Nurse PACU

Fresno Surgical Hospital

Full Time
CA, Fresno
Posted 2 months ago

Job Summary

This position is accountable for providing direct care to the patient
immediately postoperatively until the patient is discharged from the Post
Anesthesia Care Unit. Participates in performance improvement activities.
Communicates with surgeon and anesthesiologist continuously, and as needed,
about patient conditions; receive direction for patient management. Intercedes
to maintain optimum homeostasis.

Reasonable Accommodation Statement

To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. Reasonable accommodation may be made to enable
individuals with disabilities to perform the essential functions of the
position without compromising patient care.

Minimum Education and Work Experience

* Completion of an accredited registered nursing program.
* Two years of work experience in Postanesthesia Care Unit (PACU), Intensive Care Unit (ICU) or Emergency Room (ER) preferred.

Required Skills

* Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
* Ability to plan and prioritize work with frequent interruptions.
* Ability to provide exceptional customer service.
* Effective verbal and written communication skills.
* Knowledge and proficiency of hospital information technology applications.

Required Licenses/Certifications

* Current California Registered Nursing License.
* ACLS and BLS Certificate required.

Minimum Standards

* Time & Attendance (see FSH Time & Attendance Policy)
* Professional Appearance (see FSH Dress Policy)
* Staff meetings (90%)
* Annual Requirements
* Mock Code Blue (min. 2 per year if applicable)
* PPD/TB Screen
* Annual Competencies
* Flu Vaccine
* License/Certifications
* Compliance Training

Essential Functions

* Administers care according to current state and local laws covering the delivery of patient and standard of care.
* Develops an individualized plan of care based on nursing assessment and surgical procedure and revises the plan to meet the changing needs of the patient.
* Assures the needs of patients and families are recognized and addressed through coordination with other team members within the health care system and community.
* Contacts outpatients by telephone on their first postoperative day to assess the patient’s status and assist patient to obtain further medical attention or instructions should the condition warrant.
* Demonstrate ability to adequately assess and reassess pain.
* Utilizes appropriate pain management techniques.
* Educates the patient and family regarding pain management.
* Documents and communicates all necessary information to the staff.
* Identifies physical symptoms, changes and takes appropriate action in a timely manner.
* Interprets the physician’s postoperative instructions and nursing rationale for postoperative care to the patient and family.
* Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
* Observes, monitors and records procedures and information regarding the patients total care in the Post Anesthesia Care Unit from admission to discharge.
* Reports changes and abnormalities in patient’s condition to the anesthesiologist and the surgeon.
* Other duties as assigned.

Physical Demands

* Ability to Adjust Focus – (ability to adjust eye to bring an object into sharp focus)
* Close Vision – (clear vision at 20 inches or less)
* Color Vision – (ability to identify and distinguish colors)
* Depth Perception – (three-dimensional vision; ability to judge distances and spatial relationships)
* Distance Vision – (clear vision at 20 feet or more)
* Peripheral Vision – (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point)
* Lift up to 10 pounds – 2/3 and more of time
* Lift up to 25 pounds – 2/3 and more of time
* Lift up to 50 pounds – 1/3 to 1/2 of time
* Lift more than 100 pounds – 1/3 to 1/2 of time with assistance
* Push/Pull – 2/3 and more of time
* Reach with hands and arms – 2/3 and more of time
* Sit – up to 1/3 of time
* Stand – 2/3 and more of time
* Stoop, kneel, crouch or crawl – 2/3 and more of time
* Taste or smell – up to 1/3 of time
* Use hands to finger, handle or feel – 2/3 and more of time
* Walk – 2/3 and more of time

Work Environment

* Body fluid exposure – Yes
* Fine Dexterity – Both (3-4 hours)
* Fumes or airborne particles – 1/3 to 1/2 of time
* Grasping: simple/light – Both (5-6 hours)
* Hearing – Ability to hear alarms on equipment
* Hearing – Ability to hear instructions from physician/department staff
* Hearing – Ability to hear patient call
* Repetitive use of foot control – Both (1-2 hours)
* Repetitive use of hands – Both (5-6 hours)
* Risk of electrical shock – 2/3 and more of time
* Risk of radiation – up to 1/3 of time
* Toxic or caustic chemicals – 1/3 to 1/2 of time
* Typical noise level – Moderate Noise
* Work near moving mechanical parts – up to 1/3 of time

Job Features

Job CategoryPACU