Registered Nurse- Endoscopy

Veterans Health Administration • Spokane, WA

1d • Onsite

About The Position

The Endoscopy Registered Nurse delivers and manages care for inpatients and outpatients undergoing diagnostic endoscopy procedures. The nurse provides age-specific assessment, planning, implementation, and evaluation of care; supports patient education and self-management; and collaborates with the interdisciplinary team to promote patient outcomes and satisfaction. The role includes pre-procedural preparation and teaching, assistance to anesthesia personnel and providers, nurse-administered sedation, post-anesthesia monitoring, accurate electronic health record documentation, discharge education, and endoscopy equipment maintenance. The nurse also responds to emergencies, adapts to schedule changes, maintains knowledge of gastroenterology standards and VA procedures, and supports competency across other areas of the Perioperative Department.

The position is scheduled Monday through Friday, 7:00 a.m. to 5:00 p.m., with a 10-hour day schedule. Telework is not available, and the position is not virtual. Relocation and recruitment incentives and permanent change of station are not authorized.

Applicants must meet nursing education and licensure requirements, including graduation from an appropriately accredited nursing program (or an applicable foreign-education or bridge-program pathway) and current, full, active, unrestricted U.S. nursing registration. English proficiency is required. Education and experience qualifications vary by assigned nurse grade and level. The job requires a pre-employment physical evaluation and compliance with the VA seasonal influenza vaccination program, among other federal employment conditions.

Requirements

• Proficiency in basic written and spoken English.
• Graduation from an appropriately accredited school of professional nursing, or an applicable qualifying pathway for bridge-program or foreign-educated applicants.
• Current, full, active, and unrestricted registration as a graduate professional nurse in a U.S. state, territory, commonwealth, or the District of Columbia, subject to the stated Graduate Nurse Technician exception.
• Education and professional nursing experience appropriate to the assigned grade and level; requirements range from an ADN or nursing diploma with no additional experience for Nurse I, Level I to graduate education and specialized experience for higher grades.
• Ability to meet the physical requirements, including lifting, carrying, pulling, pushing, walking, standing, bending, climbing, and required sensory and coordination abilities.
• U.S. citizenship, subject to the stated exception under VA policy for non-citizens when qualified citizens cannot be recruited.
• Subject to pre-employment drug screening for testing-designated positions, background/security investigation, onboarding, and pre-employment physical evaluation.
• Participation in the VA seasonal influenza vaccination program.
• Male applicants born after December 31, 1959, must meet Selective Service registration requirements.

Nice To Haves

• Endoscopy experience.
• Conscious sedation experience.
• Pre-operative and post-operative experience.

Responsibilities

• Deliver fundamental, knowledge-based care to assigned patients while developing technical skills.
• Assess, plan, implement, and evaluate care using age-specific components.
• Coordinate care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administer medications and procedures in accordance with established policies and guidelines.
• Collaborate with interdisciplinary team members to influence care outcomes.
• Deliver and manage care for inpatients and outpatients undergoing diagnostic endoscopy procedures.
• Ensure completion of pre-procedural orders and provide clear pre-procedural teaching.
• Assist the anesthesia team and provider as needed.
• Maintain competence in nurse-administered sedation measures.
• Monitor patients' level of consciousness after anesthesia or sedation recovery and observe for residual anesthesia medications.
• Complete comprehensive, timely, and accurate documentation for all phases of care in the electronic health record.
• Review discharge instructions with patients and families using written and verbal communication.
• Maintain proficiency in the maintenance, cleaning, and preparation of endoscopy-specific equipment.
• Recognize changes in patient care situations and initiate appropriate emergency interventions.
• Adapt to and assist with changes in the daily schedule.
• Maintain knowledge of current gastroenterology standards, VHA Directives, and service-level standard operating procedures.
• Maintain nursing competency in other Perioperative Department areas to support patient access and care.
• Pursue individual growth and development, remain accountable for nursing practice, and determine appropriate delegation of tasks.

Benefits

• Competitive salary with regular salary increases and potential performance awards.
• 50 days of paid time off per year: 26 days of annual leave, 13 days of sick leave, and 11 paid federal holidays.
• Traditional federal pension with five-year vesting.
• Federal 401(k) with up to 5% in contributions by VA.
• Federal health, vision, dental, term life, and long-term care insurance; many federal insurance programs can be carried into retirement.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree