Per Diem Registered Nurse

Fresenius Medical Care•Great Neck, NY

About The Position

The Registered Nurse provides direct nursing care before, during, and after procedures, under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse. The nurse supports the organization’s mission, policies, compliance requirements, and quality standards while helping achieve optimal patient outcomes in accordance with facility procedures. This position seeks Friday coverage and is per diem. The role includes assessing and monitoring patients, providing education and support, administering medications and IV moderate sedation as ordered, assisting physicians during procedures, maintaining sterile technique, and responding to emergencies. The nurse also contributes to quality improvement, accurate medical records, facility safety and maintenance, medication and supply management, regulatory compliance, and staff training and meetings. Work takes place in a healthcare facility with controlled air temperature and moderate noise. The position involves desk and computer work and direct patient care, including frequent standing, bending, and lifting or moving patients. Assistance and devices are available for heavier items. The employee may encounter infectious or contagious materials and radiation, and may need to wear protective gear 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.
Proficient in cardiac rhythm recognition.
Proficient in computers and related software, such as Microsoft Office.
Experience with medical database software.
Able to perform the role’s physical functions, including frequent prolonged standing, bending, and patient care that regularly involves heavy lifting and moving patients and assisting with ambulation; may occasionally move patients and equipment weighing up to 200 pounds with assistance.
High school diploma required.

Nice To Haves

Associate’s degree desirable; bachelor’s degree strongly preferred.
4–6 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 accrediting requirements, and Continuous Quality Improvement activities.
Assist with quality goals and facility action plans; address adverse events and action thresholds with facility management.
Maintain accurate medical, administrative, and operational records and comply with data collection and auditing activities.
Maintain facility environmental integrity and safety.
Obtain patient medical histories, discuss procedures, answer questions, and complete nursing assessments.
Educate patients and families about post-procedure vascular access care and address patient concerns.
Monitor patients before, during, and after procedures, including for complications or reactions to moderate sedation and contrast media.
Communicate patient-related issues to facility management as needed.
Complete accurate patient documentation from admission through discharge; confirm orders, consents, and laboratory work are completed and documented.
Prepare laboratory requisitions, deliver them to appropriate laboratories, and report and forward results to physicians.
Maintain competency in emergency procedures and initiate CPR and other emergency measures as needed.
Administer medications and IV moderate sedation as ordered and in compliance with applicable regulations.
Assist physicians as a scrub technologist when needed while maintaining sterile technique.
Transport patients as needed to support patient workflow.
Perform point-of-care laboratory testing and IV insertion as ordered.
Perform additional physician-designated tasks in compliance with state regulations.
Communicate regularly and effectively with physicians and participate in CQI meetings, including reporting on assigned topics.
Help verify that necessary instruments and equipment are available and assist with adverse-event reporting.
Operate and inspect facility equipment and technology safely; report malfunctions and maintenance needs.
Inspect facility systems and structure, including temperature checks, and report issues to the Facility Manager.
Maintain a clean, safe, and sanitary facility and address blood spills according to applicable policies.
Support efficient use and inventory of medications, laboratory resources, supplies, and equipment.
Assist with policy and procedure development or revision and other continuous process improvement activities.
Participate in CQI activities, monthly reports, and meetings as required.
Maintain medication inventory, check for expired medications, and document controlled substances, medication use, and drug disposal as required.
Maintain facility supply inventory, including ordering and restocking supplies.
Regularly examine and stock emergency equipment and supplies, including the crash cart.
Complete medical records before patient discharge and perform regular chart audits.
Participate in regulatory and accreditation surveys and help develop action plans for deficiencies.
Complete required records for implanted devices accurately and on time.
Participate in staff meetings, training, and orientation as assigned.
Comply with HIPAA policies and standards for patient information and medical records.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.