RN Periop Float

Careers At Jack Hughston Memorial Hospital

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*** THIS POSITION IS ELIGIBLE FOR A SIGN ON BONUS UP TO $20,000.00***

Shift: Varies from Dept: 5:00AM - 5:00PM EST (OPS), 7:00AM - 7:00PM EST (PACU), 8:00AM - 4:30PM EST (PAT)

The Registered Nurse (RN) floats to OPS, PACU, and PAT departments. The RN performs the functions of assessing, planning, implementing, and evaluating the care for assigned patients. The RN is responsible for meeting the Standards of Practice, which includes managing all assigned personnel, supplies, and equipment, and for promoting collaboration with all members of the health care team.

Patients requiring anesthesia/sedation will have an interview/assessment in advance of the surgery/procedure. Patient evaluation integrates clinically indicated testing, consultative services and patient education. The goal of the preoperative assessment is to optimize the patient for the surgery/procedure.

Assessment and management components include:

• Extensive health history
• Appropriate physical assessment
• Testing/Referrals as indicated
• Psychosocial-family status
• Preoperative/preprocedural patient teaching
• Development and communication of a plan of care
• Documentation and communication of all pertinent information

The Registered Nurse’s role is to focus on providing postanesthesia nursing in the immediate postanesthesia period.

• Basic life-sustaining needs are of the highest priority.
• Constant vigilance is required.

Initial, ongoing, and discharge assessment and documentation components include:

• Integration of data received at transfer of care
• Airway and respiratory/ventilation status
• Cardiac and hemodynamic status
• Thermoregulation
• Vital Signs
• Neurological function
• Sensory and motor function as appropriate
• Condition and color of skin
• Patient safety needs
• Neurovascular: peripheral pulses and sensation of extremity(ies) as applicable
• Condition of dressings and visible incisions
• Patency of drainage tubes, catheters, and IV lines
• Intake and output
• Pupillary response
• Medication management
• Surgery/procedure specific assessments
• Individualized plan of care
• Nursing actions and/or interventions with outcome
• Anticipation of any needed equipment for receiving unit, as appropriate
• Inclusion of family in physical, spiritual/emotional care of patient as indicated

The RN’s role is to validate existing information, eliciting additional or new information, reinforcing preoperative teaching, reviewing discharge instructions and providing nursing care to complete preparation for the experience

Assessment and management components include:

• Verification of patient identification and expected procedure
• Review and/or completion of the pre-op assessment
• Relevant preoperative status including: VS, skin integrity, diagnostic test results, allergies, home medication review, NPO status, disabilities, limitations, impairments, substance use/abuse, external or implanted medical devices.
• Pregnancy testing
• Perioperative normothermia assessment and management
• Patient safety needs
• Relevant preoperative emotional, safety, spiritual, and psychological needs of patient
• Prescribed surgical prep completion
• Availability of accompanying responsible individual to assist with home care
• Knowledge or pre-procedural teaching and discharge planning
• Clinical monitoring as indicated
• Procedure specific assessment
• Documentation and communication of all pertinent information
• Post-procedure, the RN focuses on preparation for care in the home.

Data collected and documented to evaluate the patient’s status for discharge include:

• Airway/respiratory status
• Vital signs
• Thermoregulation
• Level of consciousness
• Ambulation
• Ability to swallow
• Presence of nausea/vomiting
• Skin color/condition
• Condition of dressing/surgical or procedural site
• Urinary status
• Patient and home care provider knowledge of discharge instructions
• Written discharge instructions given to patient/accompanying responsible…