Is this a free standing ambulatory surgery center? Or outpatient surgery connected to an acute care hospital?
I have worked both, the one connected to an acute care hospital we had to cover, be on call, for PACU after hours for OR emergencies.
Both are open Mon to Fri, no holidays, no weekends, (except if you have to do emergency on call coverage).
They are fast paced because the more surgeries they can schedule each day, the more money they make.
Remember the patients have seen their primary care doctor, their surgeon, and a pre-op RN has reviewed their chart and spoken to them on the phone for a quick screen of their health, meds, previous surgeries, allergies, when to be NPO, who will drive them home, etc. Hopefully one of these three medical/nursing professionals has has "caught" patients who are not candidates for out patient surgery. Even an "iffy" patient may come in for a quick short out patient procedure with anesthesiologists pre-approval.
It is becoming more common for anesthesia to call their patients the night before and review their health history. Anesthesiologists are the ones putting these patients "to sleep" and hopefully waking them up in good condition! They are going to be the most concerned with their patients health. An anesthesiologist can and will cancel a surgery over a surgeons objections.
My point is few, if any, seriously ill patients come to out patient surgery. If they have serious medical issues they are done in an in-patient hospital. So you don't do, have time for, a head to toe assessment in a pre-op patient. If they have a cardiac history, rather than listening to heart sounds your time would be better spend checking their chart for a recent EKG or stress test results for the anesthesiologists to review.
Pre-op the checklist is king. How may hours NPO? Is there consent signed, both the surgeon's and anesthesiologist's? Who is their ride home,do we have their phone number? There are a lot of important questions, but the check list covers them all. Just be thorough. If an answer is vague, (I had a little water when I woke up), you have to be like a detective questioning a suspect. When did you wake up, how much did you drink, was it just water., etc. then let anesthesia know.
Some pre-op centers the anesthesiologists start IV's. If you will start IV's you may be confident in them with your 7 years experience. If not you will quickly become efficient. Some surgeons or anesthesiologists prefer a certain gauge or location for IV's so you will just need to ask co-workers.
Recovery is also fast paced. Where I work many surgeries are done with a little propofol and versed. The patients come out awake. They don't need hours in PACU. Use common sense and your gut feeling. If they come out of OR talking to their anesthesiologists, are on room air, O2 sats 98%, you don't have to listen to their lungs. If their vitals are good, they are awake, eating, pain under control, their ride is ready, they can go home within an hour, (or less for minor procedures.).
I love it. I love the hours. I love having a patient an hour or so then they are gone. I love teaching a pre-op what to expect, and in post-op, after care instructions.
My transition was a little hard simply because I had been in administration for 5 years, and was awful at IV's. but it all worked out.