Registered Nurse, Endoscopy

Heywood Hospital•Gardner, MA

About The Position

The Endoscopy RN is a member of the Perioperative, Endoscopy, and Surgical team. The nurse checks patients in upon arrival to Perioperative Services, initiates peripheral IVs, completes medication reconciliation, provides teaching, assists with positioning for procedures, administers and monitors moderate sedation as needed under policy, assists with endoscopic procedures, and collects specimens. The RN assesses, plans, implements, and evaluates patient care; administers medications and IV therapy; monitors patients during endoscopy, with particular attention to oxygenation, ventilation, and heart rate and rhythm; and documents care and patient responses. The role also includes patient and family education, discharge preparation, collaboration with the healthcare team, and floating within perioperative services as needed. This is a per-diem position with day and evening hours as needed, and the nurse must be able to take call according to departmental needs.

Requirements

Graduate of an accredited school of nursing.
Proficiency in peripheral IV insertion.
Current RN license in Massachusetts.
Current AHA ACLS certification.
Excellent communication, critical care, and critical thinking skills.
Must be able to take call per departmental needs.
If lacking endoscopy experience, at least one year of recent experience in Med/Surg, ED, ICU, OR, peri-operative, or OB is required.

Nice To Haves

Prior endoscopy experience is strongly preferred.
Willingness to cross-train within perioperative services is preferred.

Responsibilities

Check patients in upon arrival to Perioperative Services.
Initiate peripheral IVs and administer IV therapy in accordance with orders and nursing policies.
Complete medication reconciliation documentation for the Attending MD.
Provide patient and family teaching based on identified learning needs.
Assist with patient positioning for procedures, endoscopic procedures, and specimen collection.
Administer and monitor moderate or IV conscious sedation safely and according to orders and policy.
Assess and reassess patients undergoing endoscopy and document care in the Meditech NUR Module.
Continuously monitor patients during endoscopy, especially oxygenation, ventilation, and heart rate and rhythm.
Assess and manage patient pain, reassess the effectiveness of pain control, notify physicians as needed, and document findings and responses.
Safely administer medications and monitor patients receiving blood products according to policy and procedure.
Assess, plan, implement, and evaluate nursing interventions, plans of care, and patient goals.
Maintain a safe and healthy environment and respond immediately and appropriately to emergencies.
Provide thorough, timely, and accurate documentation and handoffs to healthcare team members.
Plan for patient and family discharge collaboratively, incorporating support systems and resources as needed.
Delegate and supervise nursing interventions performed by others and prioritize patient care appropriately.
Promote patient safety, report incidents, identify risks and opportunities to reduce errors, and address ethical issues in care.
Comply with applicable regulations, hospital policies, attendance requirements, mandatory training, and hand hygiene practices.
Promote learning for colleagues and self, including through precepting, training, and professional development.
Float within perioperative services as needed and take call according to departmental needs.