Clinical Nurse II - PACU - Sharp Tri-City - 12 Hour Variable Shift - Full Time

STCMC Tri; Oceanside (CA); On-site; USD 84,000 - 111,000; Full time

Job summary

Sharp HealthCare is seeking a PACU Registered Nurse (CN II) to deliver high-quality perioperative care in the pre- and postoperative period. Requires California RN licensure, BSN or ASN with experience, BLS; ACLS and NIHSS are mandatory, CAPA/CPAN preferred.

This position is covered by CNA/CBA. You will perform comprehensive assessments, develop individualized perioperative care plans, document in EMR, educate patients and families, and collaborate with a multidisciplinary team.

Qualifications

• Bachelor's degree in nursing required.
• California RN license and ACLS/BLS certifications required.
• NIH Stroke Scale certification required; CAPA/CPAN preferred.
• Five years in critical care PACU or ICU/ED settings alternative pathways.

Responsibilities

• Provide high-quality PACU patient care and monitoring.
• Coordinate with interprofessional team for patient safety.
• Document perioperative care in EMR accurately.
• Educate patients and families on post-op care.
• Lead or assist as charge nurse when needed.
• Ensure infection control and safety standards.

Skills

PACU Nursing

Aseptic Technique

Clinical Decision-Making

Emergency Protocols

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing

California RN License

ACLS Certification

AHA BLS Healthcare Certification

NIH Stroke Scale Certification

CAPA or CPAN (preferred)

Job description

Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

12/36 - 12 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

Yes

Hourly Pay Range (Minimum - Midpoint - Maximum):

$61.000 - $70.740 - $80.490

This position is covered by a Collective Bargaining Agreement (CBA) with CNA.

What You Will Do

The Post Anesthesia Care Unit Registered Nurse (PACU RN) at the Clinical Nurse II (CN II) level is a vital part of the PACU team, responsible for delivering high-quality, patient-centered care during the pre & postoperative period. This role requires advanced competencies, specialized certifications, and a strong ability to function autonomously while collaborating with interdisciplinary team members to ensure patient safety and optimal outcomes.

Required Qualifications

• Bachelor's Degree in Nursing
• Associate's Degree in Nursing with five (5) years of experience as a Registered Nurse in a high-acuity PACU or an ICU, ED or similar critical care setting in lieu of BSN.
• Experienced PACU RN: Two (2) years of experience as a Registered Nurse in a Pre-op/PACU Unit.Or
• Transitional RN Program: Five (5) years of experience as a Registered Nurse in an ICU, ED, or similar critical care setting.
• California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED
• ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED
• NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -REQUIRED

Other Qualification Requirements

• Certified Ambulatory Perianesthesia Nurse (CAPA) or Certified Post Anesthesia Nurse (CPAN), or equivalent certification. - PREFERRED

Essential Functions

• The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
  Maintains a safe, clean working environment, including unit based safety and infection control requirements.
  Patient Care:
  Coordinate the interprofessional health care team to deliver safe, efficient, patient-centered, timely and equitable care to surgical patients.
  Conduct comprehensive preoperative and postoperative assessments to identify patient-specific needs.
  Develop and implement individualized perioperative care plans.
  Monitor and evaluate patient responses postoperatively, ensuring swift intervention as needed.
  Act as patient advocate and protect patient dignity and confidentiality.
  Evaluates effectiveness of care provided by all health care team members, including oneself, and contribution of systems and environment in progressing patients toward desired outcomes.
  Provide education to patients and families about medical conditions, medications, and post-operative care.
  Advocate for evidence-based practices in PACU care.
  Safety and Compliance:
  Maintain a safe, clean working environment, adhering to infection control and hospital policies.
  Maintain strict adherence to aseptic techniques and infection control protocols.
  Comply with hospital and regulatory standards, including The Joint Commission, OSHA, and AORN guidelines.
  Adhere to facility policies to ensure safe care.
  Identify and report safety concerns; demonstrate willingness to address pervasive systemic issues.
  Documentation:
  Accurately document perioperative care, patient progress, and any pre or postoperative incidents in the electronic medical record (EMR).
  Professional Development and Leadership:
  Provide preceptorship and mentorship to New Graduate Nurses, New Hires, and students, fostering their professional development.
  Participate in professional development activities, including continuing education, certifications, workshops and quality improvement initiatives.
  Serve as a resource and advocate for best practices within the surgical services department.
  Function in the charge nurse role as needed.
  Emergency Preparedness:
  Act decisively in critical situations, such as cardiac arrest, demonstrating advanced clinical skills and composure under pressure.

Knowledge, Skills, and Abilities

• Competent in all core PACU skills (e.g., airway management pain control hemodynamic monitoring, post-op assessment).
• Strong understanding of anatomy, physiology and pharmacology.
• Demonstrates critical thinking and clinical decision-making in moderately complex patient situations.
• Applies knowledge of anesthesia types, post-operative complications, and emergency protocols.
• Effective verbal and written communication with the surgical team, patients and families.
• Strong interpersonal skills to support a collaborative team environment.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Associate's Degree in Nursing; Bachelor's Degree in Nursing; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; NIH Stroke Scale (NIHSS) - Various-Employee provides certificate; California Registered Nurse (RN) - CA Board of Registered Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association