Registered Nurse - Endoscopy - PRN

Job Description

Job Description

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 centerCPR certification and/or ACLS-PALS certification (as required by Center) Strong ethical and moral character referencesBasic computer skills         ESSENTIAL DUTIES, TASKS and RESPONSIBILITIESFollows all policies and procedures of the CenterUses equipment effectively following manufacturer’s instruction for useUses proper techniques and procedures according to accepted standards of practiceOrganizes nursing activities efficiently and effectivelyContinuously assess and monitors the physical and emotional status of the patient and documents and reports per policy and procedureUses two patient identifiers to assure correct patient and “ask don’t tell” to identify correct procedure and physicianAddresses patient needs specific to the anticipated procedureTransports patients, as needed, observing policies, procedures and safety requirementsVerifies and explains procedure with the patient and discusses plan of care prior to transporting to procedure room         Provides comfort and reassurance to each patientMaintains patients privacy and dignityWork collaboratively with the healthcare team to provide safe continuity of patient careActively participates as a team member in support of the total endoscopy processOrganizes time, activities, equipment, supplies and personnel to provide efficient, cost effective patient care Delegates’ activities appropriate to the abilities of available staff membersSupervises and directs patient care in pre, intra and post- opReviews patient’s medical record and needs to provide continuity of care in collaboration with other members of  the healthcare team and communicates variancesConsiders cost containment by using supplies economically and by managing efficient turnover timeAssists with supplies, drugs and equipment inventories to maintain stock level and availability ; maintains order and cleanliness of pre procedure area(s), endoscopy room and PACUWorks 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  equipmentAdministers medication (s) per order of the physician and documents appropriatelyMonitors and reports any abnormal observed complications to the anesthesia provider and physicianAccurately comprehends and interprets physician orders and direction, following policy and proceduresDocuments 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 techniqueDemostrates ongoing competencies with patient assessment and appropriate interventions when variances occurAssesses each patient for fall precautions and addresses per policySuccessfully able to start patient peripheral IVParticipates in the time outUses the Safe Surgical checklistWorks 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 proceduresEnsures the appropriate and safe positioning of the patient meeting patient needs and the planned procedure and  monitors throughout the procedureMonitors and assess patient for recovery from anesthesiaPrepares patient for discharge to include:  assisting with dressing, discharge instructions, medication reconciliation and follow-up physician appointment with patient and responsible adultDetermines and documents patient and responsible adult understanding of the discharge instructions and indications for seeking emergent careindications for seeking emergent careDevelops a plan of care, based on patient needs, related to the procedure and type of anesthesiaAttends all required educationPerforms other miscellaneous duties as assigned          Regulatory/ComplianceContributes to the progress and development of the center’s compliance programPerforms according to accreditation requirements, regulatory standards and center policies and proceduresAdheres to patients’ rights and responsibilities and supports them in performance of job dutiesAdheres 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 proceduresEnsures compliance with the center’s adopted quality assurance performance improvement program (QAPI), policies and proceduresProactively contributes to the QAPI process and identifies his or her own role and contributions          SafetyAdheres to best practices and regulations adopted, to provide safety in the workplaceUses surgical safety checklistMonitors the Center’s physical environment to ensure the maintenance of safety, comfort, cleanliness, and efficiencyMonitors the care, cleaning, and required maintenance of equipment to maintain proper working conditionsReports 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          CommunicationAbility 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 mannerWorks collaboratively with center leadership on patient and staff scheduling according to policies, procedures, and center needsAbility to effectively present information, respond to questions, and professionally interact with physicians, managers, employees, clients, vendors, and the general publicInteracts with others in a positive, respectful and considerate manner TeamworkWorks collaboratively with the healthcare teamDelegates staffing duties appropriately to unlicensed assistive personnel and LVN/LPN, accordance with scope of practice and center policies and proceduresReports observed or suspected safety violations, hazards, and policy/procedure non-compliance to Center Leader, Safety Officer, and Clinical DirectorActively participates in staff meetings, in-services, continuing education, and the quality improvement (QAPI) program Financial PracticesUses Center resources appropriately and avoids wasteful practicesReports wasteful practicesAnalyzes work area and makes recommendations for potential cost-effective improvements         Professional CompetenceParticipates in continuing education and other learning experiencesAt a minimum, maintains membership in professional organizations per center requirementsSeeks new learning experiences by accepting challenging opportunities and responsibilitiesShares knowledge gained in continuing education with center personnelAssists 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 ConductAdheres to the Scope of PracticeSupports the centers mission statement and goalsComplies with the centers standards for ethical business conductWorks with Center Leadership to ensure patient and physician satisfactionAdheres to policies and procedures, including, but not limited to, attendance, timeliness, safeguarding confidential informationReports incidents in a timely mannerDemonstrates an attitude of caring, respect, sensitivity, tact, compassion, empathy, and toleranceExhibits mental alertness for quality decision making and exercises good judgmentExhibits high level of integrityAbility 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 business periodicals, professional journals, technical procedures, or governmental regulations. Ability to successfully write business correspondence.  Ability to effectively present information, respond to questions, and professionally interact with healthcare team, clients, clients, vendors, and the general public         REASONING ABILITY:Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to interpret a variety of instructions and forms to understand abstract and concrete variables. Ability to think critically using inductive and deductive reasoning.         PHYSICAL DEMANDS:Ability to sit, stand and walk for long periods of time, i.e., 6-8 hours per dayAbility to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weightAbility to use abdominal and lower back muscles to support part of the body repeatedly or continuously without giving out or fatiguingAbility to perform physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials Ability to position or transport patients, prepare medical procedure rooms, or set up patient care equipmentAbility to keep your hand and arm steady while moving your arm or while holding your arm and hand in one positionAbility to keep or regain your body balance and stay upright Ability to exert yourself physically over long periods of time without getting winded or out of breathAbility to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appearsSpecific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus         WORK ENVIRONMENT:Days and hours of work may vary to meet patient and Center needsThe Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs or procedure requirements, such as laser rooms and some OR/Procedure roomsAbility to work with medical and office equipment, some of which will have moving parts Noise level is usually quiet to moderate     May have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutionsWork in close proximity to patients, co-workers, and physicians