PACU RN
Lewiston, Maine
Central Maine Medical Center

Registered Nurse (RN) - PACU (Peri Anesthesia)

Location

• Lewiston, Maine
• 2nd largest city in Maine
• Close to Portland (40 minutes), Bangor (1.5 hours), Boston (2.5 hours)
• Artsy and cultural atmosphere with many outdoor recreational activities

Employment Type

• Travel assignment
• Contract length: 13 weeks

Unit Profile

• Department: Peri Anesthesia
• Trauma Level III facility
• 19-bed Pre-op/same day surgery unit and 12-bed Phase I PACU (both required)
• Patient ratio: approximately 2:1
• Shift: Variable between 5:30 AM – 8:00 PM
• Weekly guaranteed hours: 36
• Weekend hours: One weekend every 5-6 weeks
• Call required
• Float requirements: Rarely

Patient Population

• All ages including pediatric patients

Required Certifications

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

Requirements/Qualifications

• Valid RN license in Maine
• Minimum 2 years of PACU (Post Anesthesia Care) experience, including experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience in both inpatient and outpatient settings
• Trauma experience
• Experience in charge nurse roles
• Current ACLS, BLS, and PALS certifications

Skills and Experience Must-Have

• Ambulatory/outpatient and inpatient care
• Experience in Level III Trauma Center environment
• Pediatric PACU, Phase I and Phase II recovery
• Pre-op and post-op care including assessment and education
• Arterial line management
• Dysrhythmia recognition and management
• Care for a wide range of surgical procedures including general, orthopedic, vascular, urology, plastics, thoracic, and more
• Blood product administration
• Central line and PICC line care and management
• Starting IVs and phlebotomy
• Administration of emergency medications, IV vasopressors, narcotics/analgesics, antiarrhythmics, anticoagulants, antihypertensives
• Procedural sedation and reversal agents
• Airway assessment and management including ventilated patients, chest tube management, fresh tracheostomy care, oral/nasal airway placement
• Interpretation of ABGs and lab values
• Conscious sedation, epidural, general, local anesthesia, monitored anesthesia care (MAC), nerve blocks, spinal anesthesia
• Pain assessment and management including PCA pump and RASS scale
• Obtaining 12 lead EKGs and operative/procedural consents
• Urinary catheterization (male and female)
• Wound vac management
• Isolation precautions and malignant hyperthermia protocols
• Stroke scale and circulation checks
• Management of pediatric patients

Preferred Skills and Experience

• Trauma Level II experience
• Teaching hospital experience
• Experience with Cerner EHR and Omnicell medication systems
• Previous charge nurse experience
• Experience with bariatrics (gastric bypass, gastric sleeve)
• 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

Equipment and Systems

• EHR: Surginet-Cerner
• Medication dispensing: Omnicell

Additional Information

• Dress code: Scrubs provided; navy blue allowed if permitted by SDS
• Personality fit: Adaptable to a fast-paced, multidisciplinary perioperative environment

This position offers a dynamic peri anesthesia nursing role in a Level III trauma center with a diverse surgical patient population and opportunities to utilize a broad range of clinical skills.