Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
9/14/2017
Job Category:
Nursing
Industry:
Health Care & Medicine
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PACU Nurse
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Job Description

Qualifications

 Minimum Education


Specific Requirements and Preferences
Graduated from an approved school of nursing. BSN preferred. .

Minimum Work Experience
2 Year(s)

Specific Requirements and Preferences
At least 2 years of PACU experience required or related clinical nursing experience in a comparable setting such as critical care or Peds ED.


Required Skills/Knowledge

The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National. Must have strong skills of airway management and knowledge of anesthetic agents. Excel in organizational skills, adjust for changes and be able to complete assignment on time. Role model critical thinking skills by problem-solving patient care and unit/system issues. Demonstrate a collegial and respectful relationship with peers, physicians and other departments. Care will incorporate best practices based on benchmarks and evidence within the literature.



Required Licenses and Certifications

Registered Nurse in District of Columbia



Cardio-Pulmonary Resuscitation (CPR)
Pediatric Advanced Life Support (PALS)

Preferred Certified Pediatric Nurse (CPN) and Certified Post Anesthesia Nurse (CPAN).



Functional Accountabilities

Post-Anesthesia Clinical Care Activities
  1. Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery.
  2. Perform manual intermittent positive pressure ventilation (IPPV).
  3. Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families.
  4. Monitor cardiopulmonary function, airway patency, and oxygen saturation.
  5. Provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium.
  6. Evaluate and treat post-operative pain in a timely manner with appropriate intervention.
  7. Manage epidural administration of local anesthetics and opioids.
  8. Manage patients with central neuraxial and peripheral nerve blocks.
  9. Monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents.
Transformational Leadership
  1. Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach.
  2. Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues.
  3. Role model procedures for escalation of issues and utilize chain of command.
  4. Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff.
  5. Take the lead in implementing change and support management decisions.
  6. Role model behavior reflecting empathy, concern and a desire to help others.
Structural Empowerment
  1. Independently maintain regulatory requirements e.g. license, BLS.
  2. Initiate professional activities to enhance nursing practice.
  3. Engage in active review of peers giving constructive feedback through timely participation in evaluations.
  4. Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification.
  5. Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers.
  6. Serve as a resource as needed and know when to escalate to next level.
Exemplary Professional Practice
  1. Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.
  2. Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions.
  3. Direct prioritization and organization for complex patient with rapidly changing needs.
  4. Documentation will exemplify adherence to the highest standards of practice.
  5. Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge.
  6. Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.
Safety
  1. Speak up when team members appear to exhibit unsafe behavior or performance
  2. Continuously validate and verify information needed for decision making or documentation
  3. Stop in the face of uncertainty and takes time to resolve the situation
  4. Demonstrate accurate, clear and timely verbal and written communication
  5. Actively promote safety for patients, families, visitors and co-workers
  6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities (Staff)

Professional Growth
  1. Initiate ways to improve operations through quality improvement and implement related solutions.
  2. Identify self-learning needs and take initiative to meet those needs.
  3. Serve as a resource for current, new information or changes in specialty area.
Organizational Commitment/Identification
  1. Partner in the mission and upholds the core principles of the organization
  2. Committed to diversity and recognizes value of cultural ethnic differences
  3. Demonstrate personal and professional integrity
  4. Maintain confidentiality at all times
Customer Service
  1. Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
  1. Demonstrate collaborative and respectful behavior
  2. Partner with all team members to achieve goals
  3. Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving
  1. Contribute to a positive work environment
  2. Demonstrate flexibility and willingness to change
  3. Identify opportunities to improve clinical and administrative processes
  4. Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
  1. Use resources efficiently
  2. Search for less costly ways of doing things
 

About Children's National Health System

Childrens National Medical Center is the only exclusive provider of pediatric care in the metropolitan Washington area and is the only freestanding childrens hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta. Serving the nations children for more than 130 years, Childrens National is a proven leader in the development and application of innovative new treatments for childhood illness and injury.

Childrens National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report.

Our Culture

Children's mission is to be preeminent in providing pediatric health care services that enhance the health and well-being of children regionally, nationally and internationally. Through leadership and innovation, Children's creates solutions to pediatric healthcare problems. Children's excels in Care, Advocacy, Research, and Education to meet the unique needs of children, adolescents and their families. Children's leadership realizes that our employees are the heart of our medical center and the soul of our mission. One of our greatest assets is the diversity of our workforce, which adds to the richness of our culture. Teamwork, dedication, and professionalism are essential values and characteristics that make our employees unique.

Childrens internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Our employees share a sense of pride and commitment to the patients and families we serve. We aspire to provide patients and their families with the highest quality of care and service in a family-centered environment. In essence, we are a team of "Great People Providing Great Care."

Nursing Students

As a nursing student, you might already be craving hands-on experience at a highly respected hospital. You may be thinking about where or with which population you want to work after graduation.

At Childrens, a world-class teaching hospital and internationally-recognized leader in pediatric health, we invite nursing students at all stages of learning to explore the real world of working in a hospital setting and experience first-hand the challenges and rewards of this career.

Internship Program

The internship program provides the novice nurse with the knowledge base and skill set needed to transition to competence in clinical nursing practice. While providing the needed skills to meet the organization goals and mission, the program provides nurses with the leadership skills to work collaboratively within a multidisciplinary team. The program bridges the gap between undergraduate education and real-life professional nursing practice, delivering state-of-the art pediatric care.

The program is offered to new graduate nurses from an accredited nursing program with a passion for children. All new graduates, with less than one-year acute care experience, are eligible to participate in the program after obtaining licensure.