LITTLETON REGIONAL HEALTHCARE POSITION SUMMARY JOB TITLE: Registered Nurse FLSA: Exempt Non-Exempt DEPARTMENT: Perioperative Services (SDS/PACU/ENDO) GRADE: 9.5 Position Summary The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act. Essential Duties and Responsibilities Pre-Operative / Pre-Procedural Review patient history, verify consents, and ensure pre-procedure testing is complete. - Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems. - Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients. - Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care. - Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration. - Ensure timely coordination of care to support patient flow and surgical schedule readiness. Intra-Procedural Support (SDS / Endoscopy) - Assist in preparing patients and procedure rooms for surgery or endoscopy. - Support the procedural team by ensuring all documentation, supplies, and medications are ready and available. - Maintain situational awareness to anticipate team needs and patient status changes. Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery) - Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score. - Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications. - Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed. - Ensure all discharge criteria are met prior to patient release and support smooth transitions in care. Professional Responsibilities - Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities. - Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care. - Support quality and safety initiatives, including infection prevention and patient experience efforts. - Precept and mentor new staff as assigned. - Participate in review and follow-up of adverse events, variances, and near misses. Certifications - ACLS – Required within 45 days of hire - PALS – Required within 45 days of hire Ancillary Duties - Order and restock supplies in SDS, PACU, and Endoscopy areas. - Clean rooms and equipment in off-hours or between cases. - Maintain readiness of all clinical and patient care spaces. Working Conditions / Physical Requirements - Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals. - Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup. - Must be able to respond rapidly to patient care needs and changing conditions. - May include irregular hours and call coverage as required by the surgical schedule. Employee Signature: _________________________________ Date: ________________