Registered Nurse-Hourly

AMSURG Raleigh, NC, US

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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

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