Registered Nurse - Same Day Surgery - Per Diem

LITTLETON REGIONAL HEALTHCAREPOSITION SUMMARYJOB TITLE:Registered NurseFLSA:ExemptNon-ExemptDEPARTMENT:Perioperative Services (SDS/PACU/ENDO)GRADE:9.5Position SummaryThe Staff Registered Nurse delivers comprehensive nursing care to patients undergoing same day surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act.Essential Duties and ResponsibilitiesPre-Operative / Pre-ProceduralReview patient history, verify consents, and ensure pre-procedure testing is complete.- Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems.- Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients.- Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care.- Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration.- Ensure timely coordination of care to support patient flow and surgical schedule readiness.Intra-Procedural Support (SDS / Endoscopy)- Assist in preparing patients and procedure rooms for surgery or endoscopy.- Support the procedural team by ensuring all documentation, supplies, and medications are ready and available.- Maintain situational awareness to anticipate team needs and patient status changes.Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery)- Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score.- Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications.- Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed.- Ensure all discharge criteria are met prior to patient release and support smooth transitions in care.Professional Responsibilities- Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities.- Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care.- Support quality and safety initiatives, including infection prevention and patient experience efforts.- Precept and mentor new staff as assigned.- Participate in review and follow-up of adverse events, variances, and near misses.Certifications- ACLS - Required- PALS - Required- Moderate Sedation and Endoscopy Competencies - Must maintain per hospital policyAncillary Duties- Order and restock supplies in SDS, PACU, and Endoscopy areas.- Clean rooms and equipment in off-hours or between cases.- Maintain readiness of all clinical and patient care spaces.Working Conditions / Physical Requirements- Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals.- Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup.- Must be able to respond rapidly to patient care needs and changing conditions.- Includes irregular hours and call coverage as required by the surgical schedule.Employee Signature: