Registered Nurse - Gastroenterology

REGISTERED NURSE – GASTROENTEROLOGYSITE OF SERVICE: Evans Army Community Hospital (EACH), 1650 Cochrane Cir, CO 80913POSITION OVERVIEW: The RN, Gastroenterology (GI) supporting Evans Army Community Hospital provides high-quality care to military beneficiaries in a mission-focused military treatment facility environment. This role supports the health and readiness of active-duty service members, families, and other eligible beneficiaries through direct patient care, clinical coordination, and accurate documentation in the electronic health record.POSITION QUALIFICATION/REQUIREMENTS:Education: Degree of Nursing/Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).Experience: Two years of nursing experience in an outpatient setting within the past 3 years. Minimum of 1-year bedside hospital experience. Experience performing care and treatment of patients in a gastroenterology setting.Licensure: Current, full, active, and unrestricted license to practice as a registered nurse.Cardiac Certification: BLS and ACLS through American Heart or the American Red Cross.U.S. Citizenship: Shall be a U.S. citizenEnglish Language Requirement: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.DUTIES:· Provides direct nursing care to patients undergoing gastroenterology procedures including colonoscopy, esophagogastroduodenoscopy (EGD), flexible sigmoidoscopy, and other diagnostic and therapeutic procedures.· Perform pre-procedure nursing assessments including patient history review, medication reconciliation, allergy verification, and readiness assessment.· Initiates and maintains intravenous (IV) access and administers medications in accordance with provider orders and facility protocols.· Monitors patients receiving moderate/conscious sedation, including cardiac monitoring, respiratory status, oxygen saturation, and hemodynamic stability.· Recognizes and responds to adverse events and emergencies in accordance with BLS and ACLS protocols.· Provides post-procedure recovery care and patient education for discharge readiness and follow-up care.· Collaborates with providers and interdisciplinary teams to ensure continuity of care and optimal clinical outcomes.· Maintains compliance with infection control standards, safety policies, and DHA and Joint Commission regulatory requirements.· Documents all patient care activities accurately and timely within the electronic medical record.· Assists with preparation, operation, and maintenance of gastroenterology procedural equipment.· Coordinates patient care in collaboration with a wide array of healthcare professionals. Facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.· Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.· Performs physical exams and health histories.· Provides health promotions, counseling, and education.· Administers medications, wound care, and numerous other personalized interventions.· Guides and advises care provided by other healthcare professionals.· Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.· Recognizes adverse signs and symptoms and quickly reacts in emergency situations.· Makes referral appointments and arranges specialty care as appropriate.· Performs nursing services identified in the TO.· Conducts research in support of improved practice and patient outcomes.· Strongly preferred working knowledge of the military health care system including TRICARE health benefits.· Ability to synthesize data from a variety of sources and make appropriate clinical decisions.· Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.· Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility. Provides care within ethical and legal boundaries.· Accountable for making patient appointments and follow up.· Assesses patient needs telephonically and/or in person.· Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. Effectively uses appropriate communication format in addressing professional issues.· Excellent oral communication skills for patient/family education and telephone triage of patients. Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required.· Prescribes and communicates treatment plans and patient teaching in accordance with established protocols.· Collects and assesses significant patient history information and performs all necessary patient teaching.· Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts, in accordance with requirements.· Makes referral appointments and arranges provider scheduling (in coordination) as appropriate. In addition to managing clinic schedules, HCW may be required to manage surgical schedules.· Skill in setting up, operating and monitoring specialized medical equipment such as cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other clinic specific equipment.· Performs minor procedures (i.e.,ECGs, ear irrigation, eye exams, hearing tests, etc.); initiates IV therapy; administers immunizations in accordance with specific provider orders and/or established protocols; collects specimens and cultures; performs lab procedures and reports results; assures appropriate environment for patients and their visitors; schedules tests as needed; transports patients to procedures, not limited to, (i.e., MRI, CT SCAN, Radiology) in accordance with established protocols.· Ensures proper documentation of procedures/treatments within the prescribed timeframes.· Ensures all equipment is properly cleaned and stored at the end of each work shift.· Ensures preventive maintenance and routine cleaning are performed as required.· Ensures medication/supplies are replenished.· Demonstrates competency in specific administration of oxygen, medications, IV fluids, and other interventions/ treatments. Administers conscious sedation.· Observes patient's vital signs, condition, and response to treatment.· Communicates the patient's response to interventions to both medical providers and supervisory nursing personnel.HOURS: Monday through Friday. Duty hours are 8 hours between 0645–1515 with a 30-minute uncompensated lunch.SPECIAL REQUIREMENTS/SKILLS: Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Teamwork skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.LUKE is an Equal Opportunity employer