RN Clinical Nurse II; Per Diem - Post Anesthesia Care Unit

Overview

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The UNC REX Post Anesthesia Care Unit is divided into two units: PACU East has 22 PACU bays and 8 OR Holding & Preoperative bays and PACU West with 13 Phase I bays and 20 Phase II bays. In PACU cases include orthopedics, neuro, thoracic, general, bariatrics, plastic, urology and endoscopy. In addition to routine surgical anesthesia recovery on adult and pediatric populations, the PACU provides services for the recovery of medical diagnostic procedures.

Nurses in PACU recover complex cases with a passionate team of professionals. Our PACU's are true multidisciplinary units, where specialties of anesthesiology, surgery, and critical care can intersect and confer about complex perioperative clinical issues in surgical patients.

Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

• Education – Participate in identifying and meeting learning needs of self. Attend education programs based on identified learning needs. Use patient education materials relevant to patient population. Assess readiness to learn of the patient/family/caregivers. Assess developmental level of patient and factors affecting ability to learn.
• Evaluation of Care – Identify expected patient outcomes. Seek guidance as needed in revision of plan of care. Participate in discussion with members of the interdisciplinary team in evaluation of patient care. Communicate relevant information to promote continuity of care.
• Implementation – Demonstrate competence in care of patients with complex problems, including population‑appropriate physical, psychosocial, educational and safety aspects of care. Perform bedside point‑of‑care testing as required for patient care plan. Utilize healthcare organization and nursing standards, policies and procedures in delivery of care. Organize and prioritize care according to patient/family needs. Consult with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
• Leadership – With assistance, develop goals to promote professional growth or minimize limitations. Achieve goals and objectives within identified time frame or renegotiate with supervisor. Be knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participate in development and achievement of unit goals and performance improvement activities. Effectively use communication systems. Participate in promoting cost‑effective care. Give feedback to co‑workers. Be aware of public policy and regulatory guidelines affecting the health care environment.
  
  Promote a safe, clean and secure hospital environment for all.
• Patient Assessment – Recognize data from complex situations to determine priorities for care. Include appropriate physical, psychosocial, education and safety needs. Synthesize assessment data into meaningful whole prior to communication to others. Assess and anticipate discharge needs of individual patients and families. Develop relationships with families that promote their ability to advocate for the patient and their own needs.
• Planning – Collaborate with patient/family to prepare or update the plan of care. Make use of available multidisciplinary resources in planning care. Begin to use full range of communication as a means to convey planning. Identify and address cultural and ethnic issues in planning patient care. Demonstrate ability to prioritize tasks for patients with complex problems.
• Research – Read journals that contain studies or articles that may be applicable to practice. Bring ideas and questions to the staff at large for assessment of applicability.

Education Requirements: Graduation from a school of professional nursing.

Licensure/Certification Requirements: Licensed to practice…