Registered Nurse (RN) PACU

San Diego, CA

Job Category: Nurse Job Number: 1661 Compensation Range: $121,742.40

Job Description

Currently recruiting a PACU Registered Nurse (RN) in San Diego, California, to work in the Post Anesthesia Care Unit (PACU) at Naval Medical Center San Diego, providing care to Active Duty heroes, their family members, and retirees. Registered Nurse (RN) - PACU will work full-time 80 hrs per 2-week period, 8.5 hr shifts (30 minute uncompensated lunch), Mon - Fri between 8: 00AM - 10: 00PM.

  • Perform a full range of RN duties, including: triage; patient assessment and monitoring; appropriate nursing care, procedures, and treatments; execution of physicians orders; documentation of patient care and observations; and patient education and emotional support.
  • Plan, implement, deliver, direct, and coordinate Perioperative, Post Anesthesia Care Unit (PACU), and Ambulatory Procedure Unit (APU) nursing care using scientific and professional principles as a basis for all techniques and procedures.
  • Pre-admission: Confirm scheduled surgery date and procedure with the Main Operating Room, check procedure on consult against written consent form, ensure surgical checklist is completed. Make pre-op telephone call to client to confirm arrival time and re-enforces physician/anesthesia instructions. Provide any pre-op teaching, post procedure transportation arrangements or significant other teaching.
  • Day of surgery: Greet client, properly identify client with placement of identification and/or allergy band(s). Orient client to Unit. Verify post procedure transportation arrangement.
  • Conduct and document pre-op nursing assessment. Verify client compliance with instructions. Prepare client for procedure, may need to obtain additional labs. Arrange transport to OR (if necessary).
  • Develop an individualized plan of care that prescribes nursing action to achieve desired patient outcomes.
  • Confer with surgeon on procedures concerning instruments, sutures, and equipment, assuring all prescribed equipment is present and functional.
  • Monitor patients under local infiltration and block anesthesia.
  • Perform duties as circulatory for surgical procedures, assuming responsibilities for coordinating patient care activities. Assume responsibilities for aseptic technique maintenance during procedures, accuracy of sponge counts and adequacy of supplies.
  • Perform as a scrub nurse.
  • Monitor and control environment. Regulate temperature and humidity as indicated. Adhere to OR sanitation policy/procedures.
  • Receive, assess, monitor and document findings on client. Provide education. Ambulate. Verify post-op voiding. Discharge patient after re-enforcement of teaching. Complete nursing care document, reorganize chart and sign out patient. Make follow up clinic appointment for patient.
  • Set up, operate, maintain, and discontinue medical equipment. Administer prescribed medications. Provide emergency medical/surgical treatment. Provide nutrition and nourishment.
  • Assist with transporting patient(s). Maintain nursing record(s) and plans. Provide patient and family teaching. Provide consultative services.
  • Perform telephone follow up assessment of patient and provide instruction reinforcement.
  • Adhere to Clinical Sterile Resupply (CSR) policies, procedures and regulations.
  • Investigate new developments and trends in perioperative, PACU, and APU nursing practice and analyze impact on improved patient care equipment.
  • Assist in maintaining suite readiness and structural safety/integrity by reporting discrepancies to Division Officer.
  • Demonstrate knowledge of the special needs (Perioperative, PACU, and APU) nursing considerations for high-risk age group: infant, pediatric, adolescents, and geriatrics.
  • Monitor patient emergence from a variety of anesthetic agents; uses the nursing process in rendering this care.
  • Use the Alderete scoring system to Guide PACU care.
  • Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS)

  • Must have a minimum of two years of full-time experience in the last 3 years working as a PACU RN.
  • Associates 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 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.
  • Must be a U.S. Citizen (for access to Gov' t computer systems)

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)

The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 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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