/or anesthesia for surgical, diagnostic, or therapeutic procedures. The Peri-anesthesia RN possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions. The Peri-anesthesia RN assesses and prepare patients for procedures appropriately. Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention. The Peri-anesthesia RN applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs, neurological system, hemodynamic stability, pain, and comfort needs and mental status, implementing appropriate interventions to maintain or return all physiological system to baseline. The Perianesthesia RN maintains knowledge of current American Society of Pen anesthesia Nurses (ASPAN) standards, Veterans Health Administration (VHA) Directives and facility/service level guidance. The Perianesthesia RN is responsible for ensuring comprehensive documenting of all phases of care and is timely, complete, and accurate in the electronic health record (EHR). The Perianesthesia RN demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. Evaluates practice in an ongoing process, based on best evidence. Provides peers with informal constructive feedback for improvement. Fosters a safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary team. Partners with others to effect change and produce optimal outcomes. Supports colleagues through knowledge sharing to provide safe, quality nursing care. Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care. Engages in activities and implements strategies to maintain an environment grounded in evidence-based practice. The staff of Prep-Recovery and PACU strive to provide High Quality Care based on ASPAN Standards: Pre-Admission: The nursing roles in this phase focus on physical, psychosocial, sociocultural and spiritual preparation for the experience. Interview and assessment techniques are used to identify potential or actual problems. Education and interventions are initiated to optimize positive outcomes. Day of Surgery/Procedure: The nursing roles in this phase focus on validating existing information, reinforcing preoperative teaching, reviewing discharge instructions and providing nursing care to complete preparation for the experience. lntraoperative: Prep/Recovery and PACU doesn't not provide intraoperative care, but will communicate and collaborate with the Operating Room Team performing intraoperative care and be available to assist in the event of emergency in the operating room. Phase I Recovery: The nursing roles in this phase focus on providing post anesthesia nursing in the immediate post anesthesia period, transitioning to Phase II, the in-patient setting, or to an intensive care setting for continued care. Basic life-sustaining needs are of the highest priority. Phase II Recovery: The nursing roles in this phase focus on preparation for care in the home or an extended care environment. The Prep/Recovery & PACU RN reports to the Perioperative (OR/Prep/Recovery/PACU) Nurse Manager. May be assigned other duties as appropriate by Perioperative leadership. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Work Schedule: Monday-Friday, 5:30 AM to 8:30 PM, schedule to be discussed at interview. 8, 10, 12 hour shifts to be determined. No weekends, No holidays. Telework: Not Authorized Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required</p><h3>Requirements</h3>U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. You may be required to serve a probationary period. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Must pass pre-employment physical examination. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).<h3>Education</h3>IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.