Registered Nurse - Endoscopy - PRN

Amsurg•Cincinnati, OH

3d•Onsite

About The Position

The Registered Nurse - Endoscopy provides nursing care throughout the endoscopy process, including pre-, intra-, and post-operative care, patient assessment and monitoring, medication administration, recovery, and discharge preparation. The nurse works collaboratively with the healthcare team to maintain safe continuity of care, prepare procedure areas and equipment, support patient comfort and privacy, and ensure accurate documentation and communication. The role follows Center policies, accepted standards of practice, accreditation and regulatory requirements, patient-rights protections, HIPAA requirements, and the Center’s quality assurance and performance improvement (QAPI) program. The nurse contributes to safety, compliance, efficient use of resources, staff development, and patient and physician satisfaction. Work days and hours may vary to meet patient and Center needs. The work takes place in a well-lit, ventilated, climate-controlled Center, although lighting may be reduced for patient-care or procedure requirements. The environment may involve medical and office equipment with moving parts, quiet-to-moderate noise, exposure to blood and other potentially infectious materials or toxic chemicals and cleaning solutions, and close proximity to patients, coworkers, and physicians.

Requirements

Graduate of an accredited school of nursing and an RN with an active, unrestricted license in the appropriate state.
One year of nursing experience preferred, preferably in an ambulatory surgery center.
CPR certification and/or ACLS-PALS certification, as required by the Center.
Strong ethical and moral character references.
Basic computer skills.
Ability to perform nursing duties in accordance with accepted standards of practice, Center policies, regulatory requirements, and scope of practice.
Ability to communicate effectively in English, including understanding, reading, writing, speaking, writing business correspondence, interpreting professional and technical materials, and presenting information. Bilingual ability is required if the Center requires a bilingual language.
Ability to perform basic arithmetic using whole numbers, fractions, decimals, and percentages.
Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, correct errors, interpret instructions and forms, and use inductive and deductive reasoning.
Ability to sit, stand, and walk for long periods, approximately 6–8 hours per day.
Ability to lift, push, pull, or carry objects weighing up to 50 pounds and to position or transport patients, prepare procedure rooms, and set up patient-care equipment.
Ability to perform physical activities including climbing, lifting, balancing, walking, stooping, and handling materials; sustain physical exertion; maintain balance and posture; and keep the hands and arms steady during tasks.
Ability to respond quickly to visual or auditory signals.
Vision abilities including close and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Ability to work with medical and office equipment, including equipment with moving parts, and to work in close proximity to patients, coworkers, and physicians.

Nice To Haves

Ambulatory surgery center nursing experience.

Responsibilities

Follow all Center policies and procedures and use equipment according to manufacturer instructions and accepted standards of practice.
Organize nursing activities, time, supplies, equipment, and personnel to provide efficient, cost-effective patient care.
Assess and monitor patients’ physical and emotional status; document findings and report variances according to policy and procedure.
Use two patient identifiers and confirm the correct procedure and physician using the “ask don’t tell” approach.
Address patient needs related to the anticipated procedure; explain the procedure and plan of care, provide comfort and reassurance, and maintain privacy and dignity.
Transport patients as needed while observing safety requirements and Center policies.
Collaborate with the healthcare team to provide continuity of care and participate as a team member in the endoscopy process.
Supervise and direct patient care before, during, and after procedures; review medical records and communicate relevant needs and variances to the healthcare team.
Delegate activities appropriately to staff members, including unlicensed assistive personnel and LVN/LPN staff, consistent with scope of practice and Center policy.
Use supplies economically, support efficient turnover, assist with inventories, maintain stock availability, and keep assigned areas orderly and clean.
Prepare assigned areas for patients and procedures, including assembling equipment, supplies, and instruments and performing sterilization and high-level disinfection as required.
Administer medications as ordered by the physician and document them appropriately.
Monitor patients, identify and report abnormal observations or complications to the anesthesia provider and physician, and respond appropriately to variances.
Interpret physician orders and directions accurately and document in the medical record and other forms accurately, legibly, and promptly.
Use aseptic and sterile techniques, monitor for breaks in sterile technique, and maintain ongoing competency in patient assessment and interventions.
Assess patients for fall precautions and address them according to policy; start peripheral IVs.
Participate in the time-out process and use the Safe Surgical Checklist.
Help maintain and update physician preference cards.
Handle and log tissue specimens accurately according to policy and procedure.
Position patients safely and appropriately for their needs and planned procedures, and monitor positioning throughout the procedure.
Assess and monitor patient recovery from anesthesia.
Prepare patients for discharge, including assisting with dressing, discharge instructions, medication reconciliation, and follow-up physician appointments with the patient and responsible adult; determine and document understanding of instructions and indications for seeking emergency care.
Develop a plan of care based on patient needs, the procedure, and the type of anesthesia.
Attend required education and participate in staff meetings, in-services, continuing education, and QAPI activities.
Contribute to the Center’s compliance and QAPI programs and follow accreditation requirements, regulatory standards, Center policies, patient-rights requirements, and PHI/HIPAA protections.
Maintain workplace safety, use the surgical safety checklist, monitor the physical environment and equipment, report safety violations or hazards, and comply with OSHA requirements.
Communicate patient-care needs and significant information clearly and professionally to the healthcare team; collaborate with Center leadership on patient and staff scheduling.
Interact respectfully and professionally with physicians, managers, employees, clients, vendors, and the public.
Use Center resources appropriately, report wasteful practices, and recommend cost-effective improvements.
Participate in continuing education and learning experiences, maintain professional organization membership as required, share learning with Center personnel, and assist leadership with orientation and training of new personnel.
Act as a resource for patient-care problems and uphold the Code of Conduct, Scope of Practice, Center mission and goals, ethical business standards, attendance and timeliness requirements, and confidentiality requirements.
Report incidents promptly and demonstrate caring, respect, compassion, sound judgment, integrity, attention to detail, and effective multitasking.
Perform other miscellaneous duties as assigned.