The delivery of patient care through the framework of the nursing process (assessment, diagnosis and patient outcome) in the postoperative phase of the surgical patient.
SUPERVISION RECEIVED: Supervisor of Clinical Services
EDUCATION/ EXPERIENCE:
Graduate of an accredited school of nursing
Current Registered Nurse License
Current American Heart Assn. BLS and ACLS certifications
KNOWLEDGE, SKILLS, AND ABILITIES:
PACU nurse
Demonstrates current, comprehensive professional knowledge and skills in conformance with recognized nursing standards and department policies including the Patient Bill of Rights and JCAHO regulations, Standards for Nursing Care and the Nurse Practice Act.
Assesses physiological and psychosocial health status of patient.
Assesses pain per policy.
Completes patient history.
Verbally reports pertinent information to appropriate staff to provide continuity of care.
Legibly documents information in patient record and signs record using appropriate professional title.
Assesses level of understanding and expectations of care.
Identifies desired patient outcomes.
Establishes nursing diagnosis.
Establishes patient/family goals that are mutually acceptable.
Formulates Plan of Care for the patient.
Implements nursing care plans tailored to patient/family needs.
Demonstrates ability to assess and problem solve.
Responds to emergencies.
Practices within legal and ethical guidelines (Nurse Practice Act, legal statutes, ANA code for Nurses, PRMC Policy and Procedures.