Registered Nurse RN - PAS

Overview

The Pre-Admission Services (PAS) Registered Nurse specializes in comprehensive pre-operative patient assessment and risk evaluation to ensure optimal surgical outcomes and patient safety. This role focuses primarily on the pre-operative phase of the patient's surgical experience, conducting thorough screenings to identify potential anesthesia and surgical risks through telephone consultations and in-person visits. The RN works collaboratively with PAS advanced practice provider, anesthesia team, surgeons, and multidisciplinary healthcare teams to optimize patient preparation and ensure appropriate medical clearance prior to procedures.

He/she ensures provision of quality, evidence-based care through utilization of the nursing process, established clinical protocols, and evidence-based risk assessment tools. The PAS RN acts as a patient advocate, ensuring surgical patients are appropriately evaluated, medically optimized when indicated, and educated about pre-operative preparation and expectations for their surgical experience.

• Clinical Care & Patient Management
• Conduct comprehensive pre-operative assessments via telephone and in-person consultations to evaluate patient readiness for surgery and anesthesia
• Perform systematic review of patient medical history, current medications, allergies, and previous surgical/anesthetic experiences
• Assess and identify potential anesthesia and surgical risks using evidence-based screening tools and established clinical protocols
• Evaluate patient's physical, psychological, and social readiness for planned procedures
• Monitor vital signs and perform focused physical assessments as indicated during in-person pre-admission visits
• Recognize high-risk patients requiring additional medical clearance, optimization, or specialty consultation
• Coordinate pre-operative testing, consultations, and medical clearances based on patient risk factors and procedure requirements
• Make independent clinical judgments regarding patient readiness for surgery based on established protocols
• Electronic Health Record Management & Communication
• Document comprehensive pre-operative assessments and risk evaluations accurately and completely in Epic
• Monitor and triage Epic InBasket messages related to pre-admission services in accordance with clinic protocols
• Provide telephone triage for pre-operative patient calls regarding clinical questions and procedure preparation
• Manage referrals and coordinate pre-operative consultations between specialties and primary care providers
• Communicate assessment findings and recommendations clearly to anesthesia providers, surgeons, and healthcare team members
• Process and coordinate pre-operative orders, laboratory results, and diagnostic testing
• Respond to patient portal messages and telephone calls regarding pre-operative preparation within established time frames
• Patient Education & Support
• Provide comprehensive pre-operative education tailored to individual patient needs, literacy levels, and cultural backgrounds
• Explain surgical procedures, anesthesia options, and post-operative expectations in terms patients can understand
• Deliver written and verbal instructions for pre-operative preparation including dietary restrictions, medication management, and arrival procedures
• Address patient and family concerns, questions, and anxieties regarding upcoming procedures
• Counsel patients on pre-operative medication adjustments, NPO guidelines, and preparation requirements specific to their procedure
• Support patients in understanding informed consent processes and documentation requirements
• Facilitate patient understanding of post-operative care expectations and discharge planning
• Team Collaboration & Clinical Support
• Collaborate effectively with Pre-Admission Services Nurse Practitioner and anesthesia team to optimize patient care plans
• Work with CRNAs, anesthesiologists, surgeons, nurse practitioners, physician assistants, and perioperative staff to ensure coordinated care
• Participate in multidisciplinary care planning meetings and case discussions regarding high-risk patients
• Communicate effectively with clinic staff, scheduling departments, and other healthcare providers to ensure seamless care coordination
• Function as an integral member of the perioperative care team
• Consult with and support clinic staff in scheduling optimization and care coordination activities
• Maintain effective working relationships across multiple departments and service lines
• Quality & Compliance
• Adhere to all clinic policies, procedures, and safety protocols specific to pre-admission services
• Maintain compliance with regulatory requirements including OSHA, HIPAA, and DNV standards
• Apply evidence-based practice guidelines and institutional policies to ensure consistent, high-quality pre-operative care
• Participate in quality improvement initiatives related to pre-admission services and patient outcomes
• Identify opportunities for process improvement in pre-admission workflows and patient care delivery
• Monitor and…