RN GI

divh2RN GI/h2pHarrisonville, MO 64701/ph3Overview/h3pPosition Type Part Time Job Shift Day Education Level 2 Year Degree/ph3Description/h3pCASS REGIONAL MEDICAL CENTER/ppDepartment Name: GI/ppTitle: GI RN/ppEEOC Classification: Professional/Non-Exempt/ppDimension and Description/ppPrimary Purpose: To provide quality patient care while following all standards of care and maintaining a safe environment for both inpatients and outpatients who are receiving a variety of specialty services and provide proper documentation./ppFormal Policy-Setting Responsibilities: Formally responsible for making recommendations regarding policies associated with the jobs purpose and essential responsibilities./ppRoutine Decision Making: Determine appropriate protocols; procedures, drugs, pre-procedure testing and equipment for each patient based on assessment; achievement of adequate sedation and when to reverse; determine appropriate family/patient education./ppFormal Supervisory Responsibility: No formal supervisory responsibility./ppRequired Knowledge: Knowledge of intravenous sedation; special procedures; instruments and equipment; medications; actions and adverse reactions; cardiac rhythms; airway maintenance; nursing process; insurance requirements; standards of care; JCAHO requirements./ppRequired Skills and Ability: Assessment; good communication; troubleshoot; monitoring equipment; time management skills; clinical skills./ppUnusual Working Conditions: Risk of blood, body fluid contamination./ppEducation and Certification/Registration required for the Position: Two to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended./ppAge Specific Competencies: Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 years-12 years); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older./ppEssential Responsibilities and Tasks/pulliAssesses, Plans, implements and evaluates patients receiving high risk specialty procedures. (40% of the time)/liliPerforms pre-procedure interviews per paper/computer correctly on all patients receiving class I and II invasive procedures, evaluates the information obtained, and formulates a plan of care prior to the patient procedure./liliIdentifies the patients using two patient identifiers prior to the procedure 100% of the time./liliPerforms a comprehensive nursing assessment on patients receiving class I and class II invasive procedures and documents completely including appropriate signatures, times and dates. Revises plan of care as indicated from the assessment./liliInterprets physiological information from technical equipment, on each patient and applies this information to the plan of care./liliDocuments the findings from all assessments, evaluations and implementations on the patient record where, when, and how daily./liliReports all critical abnormal assessments and lab values to the physician, per hospital policy and implements further orders immediately and documents details on the patient record./liliUtilizes AIDET (acknowledge, introduce, duration, explain and thank) initiatives to include managing up with each patient./liliUtilizes only approved abbreviations in patient documentation./li/ulpProvides patient education. (25% of the time)/pulliEvaluates patient learning ability and motivational levels. Implements alternative learning measures, as evidenced by patient or caregiver verbalization or return demonstrations, as documented on the patient record i.e.; effectively communicates./liliEffectively communicates discharge instructions to patient and responsible party at the time of discharge, per departmental discharge policy./liliExplains all procedures and medications to patients prior to implementation./li/ulpMaintains a safe and comfortable environment. (25% of the time)/pulliRemoves malfunctioning equipment from unit immediately upon discovering problem./liliComplete requisition for repair or malfunctioning equipment by the end of shift./liliCleans and stocks supplies within the department, as needed./liliEffectively communicates the plan of care on each patient to ancillary departments, case management and pharmacy staff as indicated by the orders received, patient diagnosis or condition./liliEnsures all required documents are on the chart prior to going into the procedure room (HP, Check One, informed consent, test results if applicable)./liliEvaluates the effectiveness of the communication, as evidenced by the preparedness of the patient and takes appropriate actions, including notifying performing physician./liliDemonstrates thorough knowledge of location, care and operation of all departmental equipment./liliAccurately records, handles and labels specimens; demonstrates care of specimens./liliEnsures alarms on any assigned area are audible to alert staff./liliChecks code blue carts each shift and upon using the cart, ensuring it has an intact tag attached./liliFully responsible for care of scopes when working in the procedure/decontamination rooms including cleaning, processing and storage./liliFollows written procedure for high level disinfection (HLD); knows responsibilities and the necessity for chemical monitoring./liliAble to accurately see and read color changes to biological and chemical monitors./li/ulpDevelops and promotes hospital/unit initiatives and professional relations. (5% of the time)/pulliEstablishes and maintains effective communication and good working relationship with co-workers for the patients benefit./liliUtilizes initiatives; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste./liliParticipates in planning ways to solve problems and make improvements in the department as needed./liliRepresents the organization in a positive and professional manner./li/ulpOther duties as directed. (5% of the time)/ppESSENTIAL PHYSICAL REQUIREMENTS/ppTYPE OF WORK/ppMedium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#./ppPHYSICAL DEMANDS/pulliLifting: Raising or lowering an object from one level to another (includes upward pulling)./liliCarrying: Transporting an object, usually holding it in hands or arms or on the shoulders./liliPushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions)./liliPulling: Exerting force upon an object so that the object moves toward the force (includes jerking)./liliBalancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats./liliHearing: Ability to determine audible communication./liliStooping: Bending the body downward and forward by bending the spine at the waist./liliKneeling: Bending the legs at the knees to come to rest on the knee or knees./liliCrouching: Bending the body downward and forward by bending the legs and spine./liliCrawling: Moving about on the hands and knees or hands and feet./liliReaching: Extending the hands and arms in any direction./liliHandling: Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved)./liliFingering: Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling)./liliRepetitive Motions: Substantial movements (motions) of the wrist, hands, and/or fingers./liliFeeling: Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips./li/ulh3Qualifications/h3pTwo to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended./p/div