Registered Nurse PreOp PACU II - Premier Surgery Center of Michigan

Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient‑centered practice solutions for a network of more than 370 ambulatory surgical centers and over 400 specialty physician practice clinics.

• Clinical quality
• Integrity
• Service excellence
• Teamwork
• Accountability
• Continuous improvement
• Inclusion

Our values inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities.

• Promote the mission, vision, and values of SCA.
• Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures, including cardiovascular, respiratory, airway management, neurological, hemodynamic, pain and comfort needs, and mental status.
• Interpret information accurately from various non‑invasive and invasive monitors.
• Describe the underlying pathophysiology of commonly encountered disease processes.
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions.
• Apply relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score, PADSS, White) as defined by organizational policy.
• Develop an individualized perianesthesia plan of care.
• Implement the plan of care, including:
  • Preparing for and managing patient recovery from general anesthesia.
  • Preparing for and managing patient recovery from monitored anesthesia care.
  • Preparing for and managing patient recovery from regional anesthesia.
  • Preparing for and managing patient recovery from local anesthesia.
  • Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects.
  • Communicating the patient’s current status throughout the perianesthesia continuum of care.
  • Providing acute pain and comfort management as needed.
  • Administering medications safely and correctly using the 8 rights of safe medication administration.
  • Performing interventions to maintain wound integrity and tissue perfusion at or above baseline levels.
  • Performing interventions to maintain the status of all patient systems and fluid, electrolyte, and acid‑base balances at or above baseline levels.
  • Performing interventions to return patient to normothermia at the conclusion of the immediate postoperative period.
  • Performing interventions to protect patient from infection.
  • Managing patient’s other co‑morbid conditions as applicable.
  • Managing patient’s fluid as prescribed.
  • Assessing knowledge level of patient or support person and providing education regarding psychosocial response, nutrition, medication, pain, wound care, and expected responses to the procedure.
  • Involving patient or support person in decisions affecting perioperative plan and rehabilitation process.
  • Protecting patient’s rights, dignity, and privacy.
  • Providing age‑specific, culturally competent, ethical care within legal standards of practice.
  • Providing consistent and comparable care regardless of setting.
• Evaluate the patient’s progress toward achieving outcomes.
• Transfer care as needed.
• Provide hand‑off report to other teammates that is accurate, concise, and pertinent to the patient’s condition and response to care.
• Delegate tasks according to the State Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
• Document nursing care completely, accurately, and legibly.
• Collaborate effectively with other disciplines as needed.
• Participate in quality review and performance improvement projects.
• Participate in the performance appraisal process.
• Use problem‑solving and conflict resolution skills to foster effective work relationships with team members.
• Maintain required competencies.
• Pursue professional growth.
• Act as a patient advocate and maintain privacy and…