PACU RN
Lewiston, ME
Host Healthcare
3x15 hrs, Days
Referral Bonus

Registered Nurse (RN) - PACU (Peri Anesthesia)

Location

• Lewiston, Maine

Employment Type

• Travel assignment

Contract Length

• 13 weeks

Work Schedule

• 4x9 shifts (four 9-hour shifts per week)
• Variable shifts between 5:00 AM and 8:00 PM
• Average of 6-8 on-call shifts per 6-week block, including weekends and holidays
• Approximately one weekend shift every 5-6 weeks
• 36 guaranteed hours per week

Unit and Patient Population

• Peri Anesthesia unit with 19 pre-op/same day surgery beds and 12 Phase I PACU beds (both required)
• Patient ratio approximately 2:1
• Patient population includes all ages (pediatric, adult, geriatric)
• Trauma Level III facility

Required Certifications

• ACLS (Advanced Cardiovascular Life Support)
• BLS (Basic Life Support)
• PALS (Pediatric Advanced Life Support)

Clinical Skills and Competencies

• Arterial line management
• Dysrhythmia recognition and management
• Care for a wide range of surgical procedures including general, orthopedic, vascular, cardiac, urology, plastics, thoracic, ENT, bariatrics, and oncology surgeries
• Blood product administration
• Central line and PICC line care and management
• Phlebotomy and IV starts
• Administration of emergency medications, antiarrhythmics, anticoagulants, antihypertensives, IV vasopressors, narcotics/analgesics, and procedural sedation
• Management of ventilated patients, chest tubes, fresh tracheostomy care, and airway assessment
• Interpretation of ABGs and lab values
• Placement of oral/nasal airways
• Conscious sedation, epidural, general, local anesthesia, monitored anesthesia care (MAC), nerve blocks, spinal anesthesia
• Pain assessment and management including PCA pump use
• Stroke scale and circulation checks
• Wound vac management
• Isolation precautions and malignant hyperthermia protocols
• Medication reconciliation
• Obtaining 12 lead EKGs and operative/procedural consents
• Pre-op assessment, education, and review of history and physical
• Straight urinary catheterization (male and female)
• Richmond Agitation Sedation Scale (RASS) monitoring

Preferred Experience

• Trauma Level II experience
• Teaching hospital experience
• Previous charge nurse experience
• Experience with Cerner and Omnicell systems
• Experience with gastric bypass and sleeve surgeries, bariatrics
• Pulmonary artery line/Swan Ganz monitoring
• Pacemaker insertion
• Post cath lab procedures and sheath pull
• Insulin protocols
• Extubation, LMA/ET, intubation
• Pre/post cath lab, endoscopy, and interventional radiology procedures

Additional Information

• Electronic Health Record (EHR) system: Epic
• Scrub color provided; navy blue allowed if permitted by SDS
• Float requirements are rare

Location Highlights

• Lewiston is the 2nd largest city in Maine
• Close to Portland (40 minutes), Bangor (1.5 hours), and Boston (2.5 hours)
• Access to outdoor recreational activities such as skiing, fishing, hiking, kayaking, and cultural events

Requirements/Qualifications

• Valid RN license in Maine
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of RN experience in Post Anesthesia Care Unit (PACU), with PACU experience within the last year
• Current ACLS, BLS, and PALS certifications
• Experience in both inpatient and outpatient settings