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.

Blue Ridge Surgery Center is a multi-specialty ambulatory surgery center, located in Raleigh, NC. The center is a partnership between Surgical Care Affiliates and physicians. Blue Ridge Surgery Center and its team are committed to the highest level of patient care and satisfaction and to SCA’s values of Clinical Quality, Integrity, Service Excellence, Teamwork, Accountability, and Continuous Improvement.

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

Overnight Position Description:

The per diem registered nurse position is responsible for providing overnight care for patients having surgical procedures that require observation status/extended stay. In collaboration with other members of the multi-disciplinary care team, the registered nurse competently performs job responsibilities in accordance with the rules and regulations of all applicable local, state, and federal agencies, as well as accrediting bodies. The registered nurse actively participates in outstanding customer service, high quality of care, and accepts responsibility in maintaining relationships that are equally respectful to all.

Primary Responsibilities: 

• Promote the mission, vision, and values of SCA. 
• Assess patient status throughout the episode of care 
• 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 (eg, Aldrete Score, Modified Aldrete Score [ie, PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. 
• Develop an individualized perianesthesia plan of care by implementing: 
  • Managing patient recovery from anesthesia – general. 
  • Managing patient recovery from anesthesia – monitored anesthesia care. 
  • Managing patient recovery from anesthesia – regional. 
  • Managing patient recovery from anesthesia – local. 
  • Protecting patient from injury caused by extraneous objects and chemical, electrical mechanical and thermal sources. 
  • Demonstrating safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation. 
  • Speaking up with safety concerns acting as the patient advocate. 
  • Handling all specimens according to facility policy and procedures. 
  • Adhering to standard precautions including the use of personal protective equipment. 
  • Communicating the patient’s current status to relevant parties throughout the 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 ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. 
  • Providing nursing and appropriate monitoring in accordance with policies and procedures. 
  • 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 
  • 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;  
  • Complying with Universal Protocol and facility site validation and time-out policy. 
• 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 episode of care completely, accurately, and legibly. 
• Demonstrate effective communication and collaboration skills with members of the perioperative team and other stakeholders 
• Serve as a member of a multidisciplinary team in planning perioperative patient care. 
• 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 SCA and 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.  

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  

• • Graduate of an Accredited School of Nursing. 
  • One year of PACU 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 Nursing or Perianesthesia is preferred.