Per Diem Registered Nurse

Fresenius Medical Care•Silver Spring, MD

8d•$41 - $68

About The Position

The Registered Nurse supports the Organization’s mission, vision, core values, and customer service philosophy while complying with its compliance program, regulatory requirements, and policies. Under the direction of the Facility Manager, Director of Nursing, and/or Charge Registered Nurse, the RN provides direct nursing care before, during, and after procedures using standard nursing techniques and facility procedures to support optimal patient outcomes. The role is responsible for quality improvement, patient assessment and education, monitoring patients and administering medications and IV moderate sedation as ordered, maintaining accurate documentation, and responding to emergencies. The RN may assist physicians during procedures as a scrub technologist, perform IV insertion and point-of-care testing, and support patient transport and workflow. The position also helps maintain facility equipment, systems, safety, and cleanliness; supports inventory and medication controls; participates in CQI, meetings, training, audits, and regulatory activities; and completes other duties as assigned. Work includes desk and computer tasks as well as direct patient care involving standing, bending, and assisting with patient movement. The healthcare facility environment may involve exposure to infectious materials and radiation, and protective gear may be required in procedure rooms.

Requirements

Graduate of an accredited School of Nursing (R.N.).
Current appropriate state licensure.
Current ACLS certification; BLS and ACLS course certifications successfully completed.
Proficiency in IV insertion.
Proficiency in cardiac rhythm recognition.
Proficiency using 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 organizational quality standards, regulatory and accreditation requirements, CQI activities, facility quality goals, and action plans.
Maintain the quality of patient care, follow policies and procedures, and address adverse events and action thresholds with facility management.
Maintain accurate medical and operational records, participate in data collection and audits, and maintain environmental integrity and safety.
Obtain medical histories, explain procedures, answer questions, and perform nursing assessments on procedure days.
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 related to moderate sedation and contrast media.
Document patient information accurately from admission through discharge and confirm orders, consents, and laboratory work are complete 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 accordance with applicable regulations and policies.
Assist physicians during procedures as a scrub technologist while maintaining sterile technique.
Assist patient workflow, including transporting patients as needed.
Perform point-of-care laboratory testing and IV insertion as ordered, and perform additional physician-designated tasks in compliance with state regulations.
Communicate with physicians, participate in CQI meetings, and assist with equipment verification and adverse-event reporting.
Operate and inspect facility equipment and systems, report malfunctions or maintenance needs, and maintain a clean, safe, and sanitary environment.
Address blood spills according to bloodborne pathogen control policies.
Assist with efficient use and inventory of medications, laboratory supplies, equipment, and other supplies.
Support policy and procedure revisions and CQI activities, including monthly reports and meetings.
Monitor medication supplies, expired medications, controlled-substance records, medication usage logs, and drug disposal records.
Inspect and stock emergency equipment and supplies, including the crash cart.
Complete medical records before patient discharge, perform chart audits, and complete required records for implanted devices.
Participate in regulatory and accreditation surveys, action plans, staff meetings, training, and orientation as assigned.
Comply with HIPAA policies and standards and assist with projects assigned by the direct supervisor.
Perform other duties as assigned.