Job Title: Registered Nurse
GENERAL SUMMARY OF DUTIES: The Registered Nurse (RN) in the Endoscopy Center is responsible for providing high-quality nursing care to patients throughout the pre-operative, intra-operative, and post-operative phases of their procedures. The RN ensures a safe environment for patients, upholds nursing best practices, and adheres to all policies and procedures. This role encompasses pre-operative preparation, intra-procedure sedation and monitoring, and post-operative recovery, discharge, and patient education.
ESSENTIAL FUNCTIONS:
1. Core Nursing Responsibilities:
- Treat all patients with dignity and respect
- Maintain confidentiality and privacy of all patients per HIPAA and Center policies.
- Adhere to GI Consultants Employee Code of Conduct, Core Customer Service requirements, departmental policies and procedures, and regulatory requirements.
- Function within the legal limits of nursing scope of practice and act as a patient advocate.
- Implement infection control measures and use personal protective equipment (PPE) as required.
- Ensure a safe environment for patients and staff, reporting any unsafe conditions or equipment concerns.
- Demonstrate knowledge of all equipment and supplies, troubleshooting as necessary.
- Work cooperatively and professionally with physicians and staff, following established protocols.
- Identifies patients using two identifiers at each point of care and communicates pertinent information when transferring patients from one care area to the next.
- Assess and monitor patients for abnormal physical symptoms, taking appropriate action.
- Administer medications and IV fluids appropriately based on patient age and condition.
- Demonstrate knowledge of crash cart contents, defibrillator, emergency medications, and appropriate response in emergency situations.
- Supervise and delegate tasks to Pre/Post-op Care Technicians to ensure smooth Center operations.
- Complete all electronic health records (EHR) prior to the end of the shift. Accurately document patient information and report errors of commission/omission.
- Communicate supply and medication needs to the Supervisor and/or Center Operations Director.
- Maintain continuous narcotic security according to policy.
- Ensure controlled medication count is correct at the beginning and end of shift.
- Document all controlled medications on the daily Controlled Substance Disposition Log.
- Waste all controlled medications with second RN verification and document accordingly.
- Participate in mock codes, fire drills, and annual competencies and trainings.
- Attend in-services and staff meetings as required
- All other duties as assigned
2. Pre-Operative Responsibilities:
- Verify procedure and sedation orders for accuracy and appropriateness.
- Review informed consent and sedation plan with the patient and/or guardian.
- Assess the patient's personal health information (PHI), including surgical history, medical conditions, and medication reconciliation.
- Evaluate NPO status, bowel preparation, fall risk, and mobility limitations.
- Identify allergies, sensitivities, and intolerances, documenting severity.
- Interpret cardiac rhythms, assess vital signs, and determine patient suitability for sedation.
- Initiate intravenous access using aseptic techniques and standard precautions.
- Provide pre-procedure education to patients regarding expectations and post-procedure care.
3. Intra-Operative Responsibilities:
- Ensure emergency medication, equipment, and suction are available and functional.
- Perform Sign In, Time Out, and Sign Out per the Safe Surgical Checklist.
- Administer light to moderate sedation as ordered and monitor patient response.
- Continuously assess vital signs, cardiac rhythm, and procedural tolerance.
- Identify and respond to sedation-related complications, ensuring patient safety.
- Employ techniques to maintain a patent airway as indicated and per scope of practice.
- Assist the anesthetist as a circulating RN during sedation with propofol.
- Support the physician in procedural tasks, documentation, and pathology collection.
- Maintain sterile technique as applicable (e.g., Liver Biopsy, PEG Placement).
4. Procedure-Specific Knowledge and Skills:
- Understand all procedures performed, interventions, and their potential complications (e.g., esophageal dilation or banding).
- Demonstrate correct use of and need for the Electro-Surgery Unit (ESU), including proper grounding pad placement.
- Understand different needs for patients with implantable devices such as magnet use during cautery and monitor settings.
- Identify anatomical landmarks in all endoscopy procedures.
- Understand basic principles and rationale for pathology collection in diagnosis and/or treatment of GI diseases (e.g., esophageal biopsies for Barrett's Esophagus).
- Assist the physician in recording and processing pathology specimens according to policy.
5. Post-Operative Responsibilities:
- Receive and review reports from the Procedure Room RN and Anesthetist.
- Assess and document post-sedation status, including Aldrete scores.
- Communicate abnormal assessments or concerns to the physician or anesthetist.
- Provide discharge instructions and education tailored to procedure findings.
- Perform medication reconciliation with patients and caregivers.
- Confirm follow-up appointments and ensure pathology specimen processing per policy.
- Identify and support fall risk patients, ensuring safe discharge criteria are met.
- Facilitate patient transport for higher levels of care if necessary.
EDUCATION:
- Graduate of an accredited nursing school program
- Bachelor of Science in Nursing (BSN) preferred
EXPERIENCE/SKILLS/KNOLEDGE:
- Administration and monitoring of moderate sedation (required)
- One (1) year of hospital nursing experience (required)
- One (1) year of experience in Gastroenterology/Endoscopy Nursing (preferred)
- One (1) year of Critical Care experience (preferred)
REQUIREMENTS:
- Current Nevada Registered Nurse (RN) license
- Advanced Cardiac Life Support (ACLS) certification (must obtain within one year of employment)
- Basic Life Support (BLS) for Healthcare Providers certification
Why you’ll love it here
We are dedicated to creating an environment where our team members can thrive both professionally and personally. Our commitment to your well-being is reflected in our comprehensive benefits package designed to support you at every stage of your career.
Our benefits include:
- Health insurance options for you and your family
- Generous paid time off for work-life balance
- Supportive team culture that values collaboration and respect
About us
Join our dynamic healthcare team dedicated to providing compassionate care to our community. We believe that every employee contributes to our mission of improving lives through exceptional service. Together, we can make a difference in the lives of those we serve!
Job Type: Full-time
Pay: From $40.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
