Registered Nurse Endoscopy Department

Brown Medicine•Providence, RI

4d•$36 - $71•Onsite

About The Position

The Endoscopy Registered Nurse provides nursing care under the direct supervision of the Clinical Manager or designee. The nurse implements, supervises, and evaluates patient care using the nursing process and in accordance with hospital and departmental policies and procedures. Care is planned from admission through discharge, taking into account the aging process, developmental stages, and cultural patterns. The role provides direct nursing care to patients with complex needs, including monitoring patients during conscious sedation and after procedures, assisting physicians during endoscopic procedures, and preparing and administering medications as directed. The nurse ensures procedure rooms have the necessary equipment and supplies, maintains endoscopes and accessories, and performs specimen testing when directed. The nurse also supports patient and family education, advocacy, confidentiality, discharge planning, and coordination with the healthcare team. The position operates independently within departmental policies and practices, referring complex issues to a supervisor when clarification is needed. It is based in a general hospital environment with occasional stressful conditions associated with patient care. The schedule is Monday through Friday, with an on-call rotation on weeknights, weekends, and holidays; the day shift is eight hours. Driving is not required.

Requirements

Current Registered Nurse licensure in Rhode Island or in another state participating in the Nurse Licensure Compact.
Successful completion of the hospital's Patient Care Delivery Orientation Program, including entry-level credentialing of selected skills.
Basic Cardiac Life Support certification.
ACLS certification.
Two years of medical-surgical nursing experience.
Telemetry experience.
Demonstrated knowledge and skills to provide care while considering aging processes, human development stages, and cultural patterns at each step of care.
Ability to perform responsibilities independently within department policies and practices and refer complex problems to a supervisor when clarification is needed.

Nice To Haves

Two years of Endoscopy experience preferred.

Responsibilities

Provide safe, direct nursing care to patients, including patients with complex needs.
Use the nursing process to assess, diagnose, plan, intervene, and evaluate care in coordination with the healthcare team.
Delegate and supervise nursing care activities performed by assigned personnel.
Evaluate patient care and ensure compliance with applicable standards.
Implement therapeutic and diagnostic orders according to policy, and communicate patient responses or condition changes to physicians.
Keep families informed, coordinate discharge planning, teach patients and families, maintain confidentiality, and advocate for patients and families.
Document care according to policy and procedure.
Maintain Basic Life Support certification, initiate CPR when cardiopulmonary arrest is identified, follow infection-control and safety measures, and respond appropriately to emergency or code situations.
Check emergency equipment, report unsafe conditions, use safe lifting practices and assistive devices, and maintain a safe and comfortable environment.
Use equipment properly and report repair needs; follow procedures for side rails, restraints, fall precautions, and constant observation as assigned.
Meet credentialing requirements, maintain reliable attendance and punctuality, and respond to departmental needs, including schedule flexibility.
Use time, equipment, supplies, and other resources cost-effectively.
Participate in unit meetings, quality improvement activities, staff education, orientation, precepting as assigned, and performance appraisal activities as determined by the Clinical Manager.
Establish annual development goals with the Clinical Manager and maintain current professional, medical, technical, and technological knowledge.
Assume charge responsibilities as delegated and collaborate with faculty and students to meet learning objectives within the care plan.
Incorporate approved research findings and clinical advancements into practice, consulting nurses with advanced clinical expertise as needed.
Monitor patients during conscious sedation and after procedures for complications.
Assist physicians with endoscopic procedures, including preparing and administering medications as directed and retrieving, passing, and handling instruments and supplies.
Set up necessary equipment and supplies in the procedure room before examinations.
Monitor medical supply and equipment inventory and maintain adequate levels according to guidelines and anticipated needs.
Clean, disinfect, and maintain endoscopes and accessories according to policy and procedure.
Perform specimen testing when directed and follow specimen-handling guidelines.