Surgery RN PACU - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis. POSITION SUMMARY: Manages individualized, goal directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. POSITION REQUIREMENTS: Minimum Education • Graduation from an accredited school of nursing License Required • Current NV Nursing license Certification Required • BLS • ACLS • PALS (may obtain within 90 days of hire) Minimum Work Experience • Demonstrated proficiency in acute care nursing, knowledge, and skills • Ability to communicate effectively • Must show initiative, maturity, and effectiveness in dealing with people • Appreciation of and desire to be part of a healthcare team POSITION ESSENTIAL FUNCTIONS: Patient Care • Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients. • Verification of patient Identity, operative procedure, operative site, surgeon, consents, patient's allergies, NPO Status and when the patient last voided. • Assesses psychological status, including level of understanding, perception of surgery and anxiety level. • Obtains pre-operative medical history and documents clearly in the patient record in accordance with department's policy and procedures. • Checks the current history and physical, laboratory results, the execution of preoperative orders, and results of ordered diagnostic tests. • Reviews completed chart with the Anesthesiologist on duty as necessary. Communication • Develops, discusses, and communicates a realistic plan of care in collaboration with each patient/family/significant other, to address all identified needs. • Develops patient/family teaching and discharge plan, ensuring patient/family is adequately informed of perioperative instructions. • Follows procedures/preferences for pre-operative anesthesia interventions • Communicates with and keeps family informed. Judgment • Demonstrates the skills and judgment necessary to implement medical plan Of care, nursing interventions and procedures as necessary for the care of the patient. • Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications. • Demonstrates knowledge of commonly used meds: action, dose, and side effects. • Observes 10 rights of medication administration: right med, right dose, right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation.(policy 105.724). • Demonstrates proper procedures in all methods of medication administration. • Initiates and maintains IV access according to hospital policy and procedures. • Identifies priorities and executes nursing care accordingly. • Provides emotional support and comfort measures. • Gives information or explanation to patients and their families. • Applies and monitors principles of aseptic technique throughout the perioperative period. • Assures safe transfer/transport of patient to and from operating room. Documentation • Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care. • Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy. • Medication administration record must reflect full signature and title of nurse administering med, tin1e given, reason for omission, and site for injection (if applicable). • Demonstrates proper access and documentation of narcotics in pyxis and EMR. • Accurately and promptly documents unusual occurrences noted during the perioperative phase CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE "BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026! WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!! Per Diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.