Registered Nurse Surgery Center Per Diem

Fresenius Medical Care•Las Vegas, NV

About The Position

The Registered Nurse supports the Organization’s mission, vision, core values, and customer service philosophy while adhering to compliance requirements and applicable policies. Under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, the nurse provides direct care before, during, and after procedures using standard nursing techniques and facility policies to support optimal patient outcomes. The role supports quality improvement and regulatory compliance, maintains accurate records and a safe care environment, and provides patient assessment, education, monitoring, medication administration, and procedural assistance. The nurse communicates with physicians and facility management, operates and inspects clinical equipment, supports inventory and medication controls, and participates in meetings, training, audits, and facility improvement activities. This position involves desk and computer work as well as direct patient care in a healthcare facility. Patient care regularly involves lifting and moving patients and assisting with ambulation. The role requires frequent prolonged standing and bending; occasional assisted movement of patients and equipment weighing up to 200 pounds may be required. The work environment has controlled air temperature and moderate noise and may involve exposure to infectious materials and radiation. 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; BLS and ACLS course certifications successfully completed.
Proficient in IV insertion and cardiac rhythm recognition.
Proficient use of computers and related software, such as Microsoft Office.
Experience with medical database software.

Nice To Haves

Associate’s degree desirable; bachelor’s degree 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

Support organization quality standards, regulatory and accreditation requirements, and Continuous Quality Improvement activities.
Assist with implementation of organization quality goals and facility action plans; address adverse events and action thresholds with facility management.
Maintain medical, administrative, and operational records, participate in data collection and audits, and maintain a safe facility environment.
Obtain medical histories, perform nursing assessments, discuss procedures, answer questions, 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.
Communicate patient-related issues to facility management and document patient information accurately from admission through discharge.
Confirm orders, consents, and laboratory work are completed and documented; prepare and route lab requisitions and report results to the appropriate physician.
Maintain competency in emergency procedures and initiate CPR and other emergency measures when needed.
Administer medications and IV moderate sedation according to physician orders and applicable requirements; perform IV insertion as ordered.
Assist physicians during procedures as a scrub technologist while maintaining sterile technique; transport patients as needed.
Perform point-of-care laboratory testing as ordered and perform additional tasks designated by the physician within state regulations.
Communicate with physicians, participate in CQI meetings, and assist with equipment verification and adverse-event reporting.
Operate and inspect facility equipment and operating systems, report malfunctions or maintenance needs, and maintain a clean, safe, and sanitary environment.
Address blood spills according to applicable bloodborne pathogen policies.
Support efficient use and inventory of medications, laboratory resources, supplies, and equipment; check medication expiration dates and document controlled substances and medication usage or disposal as required.
Assist with policy and procedure development or revision, CQI reports and meetings, supply restocking, and emergency equipment and crash-cart checks.
Complete patient records before discharge, conduct chart audits, support regulatory and accreditation surveys, and complete required implanted-device records.
Participate in staff meetings, training, and orientation; comply with patient-information privacy policies; assist with assigned projects and other duties.