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Registered Nurse: Pre-Op​/PACU

Job in Lexington, Fayette County, Kentucky, 40598, USA
Listing for: Commonwealth Eye Surgery
Full Time position
Listed on 2026-08-14
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 60000 - 85000 USD Yearly USD 60000.00 85000.00 YEAR
Job Description & How to Apply Below

REGISTERED NURSE IMMEDIATE SUPERVISOR: ASC NURSE ADMINISTRATOR/DIRECTOR SUMMARIZED DESCRIPTION OF DUTIES AND RESPONSIBILITIES

The RN provides expert professional nursing care; assesses, plans, implements and evaluates care rendered to patients with urgent, emergent, or potential health problems and participate in the management of the department.

The following examples of work are not all-encompassing or restrictive, and are expected to vary with changing needs and priorities. The duties for a specific position with this title will be defined and assigned by the Administrative Director and will include the ability to work all areas as needed.

Nursing practice and patient care activity:
  • Assesses physical, psychological, and social dimensions of patients within the scope of knowledge and experience base.
  • Applies knowledge base and uses available resources in assessment process.
  • Provides written assessment of patient before surgery and subsequently in the nursing process.
  • Summarizes assessment data and makes nursing diagnosis which is documented and communicated to other care providers.
  • Develops formal plan of care for patients.
  • Initiates plan of care based on nursing diagnosis and appropriate standards of care.
  • Documents nursing orders; develops goals and expected outcomes following intervention.
  • Provides moderate conscious sedation including medications such as midazolam, fentanyl and ketamine as ordered and in the presence of the surgeon or anesthesia provider. Registered nurses are not privileged to give propofol.
  • Utilizes available resources and seeks appropriate consultation as necessary in planning care.
  • Updates plan of care based on continuing assessment of patient.
  • Initiates and develops discharge planning on admission.
  • Implements plan of care.
  • Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures.
  • Intervenes to meet individual patient needs.
  • Documents nursing intervention, patient response, effectiveness, and complications.
  • Informs Nurse Manager or his/her designee of significant changes in patient status.
  • Utilizes in-house resources to enhance quality of patient care.
  • Evaluates nursing care provided.

    Reviews and evaluates effectiveness of intervention and implementation of plan.
  • Determines level of accomplishment of goals and outcomes.
  • Reviews and evaluates own nursing practice as compared to standard of care and original plan of care as supported by peers and other resource personnel.
  • PATIENT AND FAMILY INSTRUCTIONS/EDUCATION/DISCHARGE PLANNING:
  • Assesses need and plans for patient and family instruction.
  • Utilizes available resources to assess family / patient knowledge and readiness to accept discharge and care for patient.
  • Identifies appropriateness of home or alternative site care.
  • Sets realistic objectives by including patient / family in planning.
  • Assists patients to understand self-care instructions.
  • Identifies necessary medical information to be communicated and community resources available.
  • Implements instruction on teaching plan.
  • Initiates referrals to community agencies as necessary.
  • Evaluates and modifies instructions as indicated by feedback from patient / family.
  • Professional expectations and leadership:
  • Personal growth and development.
  • Assesses one's own and professional needs.
  • Plans and implements program to meet identified needs through formal or informal means.
  • Evaluates effectiveness of professional programs; changes or modifies plans to meet own learning needs.
  • Demonstrates knowledge of the Nurse Practice Act, the facility and nursing policies and procedures.
  • Supports philosophy, objectives and goals of nursing.
  • Performs within limits of Nurse Practice Act, the Code of Ethics for Nurses and
  • Ambulatory Surgery Center policies and procedures.
  • Strives for excellence in implementing patient care and provides assurance of patient safety.
  • Demonstrates accountability for professional conduct and contributes to collegial support.
  • Provides appropriate learning experiences for staff and students.
  • Conducts in-services and participates in staff meetings.
  • Participates in the orientation program provided and maintains competency in assigned areas.
  • Provides circulating and scrub services as applicable when needed.
  • Assists in pre-postoperative working areas when needed.
  • Promotes a positive team oriented atmosphere.
  • Does stock and non-stock ordering.
  • Receives deliveries promptly and stores incoming inventory appropriately, as well as excess supplies left at end of surgical day.
  • Maintains adequate inventory / par levels in operating rooms and sub-sterile areas.
  • Receives, cleans, decontaminates, sterilizes and stores various supplies and equipment used during surgical procedures.
  • Notifies Administrator/Director for repair of special equipment as needed.
  • Sets up, positions and operates specialized operating room equipment including, but not limited to, the following:
    Phaco machine, Posterior Vitrectomy / Vitreo-retinal machine, Cryosurgical machine, Argon Endolaser, Electrocautery…
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