Registered Nurse - GI Lab- Per Diem- 8 hour shifts to include Monday-Friday

Summary of Position:
Provides professional nursing care to patients in the GI Lab requiring endoscopy, colonoscopy, Sigmoidoscopy, ERCP, TEE and Liver Clinic, utilizing established policies and procedures, ensuring safe and effective care. Accurately and safely administers moderate sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure. Services are provided based on the ages of the population served; Newborn through geriatric - 65 years or older and in collaboration with the multidisciplinary care team. Assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the GI Lab.

Qualifications
Education:
• Completion of an accredited Nursing program.
• Bachelor’s degree in Nursing (BSN) preferred.

Experience:
• One year recent acute care nursing experience preferred
• Previous GI Lab or surgical experience preferred

Knowledge/Skills/Abilities:
• Knowledge of nursing practices in the GI Lab department.
• Highly effective written and verbal communications skills.
• Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system; Epic experience preferred.
• Must be able to work in a stressful environment and take appropriate action.
• Ability to collaborate with various departments in and outside of the Barton Health System in order to provide consistently exceptional patient care.
• In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred.

Certifications/Licensure:
• Current California license or ability to obtain prior to start date.
• Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date.
• Current ACLS certification prior to hire or must enroll and complete a Barton course within 30 days

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
• The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
• The employee is occasionally required to lift, position, push and/or transfer patients.
• The employee must occasionally lift and/or move up to 50 pounds.

Working Conditions
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Routine Hospital/Healthcare and administrative conditions.
• Contact with patients and guests under a wide variety of circumstances.
• Regularly exposed to the risk of blood borne diseases.
• Exposure to infections and contagious disease.
• Exposed to hazardous anesthetic agents, body fluids and waste
• Subject to hazards of flammable and explosive gases.
• Exposure to chemicals known by the California Health Department to cause reproductive harm and cancer.
• Subject to varying and unpredictable situations, including the handling of emergency or crisis situations.
• Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands.
• Occasional travel to various health system locations.

Essential Functions
1. Provide consistently exceptional care at all times.
2. Provides professional nursing care to patients in designated department utilizing established policies and procedures, ensuring safe and effective care.
3. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards.
4. Performs systems assessment at intervals consistent with departmental standards of care and patient acuity, recognizing disturbed physiology and abnormal parameters. Assesses pain levels on all patients and assesses psychosocial needs of patients, expressing interest in their progress and comfort and prepares for disposition.
5. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the designated department.
6. Ensures medication administration is safe, accurate and timely to include: Follows all safety precautions related to patient ID, order confirmation, calculations and double-checking dose accuracy if applicable. Follows procedure when removing meds from floor stock (Narcotics, Pyxis, night lockers etc) Signs and ensures all narcotic wastage is witnessed. Documents all medication intervention to include rationale for PRN medications. Reports all Adverse Drug Events (ADE) according to policy. ADE=ADR (Adverse Drug Reaction) & Medication Errors.
7. Monitors patient reaction and compliance with physician orders. Reports any downward change in patient condition to appropriate individual.
8. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors.
9. Functions as a team leader by communicating effectively with team members, completes assessments in a timely manner and support team members offering assistance and guidance.
10. Effectively coordinates and prioritizes scheduled procedures and care activities.
11. Assists physicians with examinations, procedures and other processes related to direct patient care.
12. Accurately and safely administers sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure.
13. Assists physicians with examinations and GI procedures and other processes related to direct patient care. Ensures that all specimens are labeled and practice is compliant with OSHA standards.
14. Effectively coordinates procedure schedule allowing adequate time for procedure and room turnover.
15. Keeps patient/family informed of progress, procedures and disposition. Focuses on customer service needs.
16. The patients learning needs, abilities, preferences and readiness is assessed. Effectively educates patient and family in medication use and safety, nutrition interventions, safe use of medical equipment, management of pain and rehabilitation techniques and use of other sources.
17. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented
18. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions.
19. Assists in the orientation, instructing and training of assigned personnel
20. Takes active role in shared governance including committee membership, task force contribution, staff meeting attendance, and development of policy and procedures that contribute to maintaining GI Lab Standards of Care.
21. Responds to the needs of the department by performing other duties, as necessary.