Registered Nurse (RN) – GI Lab / Endoscopy (with $7,500 Completion Bonus)

ATC•Berkeley, CA

About The Position

The GI Lab RN provides safe, evidencebased nursing care for patients undergoing gastrointestinal endoscopic procedures (e.g., EGD, colonoscopy, ERCP, EUS, PEG, capsule endoscopy). This role covers preprocedure assessment , intraprocedure circulating/sedation support , and postanesthesia recovery , collaborating closely with gastroenterologists, anesthesia providers, and the endoscopy team to deliver highquality, patientcentered care.

Requirements

Graduate of an accredited School of Nursing; BSN preferred
Current RN license in [State/Region]
BLS required; ACLS required (or within 3–6 months per facility)
Moderate Sedation competency per facility policy (completion of sedation training/annual validation)
1–2 years of acute care RN experience required (PACU, ED, ICU, telemetry, or procedural areas preferred)
Proficiency in patient assessment, IV therapy, cardiac/respiratory monitoring, and sedation monitoring/titration
Familiarity with endoscopy equipment, accessories, electrosurgery safety, and specimen handling
Strong critical thinking, rapid response to changes in status, and effective escalation
Excellent communication, patient education, and service recovery skills
EMR proficiency; accurate realtime documentation

Nice To Haves

PALS preferred (pediatric programs)
Prior Endoscopy/GI Lab or perioperative nursing experience strongly preferred
Experience with ERCP/EUS cases, GI bleeding management, and esophageal/gastric/colonic dilation
Knowledge of scope reprocessing workflows and traceability systems (e.g., tracking software)
Participation in quality projects (e.g., sedation safety, ADR support metrics, scope audit readiness)

Responsibilities

PreProcedure (PreOp) Perform comprehensive nursing assessments, verify H&P, consents, NPO status, anticoagulant management, allergies, and ASA status in collaboration with anesthesia. Establish IV access; administer preprocedure medications per protocol. Provide patient/family education on procedure expectations, sedation, discharge, and postprocedure monitoring.
IntraProcedure Function as circulating RN : maintain a sterile/safe environment, ensure timeout, specimen handling/labeling, and accurate documentation. Administer and titrate moderate sedation/analgesia (per facility policy and scope); monitor hemodynamics, airway, pain, and patient response. Anticipate provider needs; assist with equipment (insufflation, electrosurgery units, irrigation, hemostasis devices, biopsy forceps, snares, retrieval tools, dilation devices, banding kits). Recognize and respond to complications (e.g., vasovagal events, bleeding, perforation, laryngospasm) and activate emergency protocols as needed.
PostProcedure (Recovery/PACU) Conduct postanesthesia/sedation assessments; monitor vitals and Aldrete scoring or equivalent. Manage pain, nausea, hydration; reinforce discharge instructions including complication red flags and followup. Ensure safe discharge with an escort per policy; complete documentation and charge capture.
Quality, Safety & Compliance Adhere to infection prevention standards (highlevel disinfection/sterilization workflows, endoscope reprocessing awareness, PPE). Comply with facility policies and regulatory/accreditation standards (e.g., TJC, AAAHC, CMS). Participate in quality initiatives (e.g., scope reprocessing audits, indicator tracking such as ADR/cecal intubation rates support, scope leak testing logs).
Teamwork & Professional Practice Precept new staff; participate in competencies, mock codes, and education (airway management, sedation safety). Collaborate with schedulers, materials management, and biomedical/sterile processing to ensure case readiness and equipment availability. Contribute to throughput optimization and patient experience initiatives.