Registered Nurse Patient Care

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Part Time Troy, MI, US

Today Requisition

Salary Range: $24.50 To $48.00 Hourly

Located in Troy, Michigan,
Una Source Surgery Center provides multi-specialty outpatient surgery to infants, children, adults and seniors. Formed in 2002 and designed for patient comfort and surgical efficiency. We have five operating rooms and 18 private patient care suites and treat over 7000 patients each year. If you want to work in a place that puts patients and family first, a place where you can make a difference in the lives of others, and a place where you can grow personally and professionally then we want to know more about you.

As a .60 FTE Registered Nurse, you’ll be responsible for the delivery of patient care that promotes safety and well-being of patients and staff. Provides physical, educational, and technical care and support. Demonstrates strong assessment skills both pre and postoperative. Appropriate assessment includes physical, psychosocial/family, cultural, personal beliefs or restrictions, cognitive abilities, pain and comfort needs. Participate in the development and implementation of policies and procedures.

Identifies immediate problems in the pre and postoperative phase and intervenes appropriately. Performs direct patient care preoperatively and postoperatively;
Assesses, documents, and manages postoperative pain; demonstrates ability to assess airway adequacy and intervene quickly and appropriately when necessary; demonstrates proficiency with cardiac monitoring and interpretation. Demonstrates understanding and knowledge of Phase I and Phase II recovery nursing principles and expectations. Ensures continuity of patient care by communicating with all surgeons, anesthesiologists, OR personnel and other staff any pertinent or abnormal findings.

Requires a high degree of responsibility, confidentiality, and discretion. Remains calm and effective in stressful situations and takes initiative in emergency situations. Able to prioritize, organize and multi-task. Supports the organization mission and vision. Promotes teamwork and functions as a team member providing care that encompasses compassion, collaboration, and trust. Possesses a moral obligation to promote the welfare, health and safety of the patient, and to advocate on the patient’s behalf whenever necessary.

• Preoperative Phase
• Patient evaluation should take place sufficiently in advance of the scheduled surgery to integrate an appropriate evaluation, necessary testing and thorough patient education per policy.
• Phase I and Phase II
• Extubate patients with endotracheal and larynx-mask airway.
• Assess airway quality and function.
• Connect airway to t-tube oxygen and suction airway as needed.
• Place oral and/or nasal airways as needed.
• Evaluate breath sounds and document.
• Identify signs and/or symptoms of respiratory distress and intervene appropriately.
• Administer breathing treatments as needed.
• Properly position head for optimal airway function.
• Use bag-valve-mask, suction equipment, oral and nasal airways, t-tubes, suction catheters, oximeters, mist puffers.

• Assess integrity of surgical site.
• Notify surgeon of increased bleeding, bruising, discoloration, temperature, heat, redness or swelling at site.
• Identify signs and symptoms of infection.
• Identify any drains and record amount of drainage.
• Document type of dressing (4x4s, band aid, ace wrap, etc.) and site.

• Assess pain level and need for pain medications continuously until optimal response is obtained.
• Administer pain and other medications with knowledge of dosage and effects.
• Position patients comfortably and teach breathing techniques and alternatives for pain management.
• Locate oxygen tubing, supplemental oxygen masks, t-tubes, and airway supplies efficiently.
• Sign off doctor orders as received.
• Perform surgeon’s orders (ice bags, medications including pain meds and antibiotics, elevation of extremities, etc.).
• Monitor and record IV…