Registered Nurse-Hourly

Job Description

Job Description

What You’ll Do

Direct Patient Care & Clinical Responsibilities

• Provide professional, direct patient care in assigned areas of the Surgery Center

• Utilize the nursing process to assess, plan, implement, monitor, and adjust patient care plans as appropriate

• Continuously assess and monitor the physical and emotional status of patients and document findings per policy

• Verify patient identity using two identifiers and confirm correct patient, procedure, and physician using “ask, don’t tell”

• Review patient medical records to ensure continuity of care and communicate variances to the healthcare team

• Address patient needs specific to the anticipated procedure and type of anesthesia

• Verify and explain procedures, discuss the plan of care, and provide comfort and reassurance to patients

• Maintain patient privacy, dignity, and patient rights at all times

• Administer medications per physician orders and document appropriately

• Successfully start and manage peripheral IVs

• Monitor for and report abnormal findings or complications to the anesthesia provider and physician

• Participate in surgical timeouts and utilize the Safe Surgical Checklist

• Ensure appropriate and safe patient positioning throughout procedures

• Monitor patients during recovery from anesthesia

• Prepare patients for discharge, including:

• Assisting with dressing

• Reviewing discharge instructions

• Medication reconciliation

• Follow-up appointment instructions

• Confirm and document patient and responsible adult understanding of discharge instructions and indications for seeking emergent care

Procedural Support & Coordination

• Supervise and direct patient care in preprocedure, procedure, and postprocedure areas

• Work collaboratively with physicians, anesthesia providers, and the healthcare team to support the total endoscopy process

• Organize nursing activities, time, equipment, supplies, and personnel to provide efficient, cost-effective patient care

• Delegate activities appropriately based on staff skill level, scope of practice, and Center policies

• Assist with preparing assigned areas according to patient, physician, and procedure requirements

• Assemble and ensure availability of functioning equipment, supplies, and instruments

• Ensure sterilization and high-level disinfection of supplies and equipment per policy

• Handle and log tissue specimens accurately according to policy and procedure

• Maintain and update physician preference cards as needed

• Assist with supplies, medications, and equipment inventories

• Maintain order and cleanliness of preprocedure areas, procedure rooms, and PACU

Documentation, Compliance & Professional Practice

• Accurately interpret and follow physician orders per policy and procedures

• Document patient care accurately, legibly, and timely in the medical record

• Utilize proper aseptic and sterile techniques and monitor for breaks in sterile technique

• Demonstrate ongoing competency in patient assessment and appropriate interventions

• Assess fall risk and implement precautions per Center policy

• Use medical equipment correctly following manufacturer Instructions for Use

• Follow all Center policies, procedures, and accepted standards of nursing practice

Quality Assurance, Safety & Regulatory Compliance

• Participate in the Center’s compliance program and adhere to accreditation and regulatory standards

• Support and actively participate in the Quality Assurance Performance Improvement (QAPI) Program

• Proactively identify opportunities for quality, safety, and efficiency improvements

• Adhere to OSHA regulations and workplace safety standards

• Monitor the physical environment to ensure safety, comfort, cleanliness, and efficiency

• Monitor equipment care, cleaning, and maintenance to ensure proper working condition

• Report observed or suspected safety concerns, hazards, or noncompliance through proper channels

• Protect patient privacy and adhere to HIPAA regulations regarding Protected Health Information (PHI)

Teamwork, Communication & Professionalism

• Communicate patient care needs and significant information clearly to the healthcare team

• Collaborate with Center leadership on patient flow and staffing needs

• Interact with patients, families, and colleagues in a respectful, professional manner

• Participate in staff meetings, in-services, continuing education, and QAPI activities

• Maintain regular and predictable attendance

• Attend all required education

• Perform other duties as assigned

• Physical & Work Environment Expectations

  • Ability to stand, walk, bend, and move throughout the workday
  • Ability to lift, push, pull, and assist with patient movement (up to 50 pounds)
  • Manual dexterity and ability to perform clinical procedures
  • Work in procedure rooms with medical equipment and disinfecting agents
  • Exposure to bloodborne pathogens and body fluids
  • Climate controlled environment with occasional reduced lighting
  • Schedule and hours may vary based on patient and Center needs

  Why Join Wake Endoscopy Center

  • Hourly nursing role in an outpatient procedural setting
  • Daytime schedule with no inpatient responsibilities
  • Supportive, team based culture
  • Opportunity to specialize in endoscopy and procedural nursing
  • Strong focus on patient safety, quality outcomes, and efficient care delivery