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Preop Nurse

Company: Company Confidential
Location: Las Vegas
Posted on: July 12, 2018

Job Description:

HCA has been recognized as a Worlds Most Admired Company in the Health Care Medical Facilities Industry by Fortune Magazine. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130 surgery centers across the United States. Our cases are performed Monday-Friday which means NO nights, NO weekends, or On-call will be required. The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search of additional members to join our team We value you and your future. We provide multiple health insurance plan options, tuition reimbursement, and many more programs to cover a wide variety of todays life and family needs. In addition to your salary and health insurance benefits, HCA provides a matching 401k as well as an Employee Stock Purchase Plan (ESPP). Members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today OPERATIONAL DUTIES: Position will rotate between Preop and PACU. Pre-op Prepares patient care area adequately before case and ensures availability of necessary equipment and supplies. Greets patient and family in a timely manner and keeps them informed of any delays/changes. Verifies two patient identifiers utilizing the armband prior to any interventions. Conducts complete patient assessment and evaluation of each patient prior to surgery or treatment, which includes review of patient history and diagnostic tests, physical, and psychological assessment. Assess patients understanding of procedure and checks surgical consent for accuracy and completeness. Obtains and witnesses patients signature if needed. Consistently reviews charts for completeness, in accordance with clinical protocols, prior to surgery (i.e. consents, H/P, diagnostic studies, assessments, home medications list, etc.) Ensures that H/P is a complete full examination of all body systems and dated within 30-days prior to procedure. Ensures that H/P, orders for the procedure, and consent form are consistent prior to placing in medical chart. Verifies surgical site verbally with patient per policy. Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia. Initiates intravenous therapy as prescribed, utilizing aseptic technique utilizing appropriate IV start kit, catheter and fluid. Ensures that medication is labeled appropriately. Receives and acknowledges preoperative physicians orders and implements accordingly. Utilizing appropriate documentation for verbal/telephone orders. Administers pre-operative medications as prescribed and utilizes safety medication practices (i.e. aseptic preparation, labeling medications, identifying high alert and independent check medications, 7 medication rights, narcotic waste, etc.). Monitors patient until transferred to OR. Monitors patient if IV sedation given in pre-op setting to assure patient maintains airway and vital signs are stable. Administers oxygen and provides continuous monitoring and support as needed. Demonstrates knowledge/understanding of pain blocks and is readily available to assist anesthesia as needed. Post-op Prepares patient care area adequately and ensures availability of necessary equipment and supplies. Demonstrates proper airway management techniques (oral airway, extubation, pulse oximetry monitoring, O2 administration, etc.) Understand principals of hemodynamic monitoring and monitors patient according to policy (vital signs, temperature, cardiac, etc.). Recognizes signs and symptoms of patients condition that indicate potential post procedure or anesthesia related complications and report to anesthesiologist immediately. Monitors and maintains proper intravenous intake and output. Exhibits proper technique for insertion, maintenance, and removal of IV catheters and saline locks. Performs head to toe assessment of patient and evaluates patient utilizing approved scoring system upon admission and as indicated by policy. Documents patient assessment upon admission. Checks dressings and/or operative site and reports abnormalities to the surgeon. Provides a safe and comforting environment for patient and family while restraining patient for safety reasons, as needed and in accordance with facility policy. Prepares and administers medications in accordance with current practice (i.e. antibiotics, narcotics, preparing/labeling medications, identifying high alert medications, utilizing 7 patient rights for medication administration and appropriate handling of narcotic waste). Demonstrates thorough understanding of medications utilized intra and poster operatively and recognizes the need for use of reversal drugs, when necessary. Recognizes emergency situations and responds effectively in a calm and controlled manner. Assures that patient meets all discharge criteria. Patient is evaluated by a physician/anesthesia provider prior to discharge. Written discharge order is received from the attending physician prior to patient discharge. Patient is discharged home with a responsible adult, unless otherwise approved by physician. Confirms that patient and family receives and verbalizes understanding of written discharge instructions. Documents all appropriate patient information in accordance with charting guidelines. Conducts patient post procedure calls. Documents and reports to patients physician any abnormalities communicated by patient/family member during the follow up call.

Keywords: Company Confidential, Las Vegas, Preop Nurse, Healthcare, Las Vegas, Nevada

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