Endoscopy RN (Part-Time)

POSITION TITLE:  Registered Nurse (RN) Endoscopy

FACILITY/DEPARTMENT: Endoscopy

Position reports to: Clinical Nurse Manager

Position supervises: none

Interpersonal Relationships:  As a representative of this facility, all comments, attitudes, actions, and behaviors have a direct effect on the facility’s image and perceptions of quality service. Interaction with patients, families, physicians, referral sources, affiliating schools, visitors, teammates, managers, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, which is congruent with center standards and guidelines to promote positive relations. 

Licenses or Certifications:

• Graduate of an accredited school of nursing
• Current state licensure to practice in good standings
• Successful completion of Basic Life Support (BLS) within 90 days of employment or documentation of current BLS certification. (AHA preferred)
• Successful completion of Advanced Life Support (ALS) within 6 months of employment or documentation of current ALS certification. (AHA preferred)

Education, vocational training, and experience:

• High School Graduate or equivalent
• One year of GI, OR and/or medical/surgical nursing preferred
• Specialty certification in GI Nursing is preferred

Duties/Responsibilities:

1. Promote the mission, vision, and values of the Company.
2. Assess patient status throughout the perioperative episode of care.
3. Develop an individualized perioperative patient plan of care by implementing:
1. Protecting the patient from injury caused by extraneous objects and chemical, electrical, mechanical, and thermal sources.
2. Demonstrating safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
3. Speaking up with safety concerns acting as the patients advocate.
4. Handling specimens according to facility policy and procedures.
5. Adhering to standard precautions including the use of personal protective equipment.
6. Complying with Universal Protocol and facility site validation and time-out policy.
7. Communicating the patient’s current status to relevant parties throughout the continuum of care.
8. Administering medications safely and correctly using the 8 rights of medication administration.
9. Practicing and monitoring aseptic technique.
10. Implementing the plan of care including the following interventions:

• Managing patient recovery from anesthesia – Moderate sedation and Monitored anesthesia care.

1. Assessing patient status at intervals in accordance with facility policies and procedures.
2. Providing nursing care and appropriate monitoring in accordance with policies and procedures.
3. Performing interventions to maintain the patient’s tissue perfusion at or above baseline levels.

1. Ensuring scopes are prepared for use in accordance with policies and procedures and manufacturer’s instructions for use.
2. Maintaining endoscopy instruments and accessories in working order. Troubleshooting and recognizing malfunctions.
3. Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels.
4. Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
5. Performing interventions to protect the patient from infection.
6. Assessing the knowledge level of the patient or designated support person.
7. Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, and expected responses to the procedure.
8. Involving the patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
9. Protecting the patient’s rights, dignity, and privacy.
10. Providing age-specific, culturally competent, ethical care within legal standards of practice.
1. Evaluate the patient’s progress toward attaining outcomes.
2. Transfer care as applicable.
3. Provide hand-off report to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.
4. Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
5. Document episode of care accurately, timely, completely, and legibly.
6. Demonstrate effective communication and collaboration skills with members of the team and other stakeholders.
7. Serve as a member of a multidisciplinary team in planning patient care.
8. Participate in quality review and performance improvement projects.
9. Participate in the performance appraisal process.
10. Use problem-solving and conflict resolution skills to foster effective work relationships.
11. Maintain required competencies.
12. Pursue professional growth.
13. Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
14. Comply with all facility policies and procedures, regulatory and accreditation standards and professional guidelines when providing patient care.
15. Actively participate in team meetings, trainings, and daily safety huddles.
16. Demonstrate fiscal responsibility.
17. Perform all other duties as assigned.

II.  Working Conditions/Physical Requirements:

• Physically demanding, high-stress environment 
• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 
• Pushing and pulling heavy objects  
• Full range of body motion including handling and lifting patients and equipment 
• Manual and finger dexterity  
• Hand eye coordination 

• Standing and walking for extensive periods of time  
• Lifting and carrying items weighing up to 50 lbs. 
• Corrected vision and hearing to within normal range 
• Working irregular hours