Summary: Under the direction of the Director of Surgical Services, Outpatient Coordinator, and/or Clinical Leader, the peri-anesthesia nurse assesses, plans, organizes, evaluates and executes all aspects of patient care for assigned patients in the Pre-Operative and Post Anesthesia Care Units (PACU). Duties: #Utilizes the nursing process in the Outpatient Surgery/PACU setting to provide quality patient care according to established standards of care which includes planning, implementing, evaluating, and adjusting plan of care. Participates in the development of patient plan of care to include patient problems, goals, evaluations, and interventions; reports symptoms and significant changes in patient#s condition to appropriate personnel #Demonstrates appropriate application of age specific standards, policies, and procedures and guidelines in caring for adolescent, adult, and geriatric patients: follows age specific standards in administering medications based on patient#s age; follows age specific standards of care during altered states of consciousness related to analgesia, conscious sedation or anesthesia; uses age specific standards, policies and procedures and guidelines to perform treatments and procedures that are routine for unit/clinic based on patient#s age. #Incorporates cultural and developmental needs into plan of care: in collaboration with the patient/family, and in a developmentally and culturally appropriate manner, implements the plan of care; demonstrates competency in the provision of nursing care according to established standards of nursing practice and in developmentally appropriate manner. #Demonstrates critical thinking skills, ability to provide and delegate appropriate activities to staff based on patient assessment, complexity of the task, level of competence of staff and/or certification/licensure requirements and the requirements to deliver care in a safe efficient manner maximizing positive outcomes for the patient. #Provides documentation of patient care in the patient record according to established standards of nursing care. #Participates in performance improvement activities which include collecting, analyzing data to identify quantifiable measures to maintain quality and the promotion of desired outcomes. Also includes participation in development of patient care delivery systems, standards, policy and procedures, and problem-solving teams. #Completes additional duties as needed and assigned. # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #Skills # Abilities: #Able to work independently and met established deadlines #Able to make sound reasonable decisions #Highly organized #Ability to concentrate on many detailed requests despite numerous interruptions #Demonstrates accountability, professionalism, openness, receptive to change, creativity and innovative #Ability to identify and calmly handle inherently stressful situation with tact #Excellent communication skills #Ability to develop excellent working relationships with consumers and staff #Seeks guidance, direction and assistance when needed #Ability to be flexible and take on new responsibilities # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #Monitors the post surgical patient and utilizes appropriate interventions in the PACU setting # # # #Compentence with venous access for PIVs and lab draws, electrocardiagrams, administration and documentation of Moderate Sedation, and prepping of surgical sites Required: # Graduate from an accredited School of Nursing with current licensure as a Registered Nurse in the state of North Carolina (or compact states). # # BCLS certification required. #ACLS, and PALS required within 6 months of hire. # Preferred:## Prior experience in PRE-OP and/or PACU setting. #Will also consider Critical Care nursing experience