Registered Nurse-Hourly

AMSURG; Raleigh (NC); On-site; USD 65,000 - 85,000; Full time

Job summary

AMSURG Wake Endoscopy Center is seeking a dedicated registered nurse to provide professional, direct patient care in an outpatient endoscopy setting. You will use the nursing process to assess, plan, implement, monitor, and adjust patient care plans, while documenting findings per policy.

You will verify patient identity, review records for continuity of care, support anesthesia, and manage IVs and medications.

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
• Preparing patients for discharge, including: Assessing 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
• 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
• 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
• 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)
• 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

Job description

What You’ll Do

• 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
• Assisting with dressing
• Follow-up appointment instructions
• Confirm and document patient and responsible adult understanding of discharge instructions and indications for seeking emergent care

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