Registered Nurse-Hourly

• 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