Registered Nurse Surgery Center Per Diem

Purpose and Scope

Supports the Organization mission, vision, core values and customer service philosophy. Adheres to the Organization Compliance Program, including following all regulatory and Organization policy requirements.

Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to assist the physician in optimum patient outcomes following facility policies and procedures.

• Support and drive organization quality standards through meeting regulatory and accrediting body requirements and the practice of Continuous Quality Improvement (CQI), including use of CQI tools.
• Assist with implementation of organization quality goals and facility—specific action plans to achieve organization quality standards.
• Be accountable for outstanding quality of patient care, as defined by the organization quality goals, to ensure that organization policies and procedures are followed.
• Address and act on adverse events and action thresholds in collaboration with facility management.
• Maintain the integrity of medical records and other organization administrative and operational records.
• Comply with all data collection and auditing activities.
• Maintain facility environmental integrity and safety.

• Obtain necessary medical history, discuss procedure and answer questions, and perform nursing assessment on the day of the procedure.
• Provide education to patients and their families regarding post‑procedure care of vascular access.
• Monitor patient condition before, during and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions.
• Act as a resource for the patient to address concerns and questions.
• Identify and communicate patient‑related issues to facility management as needed.
• Complete documentation of patient information from admission to discharge accurately.
• Confirm written orders, consents and lab work are completed and documented in accordance with facility policies, including preparation of lab requisitions, delivery to labs, and reporting and forwarding of lab results to the appropriate physician.
• Maintain competency with all emergency operational procedures, initiating CPR and emergency measures as needed.
• Administer medications and IV moderate sedation to patients as directed per physician’s orders, in compliance with organization, company, federal, state and local regulations.
• Act as scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique.
• Assist with patient workflow by transporting patients as needed.
• Perform point‑of‑care laboratory testing as directed per physician’s orders and in compliance with organization, company, federal, state and local regulations.
• Perform IV insertion as per physician orders.
• Perform additional tasks as designated by the physician, practicing in compliance with state regulations.

• Provide regular and effective communication with physicians on an as‑needed basis.
• Attend and participate in CQI meetings with physicians, reporting on assigned topics.
• Assist facility management in working with physicians and staff to verify all necessary instruments and equipment.
• Assist the physician in completing and reporting state‑required adverse event reports and reporting internally as per organization/FMC policy and procedure.

• Operate appropriate facility equipment and technology, including patient monitors, defibrillators, medical recording devices, sterilizers and computers in a safe and efficient manner.
• Inspect the operation of all facility equipment and report malfunctions and maintenance needs to ensure safe and effective operation of all vascular access equipment.
• Inspect the operation of all facility operating systems, including temperature checks in appropriate areas and the physical structure of the facility, and report any issues to the Facility Manager.
• Ensure a clean, safe and sanitary environment in the vascular access facility at all times.
• Ensure all blood spills are immediately…