RN Specialty II, GI/DDEC Endoscopy Center, Downtown Nashville

RN Specialty II, GI/DDEC Endoscopy Center, Downtown Nashville

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222 22ND AVE NORTH - NASHVILLE, TN 37203

Job Summary

Provides individualized and specialized nursing care to patients in the Center in accordance with physician's orders, recognized nursing techniques, legal aspects of current nurse practice within the state and the Center's policies and procedures. Functions cooperatively with physicians and staff exhibiting teamwork characteristics.

Demonstrates initiative, insight and judgment in decision making process. Performs the technical procedures required by the patient needs/assignment without causing harm.

General Duties and Responsibilities Include the Following. Other Duties May Be Assigned.

• Evaluates and completes assessment of patient needs to provide supportive care before, during and after procedures and maintains accurate and complete records.
• Maintains/completes appropriate documentation before, during and after the procedure which includes actions and interventions, all patient symptoms including pain, outcomes and responses and/or assessment data consistent with the policy and procedures.
• Accountable for administration of drugs, IV procedures and other therapeutic and diagnostic measures in a safe and accurate manner.
• Communicates pertinent information to co-workers.
• Provides a safe environment for the patient to prevent potential injury. Investigates and intervenes in problem situations, reporting appropriate information to supervisor and documents same.
• Knowledge of preparation and administration of medications used during procedures and emergencies.
• Identify significant cardiac arrhythmias per ACLS protocol.
• Maintains crash cart supplies and equipment.
• Maintains and cleans equipment. Operates and troubleshoots patient monitoring equipment.
• Anticipates and assists with maintaining adequate inventory of supplies and medications.
• Provides guidance to other staff members assisting with orientation.
• Consults with appropriate supervisor or physicians as needed.
• Seeks educational opportunities and accepts responsibility for own professional growth and development. Participates with in-service opportunities and staff meetings.
• Completes annual required in-services on time.
• Completes annual required competency check-offs on time.
• Accepts direction from supervisor or physicians and adheres to established routines.
• Maintains patient's rights to privacy by not discussing privileged information outside the work area or within hearing range of visitors/family or patient.
• Maintains HIPAA policy and Identity Theft Protection.
• Acts as an advocate of the patient to ensure that the patient rights, values, customs and spiritual beliefs are not compromised.
• Maintains flexibility and performs other duties as required.
• Supervises non-licensed staff in Pre-Procedure/Post-Procedure area and assigns tasks based on education and training.
• Maintains traffic control and cleanliness in Pre-Procedure/Post-Procedure area.
• Communicates patient status and other pertinent information to coworkers and physicians as needed.
• Provides emotional support and reassurance to patient and family during pre-procedure and recovery stay.
• Functions within the legal limits of nursing practice.
• Complete incident reports as appropriate.
• Refers situations beyond ability or function to proper person.
• Reports errors of commission/omission.
• Participates in PI program as directed.
• Assists in Code Cart Maintenance and Defibrillator Checks.
• Assists in completion of the logbook.
• Knowledge of infection control measures within the Center, including equipment, PPE, the center itself, waste disposal and patient protection.
• Knowledge of compliance with the Center's policy and procedure manual.

Major Duties and Responsibilities for Pre-Procedure Nurse

• Greets patients and verifies patient name orients them to changing area and container for patient belongings.
• Escorts patient to stretcher and verifies stretcher is in locked position and assist patient onto stretcher. Places side rails in the raised position.
• Assess patient for allergies and document results.
• Obtain baseline vital signs, and confirm ordered lab work has been done. Report any abnormal values of vital signs or lab work to the physician.
• Starts and maintains IV per prescribed physician order.
• Administer and document pre-operative medications as prescribed by physician.
• Verify history and physical is current according to policy.
• Complete and verify all pre-procedures orders have been completed and documented.
• Executes informed consent prior to administration of sedation.

Duties and Responsibilities for Procedure Nurse

• Ensures informed signed consent completed prior to administration of sedation
• Preparing for and/or assist with endoscopy procedures performed in the Center.
• Ensures each patient receiving conscious sedation has a peripheral venous access.
• Clean/ disinfect/reprocess all endoscopes according to center policy and manufacturer recommendations.
• Clean disinfect/sterilize endoscopic accessories between patients.
• Operates and troubleshoots endoscopy and patient monitoring equipment.
• Anticipates and assists with maintaining adequate inventory of supplies and medications.
• Assess patient's tolerance of conscious sedation during procedure.
• Initiates emergency measures as indicated.
• Maintains cleanliness in the Procedure Room.
• Provides emotional support and reassurance to the patient during procedure.

Duties and Responsibilities for Recovery Room

• Assesses, evaluates and accurately records patient's post-anesthesia status and provides supportive care during the post-procedure phase. Maintains accurate and complete medical records.
• Discontinues IV per physician order.
• Initiates emergency measures as indicated.
• Initiates patient teaching and discussion of discharge instructions and documentation of patient's understanding.
• Documents name of the patient's driver and patient's ambulatory status.

Supervisory Responsibilities

This job has no supervisory responsibilities.

Education, Experience and Certifications

Graduate of an accredited school of nursing. Current state license to practice as a registered nurse. Experience in Ambulatory Surgery preferred. Membership in local, state or national professional societies. Maintains Basic Cardiac Life Support Certification. Maintains ACLS Certification and re-certification.

Knowledge, Skills, and Abilities

Able to read, write and communicate. Displays a primary interest in giving good patient care and maintaining standards of courtesy and friendliness to co-workers. Able to maintain and comply with patient confidentiality policy on all matters. Ability to determine appropriate course of action in more complex situations. Ability to work independently exercise creativity and be attentive to detail. Ability to manage multiple and simultaneous responsibilities and prioritize scheduling of work.

Physical Demands and Work Environment

Must be able to stand for 8 to 10 hours a day. Requires regular walking, bending, pushing, pulling and lifting. Must be able to lift at least 30 lbs. Must be able to manipulate objectsreaching, grasping, handling. Must exhibit good communication skillsunderstand, respond and translate into action. Ability to delineate between numeric numbers. Clinical setting; exposure to communicable diseases, chemicals, medical preparations and other conditions common to a clinical environment.