Nursing Department

OPERATING ROOM
JOB DESCRIPTION
Number: AHH-RR-JD-007 Original Issue Date: November Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 1 of 5

2004

1.0 2.0

Job Holder: Job Title: Recovery Room/Post Anesthesia Care Unit Staff Nurse

3.0 Area

Organizational Relationship: 2.1 Reporting to : Head Nurses of RR/PACU,

Supervisor 2.2 Responsible for : The immediate nursing care to all post operative patients under General Anesthesia, sedation, Loco regional anesthesia, Spinal Anesthesia and Epidural Anesthesia after the endorsement from the Circulating Nurse and Anesthesia Nurse Chief of Anesthesia,

2.3 Liaises with Anesthesiologist,

Nursing Supervisors and Head Nurses, and Surgeons, patients family and visitors. 4.0 Job Summary: To provide intensive observation and care of the patient following an operative procedure for which an anesthetic agent has been

administered until the criteria for discharge has been fulfilled.

Number: AHH-RR-JD-007 Original Issue Date: November Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 2 of 5

2004

5.0

Duties and Responsibilities: Responsible in receiving post operative patients knowing the

5.1 following:

operation performed, untoward problem that occurred in the surgical suite, present condition and complication that might arise and the signs and symptoms to watch. 5.2 Maintain a patent airway. Asses respiratory status upon receiving and at intervals until discharge. 5.2.1 Administered oxygen as ordered and carry out STAT orders immediately. Patient who has received a general or spinal/epidural anesthesia must received supplemental oxygen during the recovery phase. 5.3 5.4 rate every 10 minutes initially until stable and hourly depending on the order. 5.5 Position patient in recovery position (lateral position). Unless contraindicated, the unconscious patient is positioned on his side, a pillow on his back and with his chin extended upward to minimize any danger of aspiration. 5.6 Assess for objective signs of pain, protective guarding behavior, moaning, crying, restlessness, irritability and facial expression of pain. Determine level of consciousness to assess the need to reverse medications. Monitor blood pressure, temperature, pulse rate and respiratory

5.7 as 5.8 5.9

To adhere the implementation of infection control practices as well environmental safety and waste management. Observe the principles of safe administration of blood transfusion. Prepare and anticipates during emergency Code Blue in PACU.

5.10 Check the Post Anesthesia Care Unit Criteria. Indicator of recovery
Number: AHH-RR-JD-007 Original Issue Date: November Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 3 of 5

2004

includes stable blood pressure, adequate respiratory function, adequate oxygen saturation level compared with baseline, and spontaneous movement on command. 5.11 As soon as patient is fully awake, inform him that surgery is finished and reorient him as to time and place. 5.12 Proper endorsement-the RR/PACU nurse reports the baseline data about the patients general condition, review post-operative orders or therapeutic regimen including medications, diet and activity performs, dressing changes and wound care and any other treatments to the receiving nurse. Patients being discharge directly to home such as Day Case requires verbal and written instructions about follow-up care. 5.13 Ability to recognize safety hazards and initiates appropriate preventive and corrective action. 5.14 Comply with the standards laid down by the International and National Accreditation. 6.0 Educational Qualification and Licensures 6.1 6.2 With a Bachelor of Science in Nursing Degree Licensed Registered Nurse in Originating Country

6.2 7.0

Licensed in Saudi Commission for Health Specialties

Professional Experience: 7.1 With previous experience of two to three years in the related or the same field.

8.0

Specialized Knowledge: 8.1 Knowledge in specialized area

Number: AHH-RR-JD-007 Original Issue Date: November Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 4 of 5

2004

8.2 8.3 8.4 9.0

Certified BLS, ACLS Passer Fluent in English Knowledge in Basic Arabic Language

Other Information: 9.1 Conditions - This job description is subject to periodic review and may be changed at any time in consultation with the concerned employee. 9.2 Reference: 9.2.1 AHH NUR RR 001, November 2004 9.2.2 Alexanders Care of the Patient in Surgery Fourteenth edition by Jane C. Rothrock page 270 -271

Prepared/Revised by : __________________________________ Ms. Jasmin Aeryll T. Lapnawan Department Quality Coordinator (RR Nurse) ______________ Date

__________________________________ Ms. Bella M. Samonte Clinical Quality Assurance Manager __________________________________ Ms. Sarah Jane Smith RR Charge Nurse __________________________________ Ms. Anita Poolakuth OR Head Nurse

______________ Date ______________ Date ______________ Date

2004

Number: AHH-RR-JD-007 Original Issue Date: November Revision Date: June 2011 Effective Date: July 2011 Due for Revision on: July 2013 Number of Pages: 5 of 5

Reviewed by : __________________________________ Ms. Josefina Hilvano OR Supervisor __________________________________ Ms. Pacita C. Frias Nursing Director __________________________________ Dr. Magdy Shehata Mikhail Chief of Anesthesia/Head of Operating Room Approved by : __________________________________ Dr. Abdulaziz Al Hammadi Vice Director of Medical Affairs __________________________________ Dr. Reema Al Hammadi Director of Medical Affairs __________________________________ ______________ Date ______________ Date ______________ ______________ Date ______________ Date ______________ Date

Mr. Mohammad Al Hammadi Executive Director

Date