Registered Nurse - Endoscopy - PRN

Registered Nurse

Qualifications:

Graduate of Accredited School of Nursing

RN with active license, no restrictions (license in appropriate state)

One (1) year of nursing experience, preferably, in an ambulatory surgery center

CPR certification and/or ACLS-PALS certification (as required by Center)

Strong ethical and moral character references

Basic computer skills

Essential Duties, Tasks and Responsibilities:

Follows all policies and procedures of the Center

Uses equipment effectively following manufacturer's instruction for use

Uses proper techniques and procedures according to accepted standards of practice

Organizes nursing activities efficiently and effectively

Continuously assess and monitors the physical and emotional status of the patient and documents and reports per policy and procedure

Uses two patient identifiers to assure correct patient and "ask don't tell" to identify correct procedure and physician

Addresses patient needs specific to the anticipated procedure

Transports patients, as needed, observing policies, procedures and safety requirements

Verifies and explains procedure with the patient and discusses plan of care prior to transporting to procedure room

Provides comfort and reassurance to each patient

Maintains patients privacy and dignity

Work collaboratively with the healthcare team to provide safe continuity of patient care

Actively participates as a team member in support of the total endoscopy process

Organizes time, activities, equipment, supplies and personnel to provide efficient, cost effective patient care

Delegates activities appropriate to the abilities of available staff members

Supervises and directs patient care in pre, intra and post-op

Reviews patient's medical record and needs to provide continuity of care in collaboration with other members of the healthcare team and communicates variances

Considers cost containment by using supplies economically and by managing efficient turnover time

Assists with supplies, drugs and equipment inventories to maintain stock level and availability; maintains order and cleanliness of pre procedure area(s), endoscopy room and PACU

Works collaboratively with the healthcare team to prepare for the patient in their assigned area according to requirements of the patient, physician and procedure to include but not limited to, assembling and providing functions equipment, supplies and instruments including sterilization and high level disinfection of supplies and equipment

Administers medication(s) per order of the physician and documents appropriately

Monitors and reports any abnormal observed complications to the anesthesia provider and physician

Accurately comprehends and interprets physician orders and direction, following policy and procedures

Documents in the patients medical record and other forms accurately, legibly and timely in a timely manner, following policies and procedures

Proper aseptic and sterile techniques are used according to acceptable standards of practice monitors and identifies breaks in sterile technique

Demonstrates ongoing competencies with patient assessment and appropriate interventions when variances occur

Assesses each patient for fall precautions and addresses per policy

Successfully able to start patient peripheral IV

Participates in the time out

Uses the Safe Surgical checklist

Works collaboratively with healthcare team to ensure physician preference cards are maintained and updated as needed

Handles and logs tissue specimens correctly and accurately according to policy and procedures

Ensures the appropriate and safe positioning of the patient meeting patient needs and the planned procedure and monitors throughout the procedure

Monitors and assess patient for recovery from anesthesia

Prepares patient for discharge to include: assisting with dressing, discharge instructions, medication reconciliation and follow-up physician appointment with patient and responsible adult

Determines and documents patient and responsible adult understanding of the discharge instructions and indications for seeking emergent care

Develops a plan of care, based on patient needs, related to the procedure and type of anesthesia

Attends all required education

Performs other miscellaneous duties as assigned

Regulatory/Compliance:

Contributes to the progress and development of the center's compliance program

Performs according to accreditation requirements, regulatory standards and center policies and procedures

Adheres to patients' rights and responsibilities and supports them in performance of job duties

Adheres to rules and regulations for Protected Health Information (PHI) and Health Insurance Portability and Accountability (HIPAA) protections of patient information

Quality Assurance and Performance Improvement (QAPI):

Performs according to the centers adopted policies and procedures

Ensures compliance with the center's adopted quality assurance performance improvement program (QAPI), policies and procedures

Proactively contributes to the QAPI process and identifies his or her own role and contributions

Safety:

Adheres to best practices and regulations adopted, to provide safety in the workplace

Uses surgical safety checklist

Monitors the Center's physical environment to ensure the maintenance of safety, comfort, cleanliness, and efficiency

Monitors the care, cleaning, and required maintenance of equipment to maintain proper working conditions

Reports observed or suspected safety violations and hazards to the Safety Officer; ensure ongoing policy/procedure compliance

Adheres to OSHA regulations in performing job duties and responsibilities

Communication:

Ability to professionally and effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient care in a clear and concise manner

Works collaboratively with center leadership on patient and staff scheduling according to policies, procedures, and center needs

Ability to effectively present information, respond to questions, and professionally interact with physicians, managers, employees, clients, vendors, and the general public

Interacts with others in a positive, respectful and considerate manner

Teamwork:

Works collaboratively with the healthcare team

Delegates staffing duties appropriately to unlicensed assistive personnel and LVN/LPN, accordance with scope of practice and center policies and procedures

Reports observed or suspected safety violations, hazards, and policy/procedure non-compliance to Center Leader, Safety Officer, and Clinical Director

Actively participates in staff meetings, in-services, continuing education, and the quality improvement (QAPI) program

Financial Practices:

Uses Center resources appropriately and avoids wasteful practices

Reports wasteful practices

Analyzes work area and makes recommendations for potential cost-effective improvements

Professional Competence:

Participates in continuing education and other learning experiences

At a minimum, maintains membership in professional organizations per center requirements

Seeks new learning experiences by accepting challenging opportunities and responsibilities

Shares knowledge gained in continuing education with center personnel

Assists Center Leadership with orientation and training of new personnel

Demonstrates ability to act as a resource for problems related to patient care

Essential Values, Codes of Conduct:

Demonstrates knowledge of and adheres to the Code of Conduct

Adheres to the Scope of Practice

Supports the centers mission statement and goals

Complies with the centers standards for ethical business conduct

Works with Center Leadership to ensure patient and physician satisfaction

Adheres to policies and procedures, including, but not limited to, attendance, timeliness, safeguarding confidential information

Reports incidents in a timely manner

Demonstrates an attitude of caring, respect, sensitivity, tact, compassion, empathy, and tolerance

Exhibits mental alertness for quality decision making and exercises good judgment

Exhibits high level of integrity

Ability to multi-task effectively, efficiently, accurately, and with attention to detail

Mathematical Skills:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages

Language Skills:

Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required. Ability to read, analyze, and interpret general

Ambulatory Surgery Center