Registered Nurse; PRN: PRE-OP​/PACU

Description

McIver Clinic has been a trusted leader in urological care in Jacksonville since 1921. With multiple locations throughout the greater Jacksonville area and more than 27 providers, we deliver compassionate, patient-centered care across the full spectrum of urology, from minimally invasive procedures to complex surgery and oncology.

PRN Pre-Op/PACU Registered Nurse to join our Office-Based Surgery Center team. This position supports patients undergoing urology and interventional radiology procedures and is responsible for providing safe, efficient, and compassionate nursing care throughout the pre-operative and post-anesthesia phases of care.

We are looking for a nurse who is comfortable working in a fast-paced procedural environment, communicates effectively with patients and the multidisciplinary team, and can independently recognize and respond to changes in a patient's condition.

• Complete pre-operative nursing assessments and verify patient readiness for scheduled procedures.
• Review medical history, allergies, medications, laboratory results, diagnostic testing, and required clearances.
• Verify completion of required documentation, consents, and pre-procedure requirements.
• Obtain and document baseline vital signs and other required assessments.
• Initiate and maintain peripheral IV access as appropriate.
• Administer medications according to provider orders and facility policy.
• Provide patient and family education regarding the procedure, recovery expectations, and discharge process.
• Identify abnormal findings or potential safety concerns and communicate promptly with the appropriate provider and anesthesia team.

• Provide Phase I and/or Phase II post-anesthesia nursing care following urology and interventional radiology procedures.
• Perform ongoing assessment of airway, respiratory status, cardiovascular status, neurological status, pain, nausea, surgical/procedural sites, and overall recovery.
• Recognize and respond appropriately to changes in patient condition or post-procedure complications.
• Administer medications and treatments according to provider orders and facility protocols.
• Evaluate patients for progression through recovery and discharge criteria.
• Provide clear post-procedure and discharge education to patients and responsible adult caregivers.
• Complete accurate, timely, and thorough nursing documentation.

• Monitoring for procedure-specific complications, including bleeding, urinary concerns, pain, vascular access-site complications, and changes in hemodynamic status.
• Assessment and management of urinary catheters and procedural sites as applicable.
• Monitoring vascular access sites following IR procedures.
• Supporting safe recovery following general anesthesia, monitored anesthesia care (MAC), and/or procedural sedation as applicable.
• Reinforcing procedure-specific discharge instructions and identifying concerns requiring provider notification.

• Job Type: PRN/ as needed
• Daytime procedural schedule
• No overnight shifts
• No call
• Schedule based on procedural volume and staffing needs

• Current and unrestricted Florida Registered Nurse (RN) license.
• Current BLS certification.
• Current ACLS certification.
• Minimum 1 year of recent nursing experience in PACU, Pre-Op, perioperative services, procedural nursing, critical care, emergency nursing, or a comparable setting.
• Strong patient assessment and critical-thinking skills.
• Ability to recognize and respond appropriately to changes in patient condition.
• Ability to work collaboratively with physicians, anesthesia providers, nurses, surgical technologists, radiology personnel, and administrative staff.
• Strong communication, organization, and documentation skills.