Registered Nurse (RN) PRN

Paycom; Reston (VA); Presencial; USD 55.000 - 83.000; Jornada completa

Descripción de la vacante

Paycom in Reston, VA is seeking a PRN Interventional Radiology Sedation RN to deliver specialized nursing care for diagnostic and therapeutic IR procedures requiring moderate (conscious) sedation. You will perform pre-procedure assessments, administer sedation, monitor vitals, and support recovery and discharge education.

Ideal candidates have ADN with RN licensure in Virginia, BLS/ACLS, and 1–2 years in IR, Cath Lab, or related areas, plus strong communication and teamwork skills for flexible

Formación

• RN licensure in the state of practice (or compact state)
• BLS required, ACLS required
• Conscious/Moderate Sedation certification preferred

Responsabilidades

• Prepare procedure room and schedule per policy and accreditation standards.
• Administer moderate sedation and monitor patient vitals during procedures.
• Manage IV access, fluids, medications, and airway as needed.
• Perform narcotics counts and secure/record controlled substances.
• Provide post-procedure recovery, hand-off, and follow-up communications.

Conocimientos

IV Access

Moderate Sedation

Cardiac Rhythm

Emergency Airway

Communication

Critical Thinking

Collaboration

Educación

Associate Degree in Nursing

BSN preferred

Descripción del empleo

Job SummaryThe PRN Interventional Radiology (IR) Sedation Registered Nurse provides specialized nursing care for patients undergoing diagnostic and therapeutic interventional radiology procedures requiring moderate (conscious) sedation. The PRN RN is responsible for pre-procedure assessment, intra-procedural sedation administration and hemodynamic monitoring, and post-procedure recovery and discharge education. As a professional caregiver, the PRN RN ensures patient safety, comfort, and compliance with clinical standards on an as-needed basis to support department staffing and procedural volume.Key Responsibilities & Essential Duties1. Procedural Preparation & Clinical WorkflowPrepare the procedure room and patient bays in strict compliance with facility policies, accreditation standards, and state/federal healthcare regulations.Review and print the daily procedural schedule and pre-operative call templates.Check in patients, verify patient identity, confirm procedure and consent, answer questions, and address patient/family concerns to alleviate anxiety.Stock the nursing carts, procedural supplies, oxygen delivery devices, EKG leads, and relevant consumables for the day’s caseload.Scan supplies and items utilized during procedures into the inventory management system to ensure accurate billing and inventory control.2. Moderate Sedation & Intra-Procedural MonitoringEstablish and maintain peripheral IV access; verify patency and manage fluid administration.Administer prescribed medications—including pre-medications, moderate sedation agents, reversals, and analgesics—in accordance with physician orders and facility protocols.Continuously assess and monitor vital signs throughout procedures (blood pressure, EKG/cardiac rhythm, SpO₂, respiratory rate, and capnography/EtCO₂ where applicable).Maintain continuous airway assessment, identify signs of airway compromise or respiratory depression, and intervene immediately as necessary.3. Controlled Substances & Safety CompliancePerform dual-sign-off narcotic counts at the start and end of each shift.Securely transport narcotics to/from the procedure room and lockbox.Accurately document all dispensed, administered, and wasted controlled substances according to regulatory guidelines.Oversee and verify emergency equipment readiness, including daily automated external defibrillator (AED) checks, crash cart checks, and expired medication logs.Maintain strict adherence to HIPAA standards regarding protected health information (PHI) and patient confidentiality.4. Post-Procedure Recovery, Hand-Off & Follow-UpSafely transfer post-sedation patients from the procedure room to the recovery/holding area.Reconnect patients to telemetry/monitors, obtain baseline recovery vitals, and provide a comprehensive clinical hand-off to the receiving Medical Assistant or recovery nurse; complete sign-off on transfer documentation.Conduct post-operative follow-up telephone calls to check patient recovery status, provide post-care reinforcement, and dictate/document findings into the electronic health record (EHR).5. Department Support & Quality AssuranceAssist with monthly inventory checks, removing outdated supplies/medications and restocking as required.Mentor, orient, and train new registered nurses and medical assistants when assigned.Adapt flexibly to shifting daily schedules, case additions, and unit needs during scheduled PRN shifts.PRN Expectations & AvailabilityAvailable to work on an as-needed (PRN) basis to cover scheduled procedures, peak volume days, vacations, or sick leave.Demonstrates the ability to quickly integrate into the department workflow and perform independently with minimal orientation.Qualifications & RequirementsEducation & Licensure:Education: Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.Licensure: Active, unencumbered Registered Nurse (RN) license in the state of practice (or compact state licensure).Certifications:Basic Life Support (BLS) – American Heart Association (AHA) required.Advanced Cardiovascular Life Support (ACLS) – American Heart Association (AHA) required.Conscious/Moderate Sedation certification or competency documentation preferred.Pediatric Advanced Life Support (PALS) (if facility treats pediatric patients).Experience & Skills:Minimum 1–2 years of RN experience in Interventional Radiology, Cath Lab, Endoscopy, PACU, Emergency Department, or ICU setting.Proven proficiency in IV access, moderate sedation administration, cardiac rhythm interpretation, and emergency airway management.Strong communication, critical thinking, and collaborative skills.