| • | 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 |