Registered Nurse Endoscopy GI

Mount Sinai Medical Center•Miami Beach, FL

About The Position

The Registered Nurse Endoscopy GI provides nursing care for patients undergoing endoscopic procedures. The role includes preparing the endoscopy room and equipment, educating patients and families, monitoring patients receiving moderate sedation, and assessing, planning, implementing, and evaluating individualized nursing care. The nurse also carries out unit-specific clinical, professional-development, and leadership responsibilities.

Requirements

Current Florida Nursing License.
Current Basic Life Support certification.
Current Advanced Cardiac Life Support certification.
Graduated from an accredited school of nursing.
At least 2 years of experience in the area of specialty for Level III.

Nice To Haves

Bachelor of Science in Nursing (BSN).

Responsibilities

Teach patients and families about endoscopic procedures.
Prepare the endoscopy room with the necessary medications and accessory devices.
Use endoscopy accessory devices, including hot and cold biopsy forceps, snares, bipolar probes, banding products, ERCP catheters, and guidewires.
Evaluate, assess, and document patients’ cardiorespiratory status during moderate sedation; report abnormal values to the physician and intervene appropriately.
Obtain initial vital signs and admission history, introduce the patient and family, assess the chief complaint, and notify the physician within 15 minutes of arrival.
Complete and document nursing admission and systems assessments, considering physiological, psychological, and age-specific psychosocial factors.
Respond to diagnostic data and initiate appropriate actions or interventions.
Assess patient education needs on arrival and discharge.
Initiate a plan of care after assessment and prioritize care according to patient needs.
Understand the patient’s diagnosis and plan of care.
Initiate and document nursing interventions safely and correctly in emergency situations.
Administer, observe, and document intravenous therapy according to hospital policy.
Administer medications, document their effectiveness, and immediately recognize and report adverse reactions.
Provide individualized care-plan instructions to patients and significant others.
Use unit-specific equipment safely and correctly and ensure patients’ general hygiene needs are met.
Provide pre-operative and post-operative care and instructions.
Follow standard precautions, including hand hygiene guidelines.
Document patient valuables on the designated form and arrange appropriate storage.
Perform dressing changes using aseptic technique.
Collect and label specimens as ordered and according to policy.
Perform bedside glucose monitoring according to policy.
Immediately report abnormal findings to the physician.
Provide ostomy care, including irrigation, appliance use, and reinforcement of teaching.
Insert intermittent or indwelling urinary catheters using aseptic technique.
Administer oxygen therapy according to physician orders.
Transfer patients into and out of the GI Station efficiently, obtain complete and correct physician orders, complete transfer summaries, and ensure referral forms and handoff reports accompany intra-facility transfers.
Use restraints safely and correctly.
Document and report patient responses and outcomes related to nursing interventions, treatments, procedures, interactions, and patient or family education.
Evaluate and document progress toward established goals and objectives; update care problems and individualized standards based on responses, progress, or changes in medical status.
Evaluate length of stay and transfer or discharge planning needs based on anticipated needs, resources, and support systems.
Complete mandatory hospital and unit-specific in-services annually and before the evaluation date; plan, present, and document unit in-services as required by level; document clinical competency annually; and attend required staff meetings.
Use established communication channels to resolve problems and interpersonal conflict.
Present at least two in-services and two patient conferences, attend 75% of staff meetings, and serve as a preceptor or clinical resource.
Function as a Charge Nurse and assist with financial management principles, including staffing, scheduling, length of stay, triage, and supply management.
Chair or co-chair unit-based PI committee meetings and participate in staff clinical competency compliance.