Registered Nurse - Endoscopy - PRN

AMSURG•Cincinnati, OH

31d

About The Position

The Registered Nurse - Endoscopy provides nursing care throughout the endoscopy process, including pre-, intra-, and post-operative care. The nurse assesses and monitors patients’ physical and emotional status, develops procedure-related plans of care, administers ordered medications, documents care, supports recovery from anesthesia, and prepares patients for discharge. The role works collaboratively with physicians and the healthcare team to provide safe, efficient, and continuous patient care while following center policies, accepted standards of practice, accreditation requirements, and regulatory standards. The position also supports the center’s compliance, quality assurance and performance improvement (QAPI), safety, communication, teamwork, financial practices, and professional competence programs. The nurse helps maintain equipment and supplies, supports staff orientation and training, and contributes to patient and physician satisfaction. Workdays and hours may vary to meet patient and center needs. The work takes place in a well-lit, ventilated, climate-controlled center and may involve procedure rooms with decreased lighting, medical and office equipment, close proximity to patients and coworkers, and exposure to blood, potentially infectious materials, toxic chemicals, or cleaning solutions.

Requirements

Graduate of an accredited school of nursing.
Registered Nurse with an active, unrestricted license in the appropriate state.
One year of nursing experience; ambulatory surgery center experience is preferred.
CPR certification and/or ACLS-PALS certification, as required by the center.
Strong ethical and moral character references.
Basic computer skills.
Ability to understand, read, write, and speak English; bilingual ability is required if the center is bilingual.
Ability to add, subtract, multiply, and divide using whole numbers, fractions, decimals, and percentages.
Ability to read and interpret business, professional, technical, and governmental materials and write business correspondence.
Ability to present information and interact professionally with the healthcare team, clients, vendors, and the public.
Ability to identify and define problems, collect data, establish facts, draw conclusions, correct errors, interpret instructions, and use critical thinking.
Ability to sit, stand, and walk for long periods, approximately 6–8 hours per day.
Ability to lift, push, pull, or carry objects weighing up to 50 pounds and perform repeated or sustained physical exertion.
Ability to climb, lift, balance, walk, stoop, handle materials, position or transport patients, prepare procedure rooms, and set up patient-care equipment.
Ability to maintain steady hand and arm control, maintain or regain balance, and respond quickly to signals.
Specific vision abilities, including close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Ability to multitask effectively, efficiently, accurately, and with attention to detail; exercise good judgment and maintain integrity and a caring, respectful, compassionate manner.

Nice To Haves

One year of nursing experience in an ambulatory surgery center.
Bilingual language skills, if the center is bilingual.

Responsibilities

Follow all center policies, procedures, accreditation requirements, regulatory standards, and accepted standards of nursing practice.
Use equipment according to manufacturers’ instructions and organize nursing activities effectively and efficiently.
Assess and monitor patients’ physical and emotional status; document and report findings and variances according to policy.
Use two patient identifiers and confirm the correct procedure and physician using the center’s identification process.
Address patient needs related to the anticipated procedure; explain the procedure and plan of care, provide comfort and reassurance, and maintain privacy and dignity.
Transport patients as needed while following safety requirements and center procedures.
Collaborate with the healthcare team to support safe continuity of care and the endoscopy process.
Organize time, activities, equipment, supplies, and personnel to provide efficient, cost-effective patient care; delegate and supervise within staff abilities and scope of practice.
Review patient medical records and needs, coordinate care with the healthcare team, and communicate variances.
Use supplies economically, support efficient room turnover, assist with inventory, and maintain stock availability and cleanliness in procedure areas, endoscopy rooms, and PACU.
Prepare assigned patient-care areas and assemble equipment, supplies, and instruments, including sterilizing and performing high-level disinfection as required.
Administer medications as ordered and document appropriately; accurately interpret physician orders and directions.
Observe and report complications to the anesthesia provider and physician.
Document accurately, legibly, and promptly in patient records and other forms.
Use aseptic and sterile techniques, monitor for breaks in sterile technique, and demonstrate competency in assessment and interventions when variances occur.
Assess patients for fall precautions and address them according to policy; start peripheral IVs.
Participate in the time-out process and use the Safe Surgical checklist.
Collaborate with the healthcare team to maintain and update physician preference cards.
Handle and log tissue specimens correctly according to policy and procedures.
Position patients safely according to their needs and planned procedure, and monitor positioning throughout the procedure.
Monitor and assess patient recovery from anesthesia.
Prepare patients for discharge, including assistance with dressing, discharge instructions, medication reconciliation, and follow-up appointments; document the patient’s and responsible adult’s understanding and instructions for seeking emergency care.
Develop a plan of care based on patient needs, procedure, and type of anesthesia.
Attend required education, participate in continuing education and staff meetings, and contribute to QAPI activities.
Contribute to the center’s compliance program, protect patient rights and confidential health information, and follow HIPAA requirements.
Monitor the work environment and equipment for safety, cleanliness, comfort, and proper operation; report hazards, suspected violations, and non-compliance to appropriate center personnel.
Communicate patient-care needs and significant information clearly and professionally; collaborate with center leadership on patient and staff scheduling.
Use center resources appropriately, report wasteful practices, and recommend cost-effective improvements.
Maintain professional competence, share learning with center personnel, assist with orientation and training, and serve as a resource for patient-care problems.
Adhere to the Code of Conduct, Scope of Practice, center mission and goals, ethical business standards, and policies concerning attendance, timeliness, confidentiality, and incident reporting.
Perform other miscellaneous duties as assigned.