Registered Nurse – Post-Anesthesia Care Unit - PACU

SimpliFi Interview Team 4/2/24 is the earliest start date Hospital Information Address: 489 State St., Bangor, ME 04401 Level II Trauma Center Bed: 411 General Information: Minimum Experience: 1 year of exp in PACU setting (prefer more) – need to be strong in recovery as they will work independently Will not accept a first time traveler Elective cases are done during weekdays Monday-Friday. Weekends Sat/Sun -Non elective cases/emergent Additional Info for Phase 3 Recovery – Extended Observation care: Elective surgeries that will be monitored overnight and discharged next day – typically 23 hr. observation This unit resides inside of pre op and has its own rooms. 1-5 and 6-10. – All private rooms for the overnight stay Nurse staffing ratio 1:3-5 patients per ASPAN Extended Care guidelines, with one CNA for up to 10 patients Hours: Mon morning – later start – patients typically arrive between 10am-1pm - and open to Saturday until 12 noon-1pm. Closed Sundays. Phase 3 Recovery: 10 recovery rooms – no more than 10 cases per day. Patients will be recovered through phase2 in main PACU, and PACU RN will give report to accepting phase 3 nurse. In Main PACU (will work if census is low) – 37 recovery rooms 12 for outpatients, 11 for inpatients; 6 used for overflow, staging, and inpt holds Approx. 50 cases a day 24/7 operating hours. Open weekends and holidays. Patient types: Phase 3: To include, but not limited to: Total Joints (d/c next day), Gastric sleeve and gastric bypass, Lap chole, Spinal fusion, Mastectomy, OB/GYN cases (i.e. Hysterectomy), ENT (adult tonsillectomy) Adolescents but no Peds Independent/Minimal Assist patients No contact precautions – shared restrooms for 5 patients No COVID No Heparin or Insulin gtts No continuous O2 or Tele monitoring – they would not come to this unit if needing that level of monitoring Main PACU (will work if census is low) Inpatient and outpatient procedures Simple to complex surgeries needing MAC anesthesia to General, and spinals. Occasionally will be ICU and ventilated/ intubated – not a required skillset for Phase 3 RNs Level 2 Trauma patients Orthopedics: Total hip/knee and shoulder arthroplasties OB/GYN: urinary slings, hysterectomies, BSOs, post C-section Maternity General/GI: breast biopsies, bowel resections, lobectomies, colostomies, hernias, carpal tunnel repair Bariatric: Gastric bypass, gastric sleeves GU: cystos, laser lithotripsies, whipples, nephrectomies Neuro: Spinal surgeries, Craniotomies, Shunts Endo: EGDs, IPR (interventional radiology/cardiology) Pediatric cases: dental hygiene, eye surgery, pain pumps, ports, hemorrhoidectomies Mandatory skills: Strong knowledge of post op total joint care and getting patient up and ambulating Experience with Bariatric patients (strongly preferred) Pre-op experience – may start shift in pre-op and move to PACU once all patients are prepped for surgery; could strictly work pre-op some shifts dependent on census Charting with Cerner or EPIC Insulin gtts, electrolyte replacement and Heparin protocols (will need if working Main PACU) BLS, ACLS, PALS Phase 3 - 1: up to 5 patients, please ensure traveler understands this and note in offer email Required certifications: Patient ratio: In Main PACU (will work if census is low) – Phase 1 & 2 - 1:2, per ASPN guidelines Pre-Op – 1:2 typically, could rarely be 1:3, per ASPN guidelines Schedule: 12-hr shifts Weekend rotation: Weekends at EMMC are Sat/Sun only. Phase 3 will require Saturday mornings-early afternoon to d/c any phase 3 patients from previous day. If Phase 3 cases are all discharged on Saturday morning, traveler would float the remainder of the shift to Main PACU Block Scheduling cannot be guaranteed Call Schedule: None Holidays: Manager Approval 2 days of hospital orientation 2 days Departmental – (1) full day in Recovery; (1) Morning in PreOp + Afternoon in Phase 3 Recovery When working in Main PACU will discharge outpatients from PACU. This area is all one unit from Pre-op, Phase 1 and Phase 2 through discharge; Phase 3 for extended observation patients Daily staffing: up to 2 RNs in Phase 3; 11 in PACU without including Charge RN; 9 in Pre-op without including Charge RN. Usually, we have 2-3 nurses working overnights in Main PACU/Recovery + Phase 3 – dependent on census Phase 3 RN’s will float to Main PreOp/PACU and assist if census is low Scrubs: provided
At AMN Healthcare we take care of our travelers! We offer:

• Competitive pay rates
• Free, quality, private housing
• Medical, Dental, Vision
• 401(k) and Flex Spending
• Life Insurance
• Accident and Short-term Disability Coverage
• Free Continuing Education
• Refer a friend and earn extra cash!

Current ME or Compact RN license (#/expiration) BLS, ACLS Previous Travel Experience and PACU Ref & SCL within a year SSN & DOB Must live outside the state of ME (will not consider if the permanent address is in ME). No more that six days of RTO---Pls list dates in selling notes.
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