Clinical Nurse I: Irvine GI Lab - Pre/PACU

Hoag Health System; Irvine (CA); On-site; USD 110,000 - 135,000; Full time

Job summary

Hoag Memorial Hospital Presbyterian seeks an experienced Registered Nurse for the Advanced GI Lab Pre/Post Recovery. The role focuses on pre- and post-procedure nursing care for ERCP, EUS, EGD, colonoscopy, and related endoscopic procedures in a fast-paced GI environment.

The ideal candidate has PACU/ICU/ED experience, CA RN license, BLS/ACLS/PALS certifications, and a BSN is preferred. Join a multidisciplinary team at Hoag's Digestive Health Institute and contribute to safe, high-quality

Qualifications

• BSN preferred.
• ECG course completion or equivalent required for telemetry monitoring.
• 1+ year experience in PACU, ICU, or ED preferred.
• Advanced GI experience preferred.

Responsibilities

• Perform comprehensive pre-procedure nursing assessments and verify patient readiness for advanced GI procedures.
• Prepare patients for procedures including ERCP, EUS, EGD, colonoscopy and endoscopy through education, IV initiation, medication review and prep.
• Monitor and care for patients during Phase I and Phase II recovery after moderate sedation or anesthesia.
• Assess and respond to changes in patient condition with appropriate nursing interventions.
• Document assessments, interventions, patient responses, and discharge outcomes in the EMR.
• Support efficient patient flow in GI Lab, pre-op and recovery areas and ensure patient satisfaction.

Skills

PACU experience

Telemetry experience

Perioperative care

Interdisciplinary collaboration

Education

BSN preferred

Job description

Primary Duties and Responsibilities

The Hoag Digestive Health Institute is an advanced, multidisciplinary center dedicated to the diagnosis, treatment, and management of complex digestive health conditions. By bringing together leading gastroenterologists, colorectal surgeons, advanced practice providers, dietitians, nurse navigators, and specialized support services, the Institute provides comprehensive, coordinated care in one location. The Institute offers state-of-the-art gastroenterology services utilizing advanced technology, innovative treatment approaches, and a patient-centered model of care to improve outcomes and enhance the patient experience. As Orange County's premier destination for digestive healthcare, the Institute is designed to deliver cutting-edge evaluation and treatment for both routine and highly complex gastrointestinal disorders.

Job Description

The Hoag Digestive Health Institute is an advanced, multidisciplinary center dedicated to the diagnosis, treatment, and management of complex digestive health conditions. By bringing together leading gastroenterologists, colorectal surgeons, advanced practice providers, dietitians, nurse navigators, and specialized support services, the Institute provides comprehensive, coordinated care in one location. The Institute offers state-of-the-art gastroenterology services utilizing advanced technology, innovative treatment approaches, and a patient-centered model of care to improve outcomes and enhance the patient experience. As Orange County's premier destination for digestive healthcare, the Institute is designed to deliver cutting-edge evaluation and treatment for both routine and highly complex gastrointestinal disorders.

RN – Advanced GI Lab Pre/Post Recovery

The Advanced GI Lab Pre/Post Recovery Clinical Nurse I provides specialized nursing care for both inpatient and outpatient populations undergoing advanced diagnostic and therapeutic gastrointestinal procedures within the Hoag Digestive Health Institute. This role is responsible for delivering exceptional pre-procedure and post-procedure care while supporting patients undergoing procedures such as ERCP, EUS, EBUS, EGD, bronchoscopy, colonoscopy, and advanced interventional endoscopy, in a fast-paced, highly specialized procedural environment. The Clinical Nurse I provides comprehensive assessment, monitoring, education, and recovery care throughout the patient journey, ensuring safe and coordinated care from admission through discharge.

Responsibilities

Essential Duties & Responsibilities

• Perform comprehensive pre-procedure nursing assessments and verify patient readiness for advanced GI procedures.
• Prepare patients for procedures including ERCP, EUS, EGD, Colonoscopy, and Endoscopy through patient education, IV initiation, medication review, and procedural preparation.
• Monitor and care for patients during Phase I and Phase II recovery following moderate sedation or anesthesia.
• Assess, monitor, and respond to changes in patient condition, implementing appropriate nursing interventions as needed.
• Manage post-procedure recovery, including pain management, monitoring for procedural complications, and discharge readiness assessments.
• Provide patient and family education regarding procedures, recovery expectations, medications, discharge instructions, and follow-up care.
• Collaborate closely with gastroenterologists, anesthesia providers, advanced practice providers, and interdisciplinary team members to ensure coordinated patient care.
• Accurately document assessments, interventions, patient responses, and discharge outcomes in the electronic medical record.
• Support efficient patient flow throughout the GI Lab, pre-op, and recovery areas while maintaining a high level of patient satisfaction.
• Respond appropriately to urgent or emergent situations and participate in emergency response efforts as needed.
• Maintain compliance with regulatory standards, infection prevention practices, and organizational policies.
• Participate in quality improvement initiatives and support a culture of safety, clinical excellence, and service excellence.

Unit Overview

• 13 total patient bays, including 2 private bays
• Combined Pre-Procedure, Phase I Recovery (PACU), and Phase II Recovery area
• 6 advanced GI procedure rooms
• Dedicated to advanced endoscopic and digestive health procedures within Hoag's new Digestive Health Institute.

Qualifications

Education and Experience

• Clinical Nurse Is at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program
• BSN preferred
• Successful completion of an ECG course or equivalency required only for units with telemetry monitoring
• 1+ year experience within PACU, ICU, or ED experience preferred
• Advanced GI experience preferred

Additional Department Specific Requirements Are As Follows

• Pre Post Unit: One year nursing experience in a perioperative setting in an acute care hospital or an outpatient surgery center.
• Recovery Room/PACU: One year recent PACU experience in an acute care hospital or critical care unit required.

Licenses Required

• Registered Nurse in the State of California - Current and in good standing

Certifications Required

• Current BLS - Basic Life Support (AHA) upon hire

Additional Department Specific Certification Requirements Are As Follows

• Recovery Room/PACU: ACLS and PALS (PALS required within 90 days of hire)
• Pre Post Unit:
  • Nurses hired before 10/1/2025: ACLS;
  • Nurses hired after 10/1/2025: ACLS, PALS within 90 days of hire

Certifications Preferred

• Pre Post Unit: Specialty certification
• Recovery Room/PACU: ASPAN certification

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/ .

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.