Registered Nurse - Pacu​/Pre-Op; Prn

Position: REGISTERED NURSE - PACU/PRE-OP (PRN)

Pre-Op/PACU Registered Nurse

The Pre-Op/PACU Registered Nurse is responsible for assessing, planning, directing, evaluating and delivering safe, appropriate care within the scope of their practice to patients in the perioperative setting. Demonstrates ability to work in Pre‑Op and PACU patient care settings and must be available to take on‑call as scheduled.

Essential Functions Standard I. Assessment:
The Registered Nurse Collects Health Data

GRMC nursing practice is characterized by a high degree of autonomy and requires a broad base of subjective and objective data.

• The priority of data collection is determined by the patient’s immediate condition or needs.
• Pertinent data is collected by using appropriate assessment techniques.
• Data collection involves the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
• The data collection process is systematic and ongoing.
• Relevant data is documented in a retrievable form.

Standard II. Diagnosis:
The Registered Nurse analyzes the assessment data in determining diagnoses

The Registered Nurse at GRMC uses independent judgment and available data to formulate a nursing plan of care.

• Plans of care are derived from assessment data.
• Plans of care are validated with the patient, significant others, healthcare providers, and records maintained by other departments when needed.
• Plans of care are documented in a manner that facilitates the determination of expected outcomes and care plan.

Standard III. Outcome Identification:
The Registered Nurse identifies expected outcomes individualized to the patient

The Registered Nurse at GRMC identifies outcomes based on unique factors that affect the Registered Nurse’s ability to provide services.

• Outcomes are derived from the diagnoses.
• Outcomes are documented as measurable goals.
• Outcomes are mutually formulated with the patient and healthcare providers when possible.
• Outcomes are realistic in relation to the patient’s present and potential capabilities.
• Outcomes are attainable in relation to resources available to the patient.
• Outcomes include a time estimate for attainment.
• Outcomes provide direction for continuity of care.

Standard IV. Planning:
The Registered Nurse develops a care plan that prescribes interventions to attain expected outcomes

Effective planning is essential for appropriate interventions.

• The plan is individualized to the patient’s condition or needs.
• The plan is developed with the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
• The plan reflects current nursing practice.
• The plan is documented.
• The plan provides for continuity of care from the time of entry into the healthcare system through transfers to other departments to final discharge from GRMC when appropriate.
• The plan provides for discharge follow‑up based on the patient’s need for health care when appropriate.

Standard V. Implementation:
The Registered Nurse implements the interventions identified in the care plan

The Registered Nurse is the most appropriate healthcare provider at GRMC for ensuring that actions are taken to meet the physical, mental, and health education needs of the patient.

• Interventions are consistent with the established care plan.
• Interventions are implemented in a safe, appropriate, and timely manner.
• Interventions are documented.

Standard VI. Evaluation:
The Registered Nurse evaluates the patient’s progress toward attainment of outcomes

The Registered Nurse at GRMC uses the nursing process to evaluate the outcome of nursing actions, interventions, and patient education. The Registered Nurse may alter the care plan, expand the database, introduce new interventions, and develop patient education activities.

• Evaluation is systematic and ongoing.
• The patient’s responses to interventions are documented.
• The effectiveness of interventions is evaluated in relation to outcomes.
• Ongoing assessment data are used to revise diagnoses, outcomes, and the care plan as needed.
• Revisions in diagnoses, outcomes, and the care plan are documented.
• The patient, significant others, healthcare providers, and other GRMC personnel are involved in the evaluation process when appropriate.

Standar…