RN PreOp PACU - UCSD Ambulatory Surgery Center

Overview:

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

• We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
• We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
• We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
• We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are goingand the growing career opportunities for YOU.

We are actively hiring for an Registered Nurse (RN) PreOp PACU.

• Promote the mission, vision, and values of SCA.
• Assess patients preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patients
  • cardiovascular system,
  • respiratory system and airway management needs,
  • neurological system,
  • hemodynamic stability,
  • pain and comfort needs, and
  • mental status.
• Interpret information accurately from various noninvasive 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 the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy.
• Develop an individualized perianesthesia plan of care.
• Implement the plan of care including the following interventions:
  • Preparing for and managing patient recovery from anesthesia general.
  • Preparing for and managing patient recovery from anesthesia monitored anesthesia care.
  • Preparing for and managing patient recovery from anesthesia regional.
  • Preparing for and managing patient recovery from anesthesia local.
  • Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects.
  • Communicating the patients current status throughout the perianesthesia continuum of care.
  • Providing acute pain and comfort management as needed.
  • Administering medications safely and correctly by using the 8-rights of safe medication administration.
  • Performing interventions to maintain the integrity of the patients wound and tissue perfusion at or above baseline levels.
  • Performing interventions to maintain the status of the patients genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels.
  • Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
  • Performing interventions to protect patient from infection.
  • Managing patients other co-morbid conditions as applicable.
  • Managing patients fluid as prescribed.
  • Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure;
  • Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
  • Protecting patients rights, dignity, and privacy.
  • Providing age-specific, culturally competent, ethical care within legal standards of practice; and
  • Providing consistent and comparable care regardless of the setting.
• Evaluate the patients progress toward attaining outcomes.
• Transfer care as needed.
• Provide hand-off report to other teammates that are accurate, concise and pertinent to the patients 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 confidentiality of individuals and health information.
• Comply with all facility policies and procedures when providing patient care.
• Actively participate in team meetings, trainings, and daily safety huddles.
• Demonstrate fiscal responsibility.
• Perform all other duties as assigned.

• Graduate of an Accredited School of Nursing.
• One year of Pre Operative or PACU experience required
• Medical / surgical nursing experience
• Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification.
• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.
• Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification.