To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all the people of Hawaii.
The Same Day Surgery/Post Anesthesia Care Unit (SDS/PACU) RN provides care for patients Pre-operatively and Post-operatively. Procedure types include: Endoscopy, ENT, Gynecology, Neurology, Orthopedic, General, Obstetrics, and Ophthalmology.
Pre-operatively - patients are fully assessed for all physical, emotional, spiritual, and family needs prior to surgery. There is a complete medication reconciliation, which will include all over the counter, herbal supplements, as well as all prescription medications. A complete physical evaluation is completed by the Anesthesia Provider, and RNs in this area will assist with any necessary preoperative sedation of anesthesia needs. The RN will also complete a physical assessment as well and complete set of vital sings, insert a peripheral IV, and medicate as per orders.
Activities vital to the care of post-anesthesia and post-operative patients include: monitoring vital signs, managing postoperative pain, monitoring the surgical site, treating symptoms of postoperative nausea and vomiting, treating post-anesthetic shivering and airway management. PACU RNs often coordinate the delivery of care for post-anesthesia patients following surgical procedures so the safety, physical, psychological and educational needs of the patients and family members are met.
PACU provides extended recovery care for up to 6 hours to patients requiring closer observation. Anesthesia can include general, regional or local anesthesia. The immediate post anesthesia period includes patients who have surgical, obstetrical, diagnostic, or therapeutic procedures
The SDS area is a 5 bay unit and the PACU is a 5 bay unit directly adjacent to the Main Operating Room. PACU staff are on-call Monday - Friday after the last case has completed recovery until 7am the following morning and Saturday & Sunday 7:00 am to 7:00 am (24 hr. periods at a time) and on major holidays.
Operating Room (OR) - Cases scheduled 0645 to 1730 Monday through Friday which consists of 5 operating rooms. Services are provided to patients of all ages, 1 year of age to adult requiring major or minor surgical specialty services - Cardiovascular, Neurosurgery, Orthopedics, Ophthalmology, Gastroenterology. Obstetrics/Gynecologic, Otolaryngology, General, And Trauma surgery.
I. JOB SUMMARY/RESPONSIBILITIES:
• Has 24-hour oversight and accountability for nursing unit(s) and assigned area(s), including administrative, clinical and operational management, consistent with the mission, vision and philosophy of the organization.
• Develops, establishes, and monitors plans and activities to ensure:
o Delivery of high-quality patient care and services.
o Effective planning and coordination of resources.
o Compliance with regulatory and accreditation requirements.
o Achievement of goals and objectives.
• Participates in the long-term planning of assigned unit(s) and area(s).
II. TYPICAL PHYSICAL DEMANDS:
• Essential: Continuous: lifting up to 2 lb., seeing, hearing, talking, grasping, fingering, standing, walking, stooping, forward reaching, handling.
• Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending, squatting, twisting.
• Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching.
• Operates telephones, patient care devices, computers, surgical equipment, business copier.
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
• Subjected to noise/vibrations from intercoms, telephones and monitors.
• Exposure to body fluids and communicable diseases.
• Working environment is fast paced and may be stressful.
• Frequently works on multiple tasks and priorities at one time.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• Current Hawaii State license as a Registered Nurse.
• Associate's Degree in Nursing.
• Bachelor's degree in Nursing preferred.
• Current BLS/HCP certification. Additional certification(s) may be required based on area of assignment i.e., TNCC, ACLS, NRP, Fetal monitoring.
B. EXPERIENCE:
• Minimum three (3) years as a Registered Nurse in an acute care facility.
• One (1) year as a charge nurse, clinical lead or other supervisory experience.
• Experience to demonstrate:
o Excellent oral and written communication skills.
o Proficient computer skills in Word and Excel for reports, tables, and graphs.
Equal Opportunity Employer / Disability / Vet