Registered Nurse (RN) PACU

Bethesda, MD 20889

Job Category: Nurse Job Number: 1743

Job Description

Currently recruiting Registered Nurse (RN) PACU in Bethesda, Maryland to work in the Post Anesthesia Care Unit (PACU) at Walter Reed National Military Medical Center to provide care to Active Duty heroes, their family members, and retirees. PACU RNs will work full-time 80 hrs per 2-week period, 8.5 hr shifts (30 minute uncompensated lunch), Mon - Fri between 8: 45AM - 11: 15PM.

DUTIES OF THE REGISTERED NURSE (RN) - PACU:
  • Provide care for and monitoring critically ill patients and invasive lines; responding to life-threatening changes in a patient' s condition; titration of vasoactive medications; working with specialized medical equipment, such as epidurals, PCA' s, cardiac monitors, IV pumps, management of airway adjuncts, artificial airways, and mechanical ventilators.
  • Provide a scope of care which includes emphasis on evaluation, management, and education of patients undergoing Anesthesia (general, regional, or local), Monitored Anesthesia Care (MAC) or Moderate Sedation.
  • Conducts duties in accordance with PACU policies and procedures.
  • Delivery of treatment within the personnel and equipment capabilities of the MTF, provision of mandated nursing surveillance and preventive services.
  • The quality and timeliness of treatment records and reports required to document procedures performed and care provided.
  • Participates in educational and continuous improvement programs to include training of the enlisted and LVN/LPN/CNA staff assigned to the PACU, as appropriate.
  • Provide documentation of annual attendance at Joint Commission and Occupational Safety Health Act (OSHA) required classes. These courses will be provided at Government expense.
  • Assess nursing needs, formulate, and implement a plan of nursing care for each patient consistent with established nursing standards and protocols for this unit and with the prescribed plan of medical care.
  • Contribute to the medical/nursing plan of care by observing, recognizing, recording, and reporting changes in the patient s condition, subjective symptoms and objective signs, reactions to medications, and responses to therapy.
  • Performance of supportive life functions such as management of medications, suctioning (to include tracheostomy suctioning) maintenance and electrolytic fluids, and oxygen administration for maintenance of airway, cardiovascular, and respiratory functions.
  • Collect, document, and evaluate patient data for a wide variety of adult patients with medical or surgical problems to include maintenance and discontinuation of NG tubes, foley catheters, leg bags, colostomy bags, and rectal tubes.
  • Maintain all required patient care records and report pertinent information to the medical officer and/or charge nurse as appropriate.
  • Administer prescribed medications and intravenous therapy. Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
  • Will be knowledgeable in administrative requirements for the documentation of patient' s condition, progress and acknowledgement of teaching, and follow up care.
  • Conducting a complete physical screening assessment utilizing techniques of observation, inspection, auscultation, palpitation and percussion, as well as proper use of instruments to aid in the evaluation.
  • Ensure that patients are properly informed and prepared for a wide variety of special tests and examinations (Magnetic resonance imaging, Electroconvulsive therapy, Lumbar Puncture, Needle localization of tumor).
  • Provide individualized health teaching for patients and their significant others throughout hospitalizations to ensure that transfer or discharge objectives can be achieved.
  • Utilize diversified professional concepts, principles, and practices while performing procedures, treatments, and tasks related to the specialty area.
  • Interpret and operate highly specialized equipment used for required patient care. (To include external fixators, JP drains, TLS drains, wound vacs, etc.)
  • Assist in nursing quality assurance activities through problem identification, development of nursing practice evaluation criteria, development of plans of action, and result monitoring.
  • Perform special tests and procedures following appropriate standard protocols (Serum glucose, urine HCG, tilts, vitals, fill-and-pull).
  • Provide support and proper referral for those patients and families experiencing critical illness and/or potential death.
  • Assist in maintenance of the unit environment and with ordering of supplies and equipment. Be responsible for the security of narcotics, dangerous drugs, and other controlled substances.
  • Contractors will demonstrate emotional empathy with patients and coworkers; engaging in purposeful work related conversations in a manner that conveys dignity and respect for others, improves individual resiliency, and is directed at achieving a safe and harmonious environment of care.
  • Keep current Command certification in cardiopulmonary resuscitation, IV administration and venipuncture. Keep current in nursing practice within the specialty of practice.
  • Perform other duties as assigned to include floating to other perioperative areas as needed if qualified to safely practice nursing in that location.
  • Utilize knowledge of (Mother/Infant care) ethical and legal issues to provide maximal patient/family support during periods of physio-psycho-social stress. Provide appropriate crisis intervention.
  • Our facility does perform elective terminations of pregnancy (Elective D&E) and Electroconvulsive Therapy (ECT) as prescribed by DOD instruction. Nurses who object to participating in the care of patients undergoing these procedures must make their conscience known by informing the charge nurse and every attempt will be made to reassign the care, if able. Contractor should refer to the nursing practice act of their state, patient abandonment and refusal of care, when confronted with this issue.
  • Promote patient and staff safety through adherence to accepted safety and infection control standards. Maintain a clean, safe, orderly, and therapeutic working environment.
  • Participates in/Institutes emergency measures including cardiopulmonary resuscitation in absence of a physician according to established protocols.
  • Contract providers will ensure all records are returned to the appropriate location as defined by the MTF within a timely manner.
  • Contract Providers will maintain inpatient and outpatient medical records IAW AR 40-60. Medical records will be subject to review by the Medical Care Evaluation Committee, Quality Assurance Committee, and designated representatives of the Director, U.S. Army Medical Department Activity.
  • Contract employee will have thorough knowledge of documentation requirements and hospital policies regarding the release of information to outside agencies; prepare correspondence and summaries to a variety of requestors, such as the Veterans Administration Hospitals, Social Security Administration, and Insurance Companies. Employee must abide by the Privacy Act to determine what types of patient information can be released.
  • The Contractor shall assure his/her contract personnel comply with the Privacy Act, 38 USC 5701 and 38 USC 7332 in accordance with FAR Clauses 52.244-1 Privacy Act Notification and 52.2242.
  • CHCS/AHLTA. Contracts will use CHCS/AHLTA for evaluation of diagnostic testing, documenting patient treatments as indicated, and performing other required patient functions. The government will provide training to contract employees (see para 1.7.1). Access to such patient data systems is an " Automated Data Processing Sensitive" position requiring compliance with AR 25-2 and AR 380-67.
  • ESSENTRIS. Contractors will use ESSENTRIS computer system for evaluation of diagnostic testing, prescribing medications, writing doctor s orders, ordering ancillary procedures, laboratory testing, documenting patient encounters not limited to preoperative and post-operative evaluations. Access to such patient data systems is an " Automated Data Processing Sensitive" position requiring compliance with AR 25-2 and AR 380-67.
  • Must be able to type and document patient record of care into electronic medical record.
  • Assist with mobility needs of patients to include: hospital falls policy, assisted ambulation, transfers, and education on transfer devices.
  • Ensure quality of care issues are documented and reported to appropriate personnel and corrective action is taken.
  • Staff Orientation: Contractors shall participate in all staff orientation or training that may be required as a precondition to performance as may be prescribed by the hospital Director or designee. Such orientation may include instruction on automated processing, standing operating procedures (SOP), local in-services, quality improvement programs, safety programs. This shall be conducted during the contractors regularly scheduled shift.
  • Additional training. Contractors may be assigned additional training, such as customer service, computer, new equipment, annual refresher, sexual harassment or discrimination training, resiliency, or other training as assigned by the Nurse Manager or higher authority, to ensure competence and compliance with mission. These will be conducted at the Governments expense.
  • The HCW shall perform in accordance with established principles, practices, and ethics of applicable healthcare profession and written policies, procedures and requirements of Walter Reed National Military Medical Center Bethesda and shall apply age specific knowledge and competency appropriate to patient population served, given organizational guiding principles, and the standards of performance for all HCW in the professional category to which he or she belongs.
  • Shall report to the Nurse Manager. Will take direction from charge nurse and house supervisor as required in maintaining a safe environment for staff and patient(s).
  • When assigned, shall serve and participate in committees, functions, and other meetings. Provide relevant and timely information, and assists with decision-making and process improvement.
  • As required, participate in customer service initiatives and medical readiness activities, designed to enhance health services.
QUALIFICATIONS OF THE REGISTERED NURSE (RN) - PACU:
  • Must have a minimum of 1 year Critical Care experience. The expectation is to be able to manage the care of a potentially critical patient for up to two hours.
  • Must have a minimum of two years of full-time experience working in the PACU or as an inpatient medical-surgical nurse on an inpatient surgery ward or outpatient surgery center.
  • Bachelor' s Degree of Nursing or higher
  • Graduate from a college or university accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).
  • Possess current certification in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).
  • Current, full, active, and unrestricted license to practice as a Registered Nurse in any of the 50 States, DC, or U.S. Territories.
  • Have successfully completed a post-anesthesia care course or training program, or is nationally certified as a Certified Post Anesthesia Nurse (CPAN); at a minimum you must be board eligible.
  • Must be a U.S. Citizen (for access to Gov' t computer systems)
COMPENSATION & BENEFITS:
  • Competitive pay
  • 10 days paid time off per year plus 7 sick days per year
  • 10 paid Federal holidays
  • Health & Welfare allowance contributes to the cost of health insurance, long and short-term disability, and life insurance
  • Dental and vision plans offered, 401(k)

ABOUT THE ARORA GROUP:
The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for over 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces. Our mission is to provide world-class care and give our healthcare professionals opportunities to improve their skills, learn from the best, and serve the needs of active duty service members, their families, and veterans.

EOE AA M/F/Vet/Disability







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