Registered Nurse-Hourly
7 days ago
Raleigh
Job Description What You’ll Do Direct Patient Care & Clinical Responsibilities • Provide professional, direct patient care in assigned areas of the Surgery Center, • Utilize the nursing process to assess, plan, implement, monitor, and adjust patient care plans as appropriate, • Continuously assess and monitor the physical and emotional status of patients and document findings per policy, • Verify patient identity using two identifiers and confirm correct patient, procedure, and physician using “ask, don’t tell”, • Review patient medical records to ensure continuity of care and communicate variances to the healthcare team, • Address patient needs specific to the anticipated procedure and type of anesthesia, • Verify and explain procedures, discuss the plan of care, and provide comfort and reassurance to patients, • Maintain patient privacy, dignity, and patient rights at all times, • Administer medications per physician orders and document appropriately, • Successfully start and manage peripheral IVs, • Monitor for and report abnormal findings or complications to the anesthesia provider and physician, • Participate in surgical timeouts and utilize the Safe Surgical Checklist, • Ensure appropriate and safe patient positioning throughout procedures, • Monitor patients during recovery from anesthesia, • Prepare patients for discharge, including:, • Assisting with dressing, • Reviewing discharge instructions, • Medication reconciliation, • Follow-up appointment instructions, • Confirm and document patient and responsible adult understanding of discharge instructions and indications for seeking emergent care Procedural Support & Coordination • Supervise and direct patient care in preprocedure, procedure, and postprocedure areas, • Work collaboratively with physicians, anesthesia providers, and the healthcare team to support the total endoscopy process, • Organize nursing activities, time, equipment, supplies, and personnel to provide efficient, cost-effective patient care, • Delegate activities appropriately based on staff skill level, scope of practice, and Center policies, • Assist with preparing assigned areas according to patient, physician, and procedure requirements, • Assemble and ensure availability of functioning equipment, supplies, and instruments, • Ensure sterilization and high-level disinfection of supplies and equipment per policy, • Handle and log tissue specimens accurately according to policy and procedure, • Maintain and update physician preference cards as needed, • Assist with supplies, medications, and equipment inventories, • Maintain order and cleanliness of preprocedure areas, procedure rooms, and PACU Documentation, Compliance & Professional Practice • Accurately interpret and follow physician orders per policy and procedures, • Document patient care accurately, legibly, and timely in the medical record, • Utilize proper aseptic and sterile techniques and monitor for breaks in sterile technique, • Demonstrate ongoing competency in patient assessment and appropriate interventions, • Assess fall risk and implement precautions per Center policy, • Use medical equipment correctly following manufacturer Instructions for Use, • Follow all Center policies, procedures, and accepted standards of nursing practice Quality Assurance, Safety & Regulatory Compliance • Participate in the Center’s compliance program and adhere to accreditation and regulatory standards, • Support and actively participate in the Quality Assurance Performance Improvement (QAPI) Program, • Proactively identify opportunities for quality, safety, and efficiency improvements, • Adhere to OSHA regulations and workplace safety standards, • Monitor the physical environment to ensure safety, comfort, cleanliness, and efficiency, • Monitor equipment care, cleaning, and maintenance to ensure proper working condition, • Report observed or suspected safety concerns, hazards, or noncompliance through proper channels, • Protect patient privacy and adhere to HIPAA regulations regarding Protected Health Information (PHI) Teamwork, Communication & Professionalism • Communicate patient care needs and significant information clearly to the healthcare team, • Collaborate with Center leadership on patient flow and staffing needs, • Interact with patients, families, and colleagues in a respectful, professional manner, • Participate in staff meetings, in-services, continuing education, and QAPI activities, • Maintain regular and predictable attendance, • Attend all required education, • Perform other duties as assigned Physical & Work Environment Expectations • Ability to stand, walk, bend, and move throughout the workday, • Ability to lift, push, pull, and assist with patient movement (up to 50 pounds), • Manual dexterity and ability to perform clinical procedures, • Work in procedure rooms with medical equipment and disinfecting agents, • Exposure to bloodborne pathogens and body fluids, • Climate controlled environment with occasional reduced lighting, • Schedule and hours may vary based on patient and Center needs Why Join Wake Endoscopy Center • Hourly nursing role in an outpatient procedural setting, • Daytime schedule with no inpatient responsibilities, • Supportive, team based culture, • Opportunity to specialize in endoscopy and procedural nursing, • Strong focus on patient safety, quality outcomes, and efficient care delivery