Posted 1mo ago

Registered Nurse-Hourly

@ AMSURG
Raleigh, North Carolina, United States
OnsiteFull Time
Responsibilities:Follow policies, Use equipment, Coordinate care
Requirements Summary:Registered nurse with patient care duties in endoscopy; follow center policies; operate equipment; document care; teamwork; ALS and BLS certifications required.
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Job Description
Follows all policies and procedures of the Center
Uses equipment effectively following manufacturer’s instruction for use
Uses proper techniques and procedures according to accepted standards of practice
Organizes nursing activities efficiently and effectively
Continuously assess and monitors the physical and emotional status of the patient and documents and reports 
 per policy and procedure
Uses two patient identifiers to assure correct patient and “ask don’t tell” to identify correct procedure and 
 physician
Addresses patient needs specific to the anticipated procedure
Transports patients, as needed, observing policies, procedures and safety requirements
Verifies and explains procedure with the patient and discusses plan of care prior to transporting to procedure 
 room         
Provides comfort and reassurance to each patient
Maintains patients privacy and dignity
Work collaboratively with the healthcare team to provide safe continuity of patient care
Actively participates as a team member in support of the total endoscopy process
Organizes time, activities, equipment, supplies and personnel to provide efficient, cost effective patient care 
Delegates’ activities appropriate to the abilities of available staff members
Supervises and directs patient care in pre, intra and post- op
Reviews patient’s medical record and needs to provide continuity of care in collaboration with other members of 
  the healthcare team and communicates variances
Considers cost containment by using supplies economically and by managing efficient turnover time
Assists with supplies, drugs and equipment inventories to maintain stock level and availability ; maintains order 
 and cleanliness of pre procedure area(s), endoscopy room and PACU
Works collaboratively with the healthcare team to prepare for the patient in their assigned area according to 
 requirements of the patient, physician and procedure to include but not limited to, assembling and providing 
 functions equipment, supplies and instruments including sterilization and high level disinfection of supplies and 
 equipment
Administers medication (s) per order of the physician and documents appropriately
Monitors and reports any abnormal observed complications to the anesthesia provider and physician
Accurately comprehends and interprets physician orders and direction, following policy and procedures
Documents in the patients medical record and other forms accurately, legibly  and timely in a timely manner, 
 following policies and procedures 
Proper aseptic and sterile techniques are used according to acceptable standards of practice – monitors and 
 identifies breaks in sterile technique
Demostrates ongoing competencies with patient assessment and appropriate interventions when variances occur
Assesses each patient for fall precautions and addresses per policy
Successfully able to start patient peripheral IV
Participates in the time out
Uses the Safe Surgical checklist
Works collaboratively with healthcare team to ensure physician preference cards are maintained and updated as
 needed        
Handles and logs tissue specimens correctly and accurately according to policy and procedures
Ensures the appropriate and safe positioning of the patient meeting patient needs and the planned procedure and  
 monitors throughout the procedure
Monitors and assess patient for recovery from anesthesia
Prepares patient for discharge to include:  assisting with dressing, discharge instructions, medication 
 reconciliation and follow-up physician appointment with patient and responsible adult
Determines and documents patient and responsible adult understanding of the discharge instructions and indications for seeking emergent care
 indications for seeking emergent care
Develops a plan of care, based on patient needs, related to the procedure and type of anesthesia
Attends all required education
Performs other miscellaneous duties as assigned
         
 Regulatory/Compliance
Contributes to the progress and development of the center’s compliance program
Performs according to accreditation requirements, regulatory standards and center policies and procedures
Adheres to patients’ rights and responsibilities and supports them in performance of job duties
Adheres to rules and regulations for Protected Health Information (PHI) and Health Insurance Portability and 
 Accountability (HIPAA) protections of patient information
         
 Quality Assurance and Performance Improvement (QAPI)
Performs according to the centers adopted policies and procedures
Ensures compliance with the center’s adopted quality assurance performance improvement program (QAPI), 
 policies and procedures
Proactively contributes to the QAPI process and identifies his or her own role and contributions 
         
 Safety
Adheres to best practices and regulations adopted, to provide safety in the workplace
Uses surgical safety checklist
Monitors the Center’s physical environment to ensure the maintenance of safety, comfort, cleanliness, and 
 efficiency
Monitors the care, cleaning, and required maintenance of equipment to maintain proper working conditions
Reports observed or suspected safety violations and hazards to the Safety Officer; ensure ongoing  
 policy/procedure compliance 
Adheres to OSHA regulations in performing job duties and responsibilities
         
 Communication
Ability to professionally and effectively communicate patient care needs and significant information to 
 healthcare team to promote continuity of patient care in a clear and concise manner
Works collaboratively with center leadership on patient and staff scheduling according to policies, procedures, 
 and center needs
Ability to effectively present information, respond to questions, and professionally interact with physicians, 
 managers, employees, clients, vendors, and the general public
Interacts with others in a positive, respectful and considerate manner
  
 Teamwork
Works collaboratively with the healthcare team
Delegates staffing duties appropriately to unlicensed assistive personnel and LVN/LPN, accordance with scope of 
 practice and center policies and procedures
Reports observed or suspected safety violations, hazards, and policy/procedure non-compliance to Center 
 Leader, Safety Officer, and Clinical Director
Actively participates in staff meetings, in-services, continuing education, and the quality improvement (QAPI) 
 program
  
 Financial Practices
Uses Center resources appropriately and avoids wasteful practices
Reports wasteful practices
Analyzes work area and makes recommendations for potential cost-effective improvements
         
 Professional Competence
Participates in continuing education and other learning experiences
At a minimum, maintains membership in professional organizations per center requirements
Seeks new learning experiences by accepting challenging opportunities and responsibilities
Shares knowledge gained in continuing education with center personnel
Assists Center Leadership with orientation and training of new personnel 
Demonstrates ability to act as a resource for problems related to patient care
         
 ESSENTIAL VALUES, CODES OF CONDUCT:
Demonstrates knowledge of and adheres to the Code of Conduct
Adheres to the Scope of Practice
Supports the centers mission statement and goals
Complies with the centers standards for ethical business conduct
Works with Center Leadership to ensure patient and physician satisfaction
Adheres to policies and procedures, including, but not limited to, attendance, timeliness, safeguarding confidential
 information
Reports incidents in a timely manner
Demonstrates an attitude of caring, respect, sensitivity, tact, compassion, empathy, and tolerance
Exhibits mental alertness for quality decision making and exercises good judgment
Exhibits high level of integrity
Ability to multi-task effectively, efficiently, accurately, and with attention to detail
         
 MATHEMATICAL SKILLS:
 Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, 
 decimals, and percentages
         
 LANGUAGE SKILLS:
 Ability to understand, read, write, and speak English, if bilingual Center, bilingual language is required.  Ability to 
 read, analyze, and interpret general business periodicals, professional journals, technical procedures, or 
 governmental regulations. Ability to successfully write business correspondence.  Ability to effectively present 
 information, respond to questions, and professionally interact with healthcare team, clients, clients, vendors, and 
 the general public
         
 REASONING ABILITY:
 Demonstrates an ability to recognize and define problems, collect data, establish facts, draw valid conclusions, 
 and correct errors. Ability to interpret a variety of instructions and forms to understand abstract and concrete 
 variables. Ability to think critically using inductive and deductive reasoning.
         
 PHYSICAL DEMANDS:
Ability to sit, stand and walk for long periods of time, i.e., 6-8 hours per day
Ability to exert maximum muscle force to lift, push, pull, or carry objects up to 50 pounds in weight
Ability to use abdominal and lower back muscles to support part of the body repeatedly or continuously without 
 giving out or fatiguing
Ability to perform physical activities that require considerable use of your arms and legs and moving your whole 
 body, such as climbing, lifting, balancing, walking, stooping, and handling of materials 
Ability to position or transport patients, prepare medical procedure rooms, or set up patient care equipment
Ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one 
 position
Ability to keep or regain your body balance and stay upright 
Ability to exert yourself physically over long periods of time without getting winded or out of breath
Ability to quickly respond (with the hand, finger, or foot) to a signal (sound, light, picture) when it appears
Specific vision abilities for close and distance vision, color vision, peripheral vision, depth perception, and ability 
 to adjust focus
         
 WORK ENVIRONMENT:
Days and hours of work may vary to meet patient and Center needs
The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting
 to meet patient care needs or procedure requirements, such as laser rooms and some OR/Procedure rooms
Ability to work with medical and office equipment, some of which will have moving parts 
Noise level is usually quiet to moderate     
May have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and 
 cleaning solutions
Work in close proximity to patients, co-workers, and physicians