Registered Nurse Surgery Center Per Diem

Fresenius Medical Care•Houston, TX

3d•Onsite

About The Position

This per diem Registered Nurse role is based at a surgery center in Houston, Texas, which is open Monday through Friday from 8:00 a.m. to 5:00 p.m. The nurse provides direct pre-, intra-, and post-procedure care under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, using standard nursing techniques and facility policies to support optimal patient outcomes. Strong preference is given to candidates who are bilingual in English and Spanish. The role supports organizational quality standards, regulatory and accreditation requirements, and continuous quality improvement. It includes assessing and monitoring patients, administering medications and IV moderate sedation as ordered, assisting physicians during procedures, maintaining accurate records, and supporting a clean and safe facility. The nurse also contributes to equipment and supply readiness, medication inventory and documentation, audits, meetings, training, and other assigned facility activities.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; BLS and ACLS course certifications must be successfully completed.
Proficiency in IV insertion.
Proficiency in cardiac rhythm recognition.
Proficiency with computers and related software, such as Microsoft Office.
Experience with medical database software.
Ability to meet the physical demands of direct patient care, including frequent prolonged standing, bending, and heavy lifting or moving patients; may occasionally move, with assistance, patients and equipment weighing up to 200 pounds.
Ability to wear protective gear in procedure rooms for extended periods and work in an environment with possible exposure to infectious or contagious materials and radiation.

Nice To Haves

Bilingual in English and Spanish; strongly preferred.
Associate's Degree in Nursing is desirable; a Bachelor's Degree is strongly preferred.
Four to six years of related experience is preferred.
Experience in an Office Based Surgical Center, Ambulatory Surgical Center, Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology, and ICU/CCU or emergency department settings is preferred.

Responsibilities

Provide direct nursing care before, during, and after procedures under the direction of facility nursing leadership.
Support quality standards, regulatory and accreditation requirements, Continuous Quality Improvement activities, and facility action plans.
Maintain the quality of patient care and follow organizational policies and procedures; address adverse events and action thresholds with facility management.
Maintain the integrity and accuracy of medical, administrative, and operational records, and participate in data collection and auditing.
Obtain medical histories, perform day-of-procedure nursing assessments, discuss procedures, answer questions, and educate patients and families about post-procedure vascular access care.
Monitor patients before, during, and after procedures for complications or reactions, particularly during moderate sedation and contrast media injections.
Communicate patient concerns and issues to facility management as needed, and document patient information from admission through discharge.
Confirm that written orders, consents, and laboratory work are completed and documented; prepare and route lab requisitions and report and forward results to the appropriate physician.
Maintain competency in emergency procedures and initiate CPR and other emergency measures as needed.
Administer medications and IV moderate sedation as ordered by the physician and in compliance with applicable regulations and policies.
Assist the physician as a scrub technologist when needed while maintaining sterile technique; transport patients as needed to support workflow.
Perform point-of-care laboratory testing and IV insertion as ordered, and perform other physician-designated tasks in compliance with state regulations.
Communicate effectively with physicians, participate in CQI meetings, and report on assigned topics.
Help verify necessary instruments and equipment, and assist with required adverse-event reporting.
Operate and inspect facility equipment and technology safely, report malfunctions and maintenance needs, and report issues with facility systems, temperature, and physical structure.
Maintain a clean, safe, and sanitary facility and address blood spills according to bloodborne pathogen policies.
Support efficient use and inventory of medications, laboratory resources, supplies, and equipment; check medication expiration dates and document controlled substances, medication use, and drug disposal as required.
Restock and order facility supplies as needed and regularly examine and stock emergency equipment, including the crash cart.
Complete medical records before patient discharge, perform regular chart audits, and complete required records for implanted devices accurately and on time.
Participate in regulatory and accreditation surveys, action plans, staff meetings, training, and orientation as assigned.
Comply with HIPAA policies and standards and assist with projects and other duties assigned by the direct supervisor.