Registered Nurse PACU PT 20 hours

Join us at Holy Family Hospital

Not many healthcare professionals have the opportunity to build a career with a great job and robust benefits while also caring for friends, family and neighbors. You can when you work at Holy Family Hospital in Methuen and Haverhill. As part of the Steward Health Care System, our goal is to offer low-cost, high-quality healthcare to the people who live and work near our hospital, so they don’t have to travel far for great care.

Our two campuses in Methuen and Haverhill have a total of 320 beds and we are a full service, acute care hospital offering comprehensive inpatient medical/surgical units, outpatient care, and 24/7 emergency services. We have three behavioral health units, cardiac telemetry, and critical care service lines. Our Haverhill campus offers all private rooms, and our Methuen campus offers a new state-of-the-art catheterization suite and Joint Center of Excellence named as a Blue Cross Blue Shield Blue Distinction+ Center for Knee and Hip Replacement.

Position Summary: Registered Nurse PACU PT 20 Hours, Two 10 hour shifts per week. Flexible hours starting at 7am and closing shifts ending at 9:30pm.

• PACU, critical care (ED or ICU), telemetry or medical-surgical nursing involving ortho, neuro-spine, general surgery and urology preferred.
• Minimum call requirements: 2 weekday (Mon to Fri-9pm to 7am) per 4 four week schedule, and 1 weekend 24 hour (sat& Sun-7am to 7am) per 4 week schedule).
• Rotating holiday call required.

Job Description:

The Registered Nurse assumes full and ultimate responsibility for the quality of nursing care she/he provides to individuals and groups. Included in such responsibility is health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The registered nurse, within the parameters of his/her generic and continuing education experience, may delegate nursing activities to other registered nurses and/or health care personnel, provided that the delegating registered nurse shall bear full and ultimate responsibility for the patient outcomes. Performs other duties as assigned.

Essential Functions:

• The PACU nurse is clinically and administratively responsible for the care of the post-operative patient.
• Receive an oral report from the anesthesia provider on the patient’s condition to include the operative procedure, allergies, medications administered, estimated blood loss, any complications that occurred and any other pertinent information.
• Perform an initial assessment with the anesthesia provider to include the evaluations of:
  • Vital signs
  • Respiratory status (respiratory rate and competency); type of artificial airway, if applicable and oxygen saturation
  • Blood pressure
  • Pulse, apical or peripheral
  • Temperature
  • ECG rhythm interpretation and documentation
  • Level of consciousness
  • Position of patient
  • Condition and color of skin
  • Patient safety needs
  • Condition of dressing/s
  • Condition of suture line, if dressing absent
  • Type, patency and securement of drainage tubes, catheter and drainage collection devices.
  • Amount and type of drainage
  • Fluid therapy, location and condition of IV site, securement and amount of solution infusing
  • Level of comfort
• Evaluate continually the condition of each patient and maintain an accurate written report of the patient’s vital signs. The ongoing assessment includes:
  • Records periodically ECG rhythm interpretation and vital signs as indicated above. As a routine, vital signs are to be taken every five minutes for 15 minutes or until stable, and then every 15 minutes for the duration of the patient’s stay in PACU.
  • Monitors, maintains and/or improves respiratory function.
  • Monitors temperature every 30 minutes if below 96 degrees F, appropriate measures are taken to provide the patient with warmth and comfort.
  • Documents nursing action and/or intervention with outcome.
  • Monitors surgical site and drain.
  • Monitors and documents intake and output.
  • Evaluates the need for administration of analgesics and/or antiemetics.
  • Includes parent/guardian in the care of the patient as indicated.
• Maintain the medical record for each patient in the post anesthesia care unit.
  • The record will include at least such postoperative data as the patient’s general condition, respiration, consciousness, circulation, and special problems or precautions, summary of fluids received during surgery, oxygen saturation.
  • The record will include at least such postoperative data as allergies, physical and mental impairments, prostheses, electrocardiogram, vital signs, radiological findings, laboratory values, drug use and mobility limitations.
• Discharge patients from the post anesthesia care unit using discharge criteria, including authority to discharge, which have been developed through the post anesthesia policies and procedures.
• Confirms patient ride home and home assistance before discharge.
• Handoff report given to staff nurse prior to admission to the inpatient setting.
• Collect prescriptions for the surgical patient prior discharge
• Formulates a teaching plan/discharge plan based on identified patient learning/care needs and evaluates its effectiveness; family is included as appropriate in teaching/evaluation process.
• Checks daily crash-cart and emergency medications, supplies and equipment at the beginning of each day’s surgery.
  • Charges defibrillator per manufacturer’s instructions and ensures that it is in working order will all connections tightly secured and proper accessories available on the cart.
  • Checks par levels of emergency medications in the crash cart as per schedule.
  • Ensures that all items on crash cart are presented in correct quantity.
  • Ascertains that the oxygen tank is full and functioning properly.
• Maintains par level of other supplies and medications. Checks for expiration dates of medications and supplies on a monthly basis.
• Cleans routinely after each patient.
• Checks all suction outlets and monitors to ensure that they are all functioning properly.
• Ensures that stretchers and recovery chairs are in a locked position.
• Ensures that all equipment is clean (i.e., suction canisters, stretchers, recovery chairs, monitoring equipment).
• Conducts narcotics count in the specified manner with another RN. This is performed weekly and reported to pharmacy.
• Renews BLS, ACLS, and PALS, TNCC or TCAR certification per GSMC requirements.

Minimum Qualifications

1. Education: Graduate of accredited school of nursing
2. Certification/Licensure: Current nursing registration in Massachusetts required. BCLS, ACLS, and PALS required from the American Red Cross or American Heart Association.
3. Experience: PACU, critical care (ED or ICU), telemetry or medical-surgical nursing involving ortho, neuro-spine, general surgery and urology preferred.
4. Other: Demonstrated clinical competence in the specialty area of nursing practice preferred

Benefits

We have many plans with various deductibles, which can cover individuals or families, so you can customize a plan that will work for you! Steward Health Care works with Blue Cross Blue Shield of Massachusetts to provide affordable health insurance for our employees in benefit eligible positions. Our Health Plans Highlights are:

• Deductibles will not apply to services provided by a Steward provider (Tier 1).
• Office visits copays will be $0 when a member uses a Steward Provider (Tier 1).
• Mental Health and Substance Abuse office visits will be $0 for all In-Network providers (Tier 1, Tier 2, and Tier 3).

Other Benefits provided:

• Dental, Vision, Health Care Savings Account, Life Insurance, Short Term and Long-Term Disability, Tuition Reimbursement, Paid Time Off, Shift Differential, Tuition Reimbursement, and more.

About Steward Health Care
Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

As the country’s largest physician-led, tax paying, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

Steward is among the nation’s largest and most successful accountable care organizations (ACO), with more than 5,500 providers and 43,000 health care professionals who care for 12.3 million patients a year through a closely integrated network of hospitals, multi-specialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers. Based in Dallas, Steward currently operates 39 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.

Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion, and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristics.