Surgical Care Affiliates (SCA) is transforming specialty care in our communities. We relentlessly create value by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve. We are driven to achieve the quadruple aim in health care: high quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As a national leader in surgical care, SCA’s 10,000 teammates operate more than 250 surgical facilities that serve nearly 1 million patients per year. For more information on SCA, visit www.scasurgery.com.

Why join SCA? Consider the following fantastic benefits…

• Positive work culture
• Career growth opportunities
• Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
• Paid time off plus 8 paid holidays
• Maternity/paternity/adoption benefits
• Employer-paid life and short- and long-term disability insurance
• Excellent 401(k) Plan

NW Spine & Pain is a small but busy spine surgery center with two operating rooms--one used for spine surgery with five different surgeons; and the other used for pain management procedures. The RN will be responsible for all PACU duties including but not limited to admission and recovery of patients. Will also need to be able to circulate in the OR/be willing to train to circulate. The ideal candidate will be flexible as hours and days vary from week to week, eager to learn, and willing to adapt to the needs of the facility. This position has no call, no weekends and no holidays. Typical day is done by 6-7pm.

We are actively hiring for an Registered Nurse (RN) PreOp PACU.

• Promote the mission, vision, and values of SCA. 
• Assess patient’s preoperative and postoperative status at intervals according to facility or health care organization policies and procedures to include the patient’s 
  • cardiovascular system, 
  • respiratory system and airway management needs, 
  • neurological system, 
  • hemodynamic stability, 
  • pain and comfort needs, and 
  • mental status. 
• Interpret information accurately from various noninvasive and invasive monitors. 
• Describe the underlying pathophysiology of commonly encountered disease processes. 
• Describe the physiology associated with various anesthesia techniques and surgical or procedural interventions. 
• Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. 
• Develop an individualized perianesthesia plan of care.  
• Implement the plan of care including the following interventions: 
  • Preparing for and managing patient recovery from anesthesia – general. 
  • Preparing for and managing patient recovery from anesthesia – monitored anesthesia care. 
  • Preparing for and managing patient recovery from anesthesia – regional. 
  • Preparing for and managing patient recovery from anesthesia – local. 
  • Preparing for and protecting patient from injury caused by positioning, thermal sources, and extraneous objects. 
  • Communicating the patient’s current status throughout the perianesthesia continuum of care. 
  • Providing acute pain and comfort management as needed. 
  • Administering medications safely and correctly by using the 8-rights of safe medication administration.  
  • Performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels. 
  • Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels. 
  • Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. 
  • Performing interventions to protect patient from infection. 
  • Managing patient’s other co-morbid conditions as applicable. 
  • Managing patient’s fluid as prescribed. 
  • Assessing knowledge level of patient or designated support person and providing education regarding the expected psychosocial response, nutritional management, medication management, pain and comfort management, wound management, and expected responses to the operative or invasive procedure; 
  • Involving patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process. 
  • Protecting patient’s rights, dignity, and privacy. 
  • Providing age-specific, culturally competent, ethical care within legal standards of practice; and 
  • Providing consistent and comparable care regardless of the setting. 
• Evaluate the patient’s progress toward attaining outcomes. 
• Transfer care as needed.  
• Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.  
• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.  
• Document nursing care completely, accurately, and legibly. 
• Collaborate effectively with other disciplines as needed. 
• Participate in quality review and performance improvement projects. 
• Participate in the performance appraisal process. 
• Use problem-solving and conflict resolution skills to foster effective work relationships with team members. 
• Maintain required competencies. 
• Pursue professional growth. 
• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. 
• Comply with all facility policies and procedures when providing patient care. 
• Actively participate in team meetings, trainings, and daily safety huddles. 
• Demonstrate fiscal responsibility. 
• Perform all other duties as assigned.  

• Graduate of an Accredited School of Nursing. 
• One year of OR and/or medical / surgical nursing experience preferred. 
• Current state licensure to practice within good standings. Successful completion of Basic Life Support (BLS) or Basic Cardiac Life Support (BCLS) within 90 days of employment or documentation of current BLS/BCLS certification. 
• Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification.  
• Successful completion of Pediatric Advanced Life Support (PALS) course is required when pediatric care is included in the facility scope services within 90 days of employment or documentation of current PALS certification.  
• Specialty certification in Perioperative or perianesthesia Nursing is preferred.

Working Conditions/Physical Requirements:  

• Physically demanding, high-stress environment 
• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 
• Pushing and pulling heavy objects  
• Full range of body motion including handling and lifting patients and equipment 
• Manual and finger dexterity  
• Hand eye coordination 
• Standing and walking for extensive periods of time  
• Lifting and carrying items weighing up to 50 lbs 
• Corrected vision and hearing to within normal range 
• Working irregular hours