Registered NURSE - Ambulatory Care Unit​/Post Acute Care Unit

Position: STAFF REGISTERED NURSE - Ambulatory Care Unit/ Post Acute Care Unit
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Job Type

Full-time

Description

Brattleboro Memorial Hospital /

Southern Vermont Health Services Corporation

Job Description

Job Title:

Ambulatory RN ACU/PACU

Job Code: 250

ACU

Hours:

Variable Days

FTE:1

Weekend

Schedule:

Rotating On Call

On Call

Schedule:

Rotating On Call

Holiday

Schedule:

Rotating On Call

FLSA Status:
Non-Exempt

Department Name: ACU/PACU

Department Code:6420

Location:

Peri Op Service ACU/PACU

JOB SUMMARY:

The Perioperative Ambulatory RN provides skilled, patient-centered care during the preoperative and postoperative periods, with cross-training to support patient care across multiple areas including the Ambulatory Care Unit (ACU), Post-Anesthesia Care Unit (PACU), Pre-Anesthesia Clinic (PAC), and Endoscopy.

Key responsibilities include:

* Assessing the health status of individuals and groups including patients' physical and psychological readiness for surgery

* Collecting patient history, vital signs, and other relevant data

* Preparing patients for surgery, including education on the procedure, medications, and post-operative care

* Establishing nursing diagnoses and goals to meet identified health care needs.

* Planning and implementing nursing interventions in collaboration with other healthcare professionals.

* Evaluating patient responses to interventions and adjusting care plans accordingly.

* Delegating and supervising interventions performed by others as appropriate.

* Educating patients, families, and colleagues.

* Maintaining a safe environment for effective nursing care.

* Ensuring all necessary paperwork and consent forms are completed.

This role requires flexibility, critical thinking, and collaborative practice in a multidisciplinary team setting. Call coverage is required.

DEPARTMENT SCOPE OF SERVICE:

Perioperative Services at BMH encompasses care from infancy (10 months) through end-of-life, providing comprehensive surgical and procedural services across the following areas:

* Pre-Anesthesia Clinic (PAC)

* Operating Room (OR)

* Post-Anesthesia Care Unit (PACU)

* Ambulatory Care Unit (ACU)

* Endoscopy

* Minor Procedures

* Sterile Processing Department (SPD)

* Staffing

The department is staffed by:

* Registered Nurses (RNs)

* Surgical Technologists

* Scheduler/Assistant Staffing Coordinator

* Sterile Processing Technicians

* Operating Room Assistants

* Unit Secretary/LNAs

* Perioperative Workflow Coordinator

* Perioperative Supervisor

* Director of Perioperative Services

* Surgical Services

OR

* The OR operates 24/7 with elective surgery hours from 7:00 AM to 3:30 PM.

* Procedures are conducted in three surgical suites by credentialed surgeons.

* Cesarean sections are performed in the Birthing Center OR.

* Scheduling and block times are coordinated by the Surgical Governance Council.

* Coordination involves physician offices, the OR, Anesthesia, and SPD.

PACU

The PACU provides:

* Immediate postoperative care

* Monitoring prior to admission, transfer, or discharge

* Intensive observation post-surgery or procedure

ACU

The ACU delivers:

* Pre and postoperative assessment, care and education

* Preoperative nerve block placement

* Discharge planning & education

Pre-Anesthesia Clinic

Staffed by RNs, a Workflow Coordinator, and a Unit Secretary, the PAC supports:

* Pre-surgical patient interviews and assessments

* Review of preoperative consults and test results

* Compliance with anesthesia guidelines to ensure surgical patient readiness

Sterile Processing Department

SPD is responsible for:

* Decontaminating and sterilizing instruments for the OR and physician practices

* Ensuring all equipment meets hospital policy and safety standards

Requirements

QUALIFICATION:

EDUCATION:

* Graduate of an RN accredited nursing program; BSN preferred.

EXPERIENCE/SKILL SETS:

* 3-5 years recent outpatient clinical nursing experience preferred

* Acute care experience preferred

LICENSURE/CERTIFICATION(S):

* Active State of Vermont RN license

* Current Healthcare Provider CPR certification

* Current ACLS Certification

* PALS Certification recommended

OSHA CATEGORY

OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.

PHYSICAL DEMANDS

On-the-job time is spent in the following physical activities.

* Standing - Up to 3/4

* Walking - Up to 3/4

* Sitting - 1/3 or more

* Talking or Hearing - 2/3 or more

* Use of hands to finger, handle or feel - Up to 1/3

* Pushing/Pulling - up 1/4

* Stooping, kneeling, crouching or crawling - Up to 1/4

* Reaching with hands and arms - Up to 1/3

* Tasting or smelling - None

This position requires that weight be lifted or force be exerted.

* Up to 10 pounds - 2/3 or more

* Up to 35 pounds - 1/3 to 1/2

* Up to 50 pounds - None

* Up to 100 pounds - None

* More than 100 pounds - None

This position has special vision requirements.

* Close Vision (clear vision at 20 inches or less)

* Color Vision (ability to identify and distinguish colors)

* Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)

WORK ENVIRONMENT

This position requires…