Scope of Service

Operating Room (OR) - Cases scheduled 0645 to 1730 Monday through Friday which consists of 5 operating rooms. Services are provided to patients of all ages, 1 year of age to adult requiring major or minor surgical specialty services - Cardiovascular, Neurosurgery, Orthopedics, Ophthalmology, Gastroenterology. Obstetrics/Gynecologic, Otolaryngology, General, And Trauma surgery.

The Same Day Surgery/Post Anesthesia Care Unit (SDS/PACU) RN provides care for patients Pre-operatively and Post-operatively. Procedure types include: Endoscopy, ENT, Gynecology, Neurology, Orthopedic, General, Obstetrics, and Ophthalmology.

Pre-operatively - patients are fully assessed for all physical, emotional, spiritual, and family needs prior to surgery. There is a complete medication reconciliation, which will include all over the counter, herbal supplements, as well as all prescription medications. A complete physical evaluation is completed by the Anesthesia Provider, and RNs in this area will assist with any necessary preoperative sedation of anesthesia needs. The RN will also complete a physical assessment as well and complete set of vital sings, insert a peripheral IV, and medicate as per orders.

Activities vital to the care of post-anesthesia and post-operative patients include: monitoring vital signs, managing postoperative pain, monitoring the surgical site, treating symptoms of postoperative nausea and vomiting, treating post-anesthetic shivering and airway management. PACU RNs often coordinate the delivery of care for post-anesthesia patients following surgical procedures so the safety, physical, psychological and educational needs of the patients and family members are met.

PACU provides extended recovery care for up to 6 hours to patients requiring closer observation. Anesthesia can include general, regional or local anesthesia. The immediate post anesthesia period includes patients who have surgical, obstetrical, diagnostic, or therapeutic procedures

The SDS area is a 5 bay unit and the PACU is a 5 bay unit directly adjacent to the Main Operating Room. PACU staff are on-call Monday - Friday after the last case has completed recovery until 7am the following morning and Saturday & Sunday 7:00 am to 7:00 am (24 hr. periods at a time) and on major holidays.

Responsibilities

I. JOB SUMMARY/RESPONSIBILITIES:
• Supervisor is responsible for daily operations of the nursing unit, and supervisions and support of personnel and patients. Includes administrative duties, and may include hands-on clinical duties and responsibilities. Assists in setting the standard of care in the department, consistent with the mission, vision and philosophy of Queen's North Hawaii Community Hospital (QNHCH).
• Ensures operations and functions are in compliance with regulatory requirements and the policies and procedures of the Hospital.
• Participates in the administrative and operational management of unit(s) and area(s) assigned
• Serves as the manager of the department/unit in the absence of the Manager as assigned.

II. TYPICAL PHYSICAL DEMANDS:
• Finger dexterity, seeing, hearing, speaking.
• Frequent: sitting, standing, walking, static gripping of an object for prolonged periods.
• Occasional: stooping/bending, climbing stairs, walking on uneven ground, lifting and carrying usual weight of one pound up to five pounds, reaching above, at and below shoulder level

III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
• Subjected to noise/vibrations from intercoms, telephones and monitors.
• Exposure to body fluids and communicable diseases.
• Frequently works on multiple tasks and priorities at one time.

IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• Current Hawaii State license as Registered Nurse.
• Associates degree in Nursing.
• Bachelor's degree in Nursing preferred.
• Depending upon area of assignment, specialty certification/training may be required.
• Current BLS certification.

B. EXPERIENCE:
• Minimum three (3) years as a Registered Nurse in an acute care facility.
• Prior supervisory/leadership experience.