PACU RN

Location: Poughkeepsie, NY

Hours: 8:00 am - 4:30 pm

Who we are:

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

What you’ll do:  

Responsibilities/Duties:  

• Support the mission, vision, and values of the organization.  

• Assess patient's 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 score accurately as defined by organizational policy. (Aldrete Score)  

• Develop an individualized perianesthesia plan of care.  

• Implement the plan of care including the following interventions: managing patient recovery from anesthesia – general, monitored anesthesia care, regional, local, protecting patient from injury caused by positioning, thermal sources, and extraneous objects.  

• Communicating the patient's status throughout the perianesthesia continuum of care;  
  Providing acute pain and comfort management as needed.  
  Administering medications correctly by implementing the 7-rights of safe medication practices (i.e., right patient, right medication, right dose, right time, right route, right indication, right documentation).  

• 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. 

• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing of 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 critical thinking, problem-solving and conflict resolution skills to foster effective work relationships with team members.  

• Maintain required competencies.  

• Pursue professional growth and participate in a professional organization.  

• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. 

• Perform other duties as assigned.

Who you are: 

Qualifications:  

• Graduate from an accredited school of nursing. 

• Current registered nurse licensure in New York State. 

• Basic Life Support (BLS) certification. 

• Advanced Cardiac Life Support (ACLS) certification. 

• Pediatric Advanced Life Support (PALS) certification, PACU. 
  Certified Post Anesthesia Nurse (CPAN) or Certified Ambulatory Perianesthesia. 

• Nurse (CAPA) certification. 

• Bachelor's degree in nursing. 

• Two years post anesthesia care experience. 

• Basic computer skills (e.g., Microsoft® Word). 

• Exposure to blood and body fluids, communicable diseases, chemicals and other hazardous materials, radiation, and repetitive motions. 

• Pushing and pulling heavy objects. 

• Full range of body motion including handling and lifting patients. 

• Manual and finger dexterity. 

• Hand and eye coordination. 

• Standing and walking for extensive periods of time. 

• Lifting and carrying items weighing up to 50 pounds. 

• Corrected vision and hearing to within normal range. 

• Working irregular hours including call hours. 

• Excellent verbal and written communication skills. 

What we offer:  

• Excellent growth and advancement opportunities  

• Dynamic environment  

• Access to a diverse network of practitioners  

• Broad infrastructure of tools and programs to enhance the employee experience     

• Competitive Compensation  

• Generous PTO   

• Benefits package: health, dental, vision, 401(k), etc.  

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”). 

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