The Registered Nurse is that professional who is directly responsible for care of the patient during endoscopy and indirectly responsible through coordination and information sharing of both pre- and post- procedure care. The nurse will assist the physician during the procedure.
Must be in above average physical and mental health.
Must possess demonstrated communication skills which indicate the ability to be successful at counseling and teaching.
Must display comprehensive and current knowledge of nursing theory and nursing care in the free standing ambulatory endoscopy unit.
Adequate understanding of a wide variety of medical/surgical terminology and pathophysiology, endoscopy procedure and required patient preparations.
Thorough knowledge of and ability to implement principles of aseptic technique. Knowledge of basic infection control practices.
Understanding of proper positioning techniques, anesthesia and anesthetic agents effects, including conscious sedation.
Knowledge of endoscopy instruments and equipment to include the use, handling and care, especially of endoscopy equipment.
Knowledge of endoscopy procedures, techniques, symptoms and complications of endoscopy, anesthesia or conscious sedation and consequent nursing interventions.
Knowledge of action of pharmaceuticals and anesthetic agents.
Able to recognize emergency situations and assist in corrective actions.
Have a working knowledge of fluid and electrolyte balances.
Knowledge of the organization’s mission, plans for improvement, policies, procedures, philosophies, standards, goals and objectives, especially those pertaining to the endoscopy room, safety, security, fire, emergency and biomedical.
Recognize and report hazardous equipment.
Skilled in age-based competencies relative to the patient population to include fluid and nutritional needs, hearing, mobility and sight alterations and limitations, body organ status, comprehensive and cognitive skills, temperature, medication vulnerability, healing restrictions and psycho-social needs.
Performs pre-procedure assessment. Review pre-procedure patient information, including H&P and pre-procedure questionnaire.
Coordinates planned nursing care with other health care team members. Identifies goals, formulates plan of patient care and evaluates outcome.
Assists with pulling supplies, equipment and instruments for procedures after checking with physician’s procedure card concerning the equipment of supplies.
Determines the availability of all necessary equipment and supplies and assists in procurement of deficiencies.
Assists in the proper preparation of supplies, medication, equipment and instrumentation involved in patient care.
Performs meticulous scope cleaning, when required, according to policy, procedure and manufacturers recommendations.
Assists in transporting or escorting patients to the procedure room.
Serves as the patients advocate. Assures patient safety. Positions patient safely, properly and comfortably according to his/her specific needs and those required by the procedure.
Coordinates with ancillary services such as pathology and radiology.
Accepts, labels, documents and logs all specimens.
Assists with room clean-up, turn-over and stocking supplies.
Monitors patient and records vital signs and level of consciousness throughout procedure. Monitors pain level.
Verifies medication and dosages are within the RN scope of practice. Administers medication per physician orders and observes and documents patient’s reaction.
Participates in Quality Improvement activities.
Performs added tasks as assigned by management.
Graduate from an accredited school of professional nursing
Active Florida RN license
CPR, BLS, ACLS and PALS certifications required
3-5 years of nursing experience required, GI experience preferred