Registered Nurse (RN) - Gastroenterology

Resolution Think is seeking a Registered Nurse (RN) skilled in Gastroenterology for a position at Carl R. Darnall Army Medical Center located at Fort Hood in Killeen, TX area. This role will support high-quality patient care across multispecialty clinical settings by assessing patients, administering medications and treatments, coordinating referrals, assisting with procedures, and documenting care accurately in the electronic health record.

The ideal candidate will bring recent hands-on nursing experience, sound clinical judgment, strong communication skills, and the ability to collaborate effectively with physicians, providers, and multidisciplinary teams. Candidates should be comfortable working flexible shifts based on mission needs, including possible days, evenings, nights, weekends, training holidays, and federal holidays.

This opportunity is well suited for a dependable RN who values patient-centered care, professionalism, continuity of care, and service in a mission-focused military treatment facility.

Essential Functions and Job Responsibilities

• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Administer medications, wound care, and numerous other personalized interventions.
• Direct and supervise care provided by other healthcare professionals.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Make referral appointments and arrange specialty care as appropriate.
• Conduct research in support of improved practice and patient outcomes.
• Performs independent, comprehensive telephone, clinical triaging, and facilitate care throughout multidisciplinary locations.
• Acts as relief nurse, triages, and screens walk-in patients to assess the severity of the patient’s condition and need for provider intervention.
• Communicate with other providers regarding determinations and situations relating to direct patient care.
• Screens patient charts to assess medical history to determine health care needs.
• Makes psychosocial assessment of patients to identify significant cultural practices, ability to understand and cooperate, and expectations of care and coping mechanisms.
• Executes and/or ensures the completion of orders from health care providers.
• Recognizes and reports abnormal test results, changes in symptoms, and the need for follow-up.
• Assists health care providers with examinations and procedures.
• Responsible for educating patients for high risk, painful, or stressful procedures with education and support.
• Monitors or ensure the monitoring of patients pre, during, and postprocedures per CRDAMC MTF guidelines.
• Assess post-procedure patients prior to their release from the clinic.
• Prepares and administers oral, subcutaneous, intra-muscular, and intravenous medications.
• Complete thorough and accurate documentation, within established guidelines, for all patient care and procedures.
• Demonstrates and instructs patients on the proper administration self-medicated prescriptions.
• Educate patients and ensure distributed instructions are understood for maintenance of health and self-care. Provides clinic one-on-one patient orientation and educational activities related to acute and/or chronic illnesses, self-care, wellness and/or preventive health measures, normal development, and physiology.
• Coordinate patient referrals to a variety of health care services to include, but not limited to, community health nurse, health promotion center, social work service, dietician, clinical nurse specialist, chaplain, and other ancillary services as directed by attending physician.
• Coordinates prescription refills and after physician approval provides reassurance and/or advice regarding side effects of medications.
• Use tact and diplomacy in notifying patients of laboratory tests that are abnormal per provider instructions, instructing patients on further care

Gastroenterology RN Specific Core Duties:

• Provides specialized nursing care to gastrointestinal patients to include complex cases to include, but not limited to, endoscopic retrograde cholangiopancreatography (ERCP), biliary, and pancreatic disorders.
• Knowledge with EKG and rhythm tracings, colonoscopy, endosonoultrasound, endoscopic retrograde cholangiopancreatography, upper esophagogastroduodenoscopy, hepatic tissue biopsy, Brave wireless capsule pH probe application, and advance motility testing using both solid state catheters and water perused systems.
• Monitor patient post-procedure activities to assess patient status, comfort, inspection of venous and arterial sites, inspection of telemetry and 12-lead electrocardiography data, and surveillance of appropriate medical therapy.
• Assist physicians during endoscopy procedures by providing necessary instruments and equipment.
• Perform nursing duties in the endoscopy procedure room, including assisting with pre-operative processes, monitoring vital signs, and documenting procedural findings.
• Assist the anesthesiologist and gastroenterologist during procedures.
• Assist with checking in, booking, and scheduling patients

Minimum Requirements: 

• Citizenship: Must be US Citizen
• Education: Associates Degree of Nursing. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).
• Experience:  Shall possess one (1) year of clinical or inpatient experience, post-education/graduation and post-licensure, within the last two (2) years providing direct care in multispecialty inpatient or outpatient clinical settings.
  • Experience must demonstrate recent hands-on proficiency in assessing, planning, implementing, and evaluating nurse care for patients across diverse medical and surgical specialties in accordance with current professional nursing standards
• Certifications:  Professional Certification (s):
  • Gastro: ACLS, BLS approved by AHA or American Red Cross
  • Current, full, active, and unrestricted license to practice as a Registered Nurse.

Additional Information:

• Medical Screening: Must have appropriate TB test documentation within the last year; willingness to comply with DHA vaccination and physical screening requirements.
• Employment Screening:  Subject to a background/security investigation and pre-employment drug screening
• Physical Requirements:  Walking, long periods of standing, stretching, crouching, bending, stooping, lifting to 50lbs, lifting over 50lbs with assistance.
• Exposure to infections disease; toxic, hazardous, or irritating chemicals; carcinogenic materials; noxious fumes; flammable liquids; radiation; pathogenic bacteria; electric hazards.

EEO Statement:
We are an Equal Opportunity/Affirmative Action/Disability/Vets Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sexual orientation, gender, gender identity, national origin, disability, or protected Veteran status. As an Equal Employment Opportunity/Affirmative Action employer, Resolution Think is committed to providing equal employment opportunity to all job seekers.