Pre/Post Op RN Full Time

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LITTLETON REGIONAL HEALTHCARE

## POSITION SUMMARY

**JOB TITLE:**|

# Registered Nurse

| ** ****FLSA:**| Exempt Non-Exempt
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** ****DEPARTMENT:**** **| ** ** Perioperative Services (SDS/PACU/ENDO)| **GRADE:**| 9.5

## Position Summary

The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing same day surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act.

## Essential Duties and Responsibilities

### Pre-Operative / Pre-Procedural

Review patient history, verify consents, and ensure pre-procedure testing is complete.
\- Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems.
\- Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients.
\- Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care.
\- Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration.
\- Ensure timely coordination of care to support patient flow and surgical schedule readiness.

### Intra-Procedural Support (SDS / Endoscopy)

\- Assist in preparing patients and procedure rooms for surgery or endoscopy.
\- Support the procedural team by ensuring all documentation, supplies, and medications are ready and available.
\- Maintain situational awareness to anticipate team needs and patient status changes.

### Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery)

\- Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score.
\- Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications.
\- Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed.
\- Ensure all discharge criteria are met prior to patient release and support smooth transitions in care.

## Professional Responsibilities

\- Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities.
\- Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care.
\- Support quality and safety initiatives, including infection prevention and patient experience efforts.
\- Precept and mentor new staff as assigned.
\- Participate in review and follow-up of adverse events, variances, and near misses.

## Certifications

\- ACLS - Required
\- PALS - Required
\- Moderate Sedation and Endoscopy Competencies - Must maintain per hospital policy

## Ancillary Duties

\- Order and restock supplies in SDS, PACU, and Endoscopy areas.
\- Clean rooms and equipment in off-hours or between cases.
\- Maintain readiness of all clinical and patient care spaces.

## Working Conditions / Physical Requirements

\- Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals.
\- Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup.
\- Must be able to respond rapidly to patient care needs and changing conditions.

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