Registered Nurse Surgery Center Per Diem

Fresenius Medical Care•Las Vegas, NV

4d•Onsite

About The Position

The Registered Nurse supports the organization’s mission, vision, core values, customer service philosophy, and compliance requirements. Under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, provides direct nursing care before, during, and after procedures, using standard nursing techniques and facility policies to support optimal patient outcomes. The role supports quality and continuous improvement initiatives, meets regulatory and accreditation requirements, maintains accurate records, and helps ensure a safe facility environment. The nurse assesses and monitors patients, provides education, administers medications and IV moderate sedation as ordered, performs IV insertion and point-of-care testing, and assists physicians during procedures, including serving as a scrub technologist when needed. The position also supports facility operations through equipment checks, inventory and medication management, documentation, audits, meetings, and other assigned duties. Work takes place in a healthcare facility with controlled air temperature and moderate noise. The role involves desk and computer work as well as direct patient care, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation. Employees may occasionally need to move patients or equipment weighing up to 200 pounds with assistance. Exposure to infectious or contagious materials and radiation is possible, and protective gear may be required in procedure rooms for extended periods.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; the posting also lists successful BLS and ACLS course certifications.
Proficient in IV insertion.
Proficient in cardiac rhythm recognition.
Proficient in computers and related software such as Microsoft Office.
Experience with medical database software.
Able to perform the described physical demands, including frequent prolonged standing, bending, heavy lifting, moving patients, and assisting with ambulation; assistance and material-handling devices are available.

Nice To Haves

Associate’s Degree is desirable; a Bachelor’s Degree is strongly preferred.
Four to six years of related experience 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.

Responsibilities

Provide direct nursing care before, during, and after procedures under the direction of facility nursing leadership.
Support organization quality standards, regulatory and accreditation requirements, continuous quality improvement activities, and facility action plans.
Maintain patient care quality, respond to adverse events and action thresholds with facility management, and preserve the integrity of medical and operational records.
Obtain patient medical histories, explain procedures, answer questions, perform nursing assessments, and educate patients and families about post-procedure vascular access care.
Monitor patients before, during, and after procedures, including for complications or reactions associated with moderate sedation and contrast media.
Document patient information accurately from admission through discharge; verify orders, consents, and lab work; and ensure appropriate lab requisitions and result reporting.
Maintain competency in emergency procedures and initiate CPR or other emergency measures as needed.
Administer medications and IV moderate sedation as ordered and in accordance with applicable regulations; perform IV insertion and point-of-care laboratory testing as ordered.
Assist physicians during procedures, including acting as scrub technologist when needed while maintaining sterile technique; transport patients as needed.
Communicate patient-related issues to facility management and maintain regular, effective communication with physicians.
Attend and participate in CQI meetings, including reporting on assigned topics; assist with equipment and instrument readiness and adverse-event reporting.
Operate and inspect facility equipment and technology safely, report malfunctions and maintenance needs, and report facility system or structural issues.
Maintain a clean, safe, and sanitary facility and address blood spills according to applicable policies.
Help manage medication, laboratory, supply, inventory, and equipment use; check medication expiration dates and document controlled substances, medication usage, and drug disposal as required.
Maintain facility supply inventory, order and restock supplies as needed, and regularly examine emergency equipment and crash-cart supplies.
Complete medical records before patient discharge, conduct chart audits, and complete required records for implanted devices.
Participate in regulatory and accreditation surveys, staff meetings, training, and orientation as assigned.
Comply with HIPAA policies and standards and assist with projects or other duties assigned by the direct supervisor.