Registered Nurse - Endoscopy - PRN
Posted Updated
| 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 center | ||||||||
| CPR certification and/or ACLS-PALS certification (as required by Center) | ||||||||
| Strong ethical and moral character references | ||||||||
| Basic computer skills | ||||||||
| ESSENTIAL DUTIES, TASKS and RESPONSIBILITIES | ||||||||
| Follows all policies and procedures of the Center | ||||||||
| Uses equipment effectively following manufacturer’s instruction for use | ||||||||
| Uses proper techniques and procedures according to accepted standards of practice | ||||||||
| Organizes nursing activities efficiently and effectively | ||||||||
| Continuously assess and monitors the physical and emotional status of the patient and documents and reports | ||||||||
| per policy and procedure | ||||||||
| Uses two patient identifiers to assure correct patient and “ask don’t tell” to identify correct procedure and | ||||||||
| physician | ||||||||
| Addresses patient needs specific to the anticipated procedure | ||||||||
| Transports patients, as needed, observing policies, procedures and safety requirements | ||||||||
| Verifies and explains procedure with the patient and discusses plan of care prior to transporting to procedure | ||||||||
| room | ||||||||
| Provides comfort and reassurance to each patient | ||||||||
| Maintains patients privacy and dignity | ||||||||
| Work collaboratively with the healthcare team to provide safe continuity of patient care | ||||||||
| Actively participates as a team member in support of the total endoscopy process | ||||||||
| Organizes time, activities, equipment, supplies and personnel to provide efficient, cost effective patient care | ||||||||
| Delegates’ activities appropriate to the abilities of available staff members | ||||||||
| Supervises and directs patient care in pre, intra and post- op | ||||||||
| Reviews patient’s medical record and needs to provide continuity of care in collaboration with other members of | ||||||||
| the healthcare team and communicates variances | ||||||||
| Considers cost containment by using supplies economically and by managing efficient turnover time | ||||||||
| Assists with supplies, drugs and equipment inventories to maintain stock level and availability ; maintains order | ||||||||
| and cleanliness of pre procedure area(s), endoscopy room and PACU | ||||||||
| Works 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 | ||||||||
| equipment | ||||||||
| Administers medication (s) per order of the physician and documents appropriately | ||||||||
| Monitors and reports any abnormal observed complications to the anesthesia provider and physician | ||||||||
| Accurately comprehends and interprets physician orders and direction, following policy and procedures | ||||||||
| Documents 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 technique | ||||||||
| Demostrates ongoing competencies with patient assessment and appropriate interventions when variances occur | ||||||||
| Assesses each patient for fall precautions and addresses per policy | ||||||||
| Successfully able to start patient peripheral IV | ||||||||
| Participates in the time out | ||||||||
| Uses the Safe Surgical checklist | ||||||||
| Works 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 procedures | ||||||||
| Ensures the appropriate and safe positioning of the patient meeting patient needs and the planned procedure and | ||||||||
| monitors throughout the procedure | ||||||||
| Monitors and assess patient for recovery from anesthesia | ||||||||
| Prepares patient for discharge to include: assisting with dressing, discharge instructions, medication | ||||||||
| reconciliation and follow-up physician appointment with patient and responsible adult | ||||||||
| Determines and documents patient and responsible adult understanding of the discharge instructions and indications for seeking emergent care | ||||||||
| indications for seeking emergent care | ||||||||
| Develops a plan of care, based on patient needs, related to the procedure and type of anesthesia | ||||||||
| Attends all required education | ||||||||
| Performs other miscellaneous duties as assigned | ||||||||
| Regulatory/Compliance | ||||||||
| Contributes to the progress and development of the center’s compliance program | ||||||||
| Performs according to accreditation requirements, regulatory standards and center policies and procedures | ||||||||
| Adheres to patients’ rights and responsibilities and supports them in performance of job duties | ||||||||
| Adheres 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 procedures | ||||||||
| Ensures compliance with the center’s adopted quality assurance performance improvement program (QAPI), | ||||||||
| policies and procedures | ||||||||
| Proactively contributes to the QAPI process and identifies his or her own role and contributions | ||||||||
| Safety | ||||||||
| Adheres to best practices and regulations adopted, to provide safety in the workplace | ||||||||
| Uses surgical safety checklist | ||||||||
| Monitors the Center’s physical environment to ensure the maintenance of safety, comfort, cleanliness, and | ||||||||
| efficiency | ||||||||
| Monitors the care, cleaning, and required maintenance of equipment to maintain proper working conditions | ||||||||
| Reports 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 | ||||||||
| Communication | ||||||||
| Ability 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 manner | ||||||||
| Works collaboratively with center leadership on patient and staff scheduling according to policies, procedures, | ||||||||
| and center needs | ||||||||
| Ability to effectively present information, respond to questions, and professionally interact with physicians, | ||||||||
| managers, employees, clients, vendors, and the general public | ||||||||
| Interacts with others in a positive, respectful and considerate manner | ||||||||
| Teamwork | ||||||||
| Works collaboratively with the healthcare team | ||||||||
| Delegates staffing duties appropriately to unlicensed assistive personnel and LVN/LPN, accordance with scope of | ||||||||
| practice and center policies and procedures | ||||||||
| Reports observed or suspected safety violations, hazards, and policy/procedure non-compliance to Center | ||||||||
| Leader, Safety Officer, and Clinical Director | ||||||||
| Actively participates in staff meetings, in-services, continuing education, and the quality improvement (QAPI) | ||||||||
| program | ||||||||
| Financial Practices | ||||||||
| Uses Center resources appropriately and avoids wasteful practices | ||||||||
| Reports wasteful practices | ||||||||
| Analyzes work area and makes recommendations for potential cost-effective improvements | ||||||||
| Professional Competence | ||||||||
| Participates in continuing education and other learning experiences | ||||||||
| At a minimum, maintains membership in professional organizations per center requirements | ||||||||
| Seeks new learning experiences by accepting challenging opportunities and responsibilities | ||||||||
| Shares knowledge gained in continuing education with center personnel | ||||||||
| Assists 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 Conduct | ||||||||
| Adheres to the Scope of Practice | ||||||||
| Supports the centers mission statement and goals | ||||||||
| Complies with the centers standards for ethical business conduct | ||||||||
| Works with Center Leadership to ensure patient and physician satisfaction | ||||||||
| Adheres to policies and procedures, including, but not limited to, attendance, timeliness, safeguarding confidential | ||||||||
| information | ||||||||
| Reports incidents in a timely manner | ||||||||
| Demonstrates an attitude of caring, respect, sensitivity, tact, compassion, empathy, and tolerance | ||||||||
| Exhibits mental alertness for quality decision making and exercises good judgment | ||||||||
| Exhibits high level of integrity | ||||||||
| Ability 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 day | ||||||||
| Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight | ||||||||
| Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without | ||||||||
| giving out or fatiguing | ||||||||
| Ability 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 equipment | ||||||||
| Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one | ||||||||
| position | ||||||||
| Ability 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 breath | ||||||||
| Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears | ||||||||
| Specific 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 needs | ||||||||
| The 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 rooms | ||||||||
| Ability 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 solutions | ||||||||
| Work in close proximity to patients, co-workers, and physicians |