Provide quality nursing care for inpatients and outpatients undergoing high-risk GI specialty procedures, including pre-procedure assessment and sedation monitoring. Responsible for patient education, maintaining a safe environment, and the cleaning and processing of medical scopes.
Requirements summary
Requires a two to four-year RN degree and a current Missouri state nursing license. BLS certification is required, and ACLS is recommended.
Purpose: To provide quality patient care while following all standards of care and maintaining a safe environment for both inpatients and outpatients who are receiving a variety of specialty services and provide proper documentation.
Formal
Policy-Setting
Responsibilities: Formally responsible for making recommendations regarding policies associated with the job's purpose and essential responsibilities.
Routine
Decision
Making: Determine appropriate protocols; procedures, drugs, pre-procedure testing and equipment for each patient based on assessment; achievement of adequate sedation and when to reverse; determine appropriate family/patient education.
Formal
Supervisory
Responsibility: No formal supervisory responsibility.
Required
Knowledge: Knowledge of intravenous sedation; special procedures; instruments and equipment; medications; actions and adverse reactions; cardiac rhythms; airway maintenance; nursing process; insurance requirements; standards of care; JCAHO requirements.
Required
Skills and
Ability: Assessment; good communication; troubleshoot; monitoring equipment; time management skills; clinical skills.
Unusual
Working
Conditions: Risk of blood, body fluid contamination.
Education and
Certification/
Registration required for the
Position: Two to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended.
Age
Specific
Competencies: Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 years-12 years); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older. Essential Responsibilities and Tasks Assesses, Plans, implements and evaluates patients receiving high risk specialty procedures. (40% of the time) Performs pre-procedure interviews per paper/computer correctly on all patients receiving class I and II invasive procedures, evaluates the information obtained, and formulates a plan of care prior to the patient procedure. Identifies the patients using two patient identifiers prior to the procedure 100% of the time. Performs a comprehensive nursing assessment on patients receiving class I and class II invasive procedures and documents completely including appropriate signatures, times and dates. Revises plan of care as indicated from the assessment. Interprets physiological information from technical equipment, on each patient and applies this information to the plan of care. Documents the findings from all assessments, evaluations and implementations on the patient record where, when, and how daily. Reports all critical abnormal assessments and lab values to the physician, per hospital policy and implements further orders immediately and documents details on the patient record. Utilizes AIDET (acknowledge, introduce, duration, explain and thank) initiatives to include managing up with each patient. Utilizes only approved abbreviations in patient documentation. Provides patient education. (25% of the time) Evaluates patient learning ability and motivational levels. Implements alternative learning measures, as evidenced by patient or caregiver verbalization or return demonstrations, as documented on the patient record i.e.; effectively communicates. Effectively communicates discharge instructions to patient and responsible party at the time of discharge, per departmental discharge policy. Explains all procedures and medications to patients prior to implementation. Maintains a safe and comfortable environment. (25% of the time) Removes malfunctioning equipment from unit immediately upon discovering problem. Complete requisition for repair or malfunctioning equipment by the end of shift. Cleans and stocks supplies within the department, as needed. Effectively communicates the plan of care on each patient to ancillary departments, case management and pharmacy staff as indicated by the orders received, patient diagnosis or condition. Ensures all required documents are on the chart prior to going into the procedure room (H&P, Check One, informed consent, test results if applicable). Evaluates the effectiveness of the communication, as evidenced by the preparedness of the patient and takes appropriate actions, including notifying performing physician. Demonstrates thorough knowledge of location, care and operation of all departmental equipment. Accurately records, handles and labels specimens; demonstrates care of specimens. Ensures alarms on any assigned area are audible to alert staff. Checks code blue carts each shift and upon using the cart, ensuring it has an intact tag attached. Fully responsible for care of scopes when working in the procedure/decontamination rooms including cleaning, processing and storage. Follows written procedure for high level disinfection (HLD); knows responsibilities and the necessity for chemical monitoring. Able to accurately see and read color changes to biological and chemical monitors. Develops and promotes hospital/unit initiatives and professional relations. (5% of the time) Establishes and maintains effective communication and good working relationship with co-workers for the patients benefit. Utilizes initiatives; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste. Participates in planning ways to solve problems and make improvements in the department as needed. Represents the organization in a positive and professional manner. Other duties as directed. (5% of the time)
Essential
Physical
Requirements
TYPE
OF
WORK
Medium
Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#.
Physical
DEMANDS
Lifting: Raising or lowering an object from one level to another (includes upward pulling).
Carrying
Transporting an object, usually holding it in hands or arms or on the shoulders.
Pushing
Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions).
Pulling
Exerting force upon an object so that the object moves toward the force (includes jerking).
Balancing
Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats.
Hearing
Ability to determine audible communication.
Stooping
Bending the body downward and forward by bending the spine at the waist.
Kneeling
Bending the legs at the knees to come to rest on the knee or knees.
Crouching
Bending the body downward and forward by bending the legs and spine.
Crawling
Moving about on the hands and knees or hands and feet.
Reaching
Extending the hands and arms in any direction.
Handling
Seizing, holding, grasping, turning, or otherwise working with the hand or hands (fingering not involved).
Fingering
Picking, pinching, or otherwise working with the fingers primarily (rather than with the whole hand or arms as in handling).
Repetitive
Motions: Substantial movements (motions) of the wrist, hands, and/or fingers.
Feeling
Perceiving such attributes of objects and materials as size, shape, temperature, or texture by means of receptors in the skin, particularly those of the finger tips. QualificationsTwo to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended.
