Registered Nurse – Gastroenterology/Endoscopy

Registered Nurse - Gastroenterology/Endoscopy

Chinese Hospital | San Francisco Bay Area

About This Role

Department

Same Day Surgery (SDS)

Reports to

Nurse Manager, Shift Supervisor, and/or Charge Nurse

Type

Full-Time, Non Exempt

Requisition #

12760

Position Summary

The Gastroenterology/Endoscopy Registered Nurse provides safe, evidence-based nursing care to patients undergoing diagnostic and therapeutic gastrointestinal procedures. The RN is responsible for pre-procedure assessment and preparation, intra-procedure monitoring and assistance, administration and monitoring of moderate sedation when authorized, post-anesthesia recovery, patient education, and discharge planning.

Essential Duties And Responsibilities

• Demonstrates responsibility and accountability for personal conduct, strives for excellence in patient care.
• Implements nursing process to provide quality care based on assessment, planning, intervention and evaluation.
• Prepare patients for EGD, colonoscopy, and other diagnostic or therapeutic endoscopic procedures.
• Continuously monitor cardiac rhythm, oxygen saturation, respiratory status, blood pressure, level of consciousness, pain, and patient response during procedures.
• Identify patient properly and verify completeness of chart and procedure and procedural site, when applicable.
• Plan, implement and evaluate patient care plan to meet the individualized needs of the patient.
• Recognizes and responds promptly to airway compromise, oversedation, bleeding, perforation, hemodynamic instability, allergic reactions, and other procedural complications, including the appropriate use of reversal agents according to provider orders and hospital policy
• Provide recovery care, including Aldrete scoring, pain and nausea management, discharge-readiness assessment, and post-procedure education.
• Performs nursing procedures based on unit standards of care and hospital policies and protocols, and physician orders (medications, IVs, treatments, moderate sedation within the RN’s scope of practice, etc.)
• Demonstrates knowledge of current Same Day Surgery/ GI related issues.
  

Knowledge of Job

Demonstrates knowledge and competency in the assessment of patients undergoing gastrointestinal and endoscopic procedures, including:

• Pre-procedure checklist and patient identification
• Pre-procedure Assessment, including Moderate-sedation monitoring,
• Pain assessment and management
• Aldrete scoring and post-procedure recovery
• Airway, respiratory, cardiovascular, and level-of-consciousness assessment
• Fasting and bowel-preparation requirements
• Dysphagia Screening
• Discharge readiness assessment, patient education, and discharge procedures
• Demonstrates through work performed knowledge of safety policies and procedures.
• Demonstrates a complete knowledge of endoscopy equipment, electrosurgical safety, infection prevention, and high-level disinfection requirements.
• Participate in emergency preparedness, quality improvement, competency validation, and compliance with regulatory and accreditation requirements.
• Updates documents and answers questions regarding the correct use of all forms, required in the daily operations of the unit.
• Demonstrates competency in the circulating and procedural-assist responsibilities required in the GI/endoscopy setting, consistent with training, validated competency, and hospital policy:
• GI/Endoscopy Procedural Nurse Identifies and obtains the supplies, medications, and equipment necessary to prepare the procedure room for the patient and scheduled procedure Verifies that all equipment is available, functional, and prepared according to hospital policy and manufacturer instructions. Assesses and addresses the patient’s individualized physical, emotional, cultural, and safety needs throughout the procedure. Verifies completion and accuracy of the patient’s medical record, including the pre-procedure assessment, informed consent, required laboratory results, medication reconciliation, allergies, and procedural documentation. Obtains, verifies, administers, and documents medications used during the procedure in accordance with provider orders, approved protocols, hospital policy, and the RN’s scope of practice. Continuously monitors and documents the patient’s cardiac rhythm, oxygen saturation, respiratory status, blood pressure, level of consciousness, pain, and response to medications and the procedure.
• Accurately collects, handles, labels, documents, and transports specimens in accordance with hospital policy.
• Maintains patient privacy, positioning, safety, and infection-prevention practices throughout the procedure.
• Completes an accurate handoff to the recovery nurse, including the procedure performed, medications administered, specimens collected, patient response, and any complications or follow-up needs.
• Performs the RN endoscopy scrub/procedural-assist role during diagnostic and therapeutic GI procedures.
• Safely prepares and handles endoscopic accessories and equipment according to hospital policy and manufacturer instructions.
• Monitors the procedural environment and promptly communicates patient-safety, equipment, medication, or procedural concerns to the physician and healthcare team.
• Participates in room turnover and ensures equipment, supplies, and accessories are appropriately cleaned, transported for processing, replenished, and available for subsequent procedures.
  

Judgement and Decision Making

• Demonstrates an ability to independently solve problems in independently in a timely, creative, and effective manner
• Uses sound clinical judgment and intervenes appropriately in emergency situation .
• Prioritize patient needs effectively based on clinical condition, acuity, and procedural requirements.
• Maintains the dignity, privacy, rights, and confidentiality of the patient.
• Evaluates patient response to nursing intervention and promptly communicate significant findings to the appropriate provider and healthcare team.
• Accurately documents assessments, interventions, patient responses, changes in condition, and provider notifications in the electronic medical record.
• Recognizes changes in the patient’s condition, initiates appropriate interventions within the RN’s scope of practice, and activates emergency-response procedures when indicated.
  

Relationship With Others

• Communicates and works effectively with
• Patient/family
• Multidisciplinary colleagues, including but not limited to gastroenterologists, anesthesia providers, sterile processing, nursing staff, and endoscopy technicians to ensure safe, efficient, and patient-centered care throughout the procedural experience.
• Promotes good public relations for the unit, nursing department and the Hospital. Communicates information clearly, accurately, respectfully, and in a manner appropriate to the individual’s language, culture, health literacy, and clinical needs.
  

Planning and Time Utilization

• Organizes, prioritizes, and coordinates assigned patient care and GI/endoscopy activities safely and efficiently.
• Supervise and direct patient care activities performed by assigned personnel within their respective scopes of practice and demonstrated competencies.
• Demonstrates a well-organized approach to all activities.
• Manages time effectively to support patient flow, procedural schedules, safe handoffs, and continuity of care.
  
  

Initiate

• Report any change in the patient’s condition to the appropriate provider and healthcare team
• Recognizes/investigates problems and escalates clinical, operational, equipment, and patient-safety concerns through the appropriate chain of command
• Assist in developing, reviewing and revising all policies, procedures protocols, order sets, and standards of care for Same Day Surgery and GI/endoscopy services.
• Able to adapt to changes in in clinical practices, hospital processes, technology, policies, and regulatory requirements.
• Inspects and ensures that all equipment for patient care is functional, safe, and properly maintained.
• Removes malfunctioning equipment from service, labels it appropriately, and reports the issue according to hospital procedure
• Maintains required clinical competencies and pursues continuing education relevant to GI/endoscopy, moderate sedation, recovery, patient safety, and emergency response.
• Uses current policies, procedures, approved clinical references, and manufacturer instructions to support accurate and safe performance of assigned duties.
• Participates in the Same Day Surgery/GI quality-improvement and patient-safety programs, including audits, performance-improvement activities, and corrective-action plans.
  
  

Attendance/Reliability And Other Behavioral Factors

• Accepts reassignment to another patient-care area when operationally necessary and when the assignment is consistent with the RN’s licensure, scope of practice, validated competency, and patient-safety requirements.
• Complies with hospital dress-code and professional-appearance requirements.
• Maintains regular and dependable attendance in accordance with hospital policy.
• Provides proper notification for absence or tardiness.
• Willingness to participate in variable work hours, modified schedules, and on-call responsibilities as required by departmental operations.
• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials.
• Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication – Keeps Director and team informed of progress, problems, development and plans. G interacts positively with co-workers and others.
• Accepts and performs other duties as assigned.
  
  

Values/Core Competencies

• Integrity –We adhere to a code of values and make commitments that contribute to the welfare of our community.
• Respect – We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff will be the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects a commitment from employees to the values of the organization and its work on behalf of the community.
• Empowerment – we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible.
• Team Work – We believe that quality, cost effective, compassionate care can only be provided through team work. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust.
• Accountability – We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback.
• Quality Improvement – We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve.
• Community collaboration and Benefit – We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual’s ability to pay.
• Prudent use of resources – We will use and maintain our assets and resources prudently in order to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment.
  
  

Qualifications

Required

• Currently licensed in the California Board of Registered Nursing to practice as a Registered Nurse.
• Current Basic Life Support certification from an organization approved by Chinese Hospital.
• Current Advanced Cardiovascular Life Support certification from an organization approved by Chinese Hospital.
• Knowledge of professional nursing standards, the nursing process, medication administration, patient assessment, and safe procedural care.
• Demonstrates ability to work and to communicate effectively/collaboratively with patients, families, physicians, and members of the multidisciplinary healthcare team.
• Maintain required licensure, certifications, education, and competencies throughout employment.
  
  

Preferred

• Knowledge of community resources and cultural needs.
• Proficiency in Cantonese and/or Mandarin.
• At least one year of recent experience in GI/endoscopy, Same Day Surgery, procedural nursing, PACU, or another setting involving moderate sedation and post-procedure recovery.
  
  

Physical Requirements

While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties.

• Able to lift up to 30 pounds
• Use proper body mechanics when handling equipment
• Standing, walking and moving 50% of the day
• Possess the visual, auditory, and communication abilities necessary to monitor patients, operate equipment, review documentation, recognize alarms, and respond to clinical and emergency situations
  
  

Compliance Requirements

Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs.

Base Pay Scale

Starting at $61.87 – $91.85 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.