GI RN

GI RN

Harrisonville, MO 64701

Position Type Part Time Job Shift Day Education Level 2 Year Degree

CASS REGIONAL MEDICAL CENTER

Department Name: GI/Pain

Title:

GI/Pain RN

EEOC Classification:
Professional/Non-Exempt

Dimension and Description

Primary

Purpose:

To provide quality patient care while following all standards of care and maintaining a safe environment for both inpatients and outpatients who are receiving a variety of specialty services and provide proper documentation.

Formal Policy-Setting Responsibilities:
Formally responsible for making recommendations regarding policies associated with the job's purpose and essential responsibilities.

Routine Decision Making:
Determine appropriate protocols; procedures, drugs, pre-procedure testing and equipment for each patient based on assessment; achievement of adequate sedation and when to reverse; determine appropriate family/patient education.

Formal Supervisory Responsibility:
No formal supervisory responsibility.

Required Knowledge:
Knowledge of intravenous sedation; special procedures; instruments and equipment; medications; actions and adverse reactions; cardiac rhythms; airway maintenance; nursing process; insurance requirements; standards of care; JCAHO requirements.

Required Skills and Ability:
Assessment; good communication; troubleshoot; monitoring equipment; time management skills; clinical skills.

Unusual

Working Conditions:

Risk of blood, body fluid contamination.

Education and Certification/ Registration required for the Position:
Two to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended.

Age Specific

Competencies:

Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 years-12 years); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

Essential Responsibilities and Tasks

• Assesses, Plans, implements and evaluates patients receiving high risk specialty procedures. (40% of the time)
• Performs pre-procedure interviews per paper/computer correctly on all patients receiving class I and II invasive procedures, evaluates the information obtained, and formulates a plan of care prior to the patient procedure.
• Identifies the patients using two patient identifiers prior to the procedure 100% of the time.
• Performs a comprehensive nursing assessment on patients receiving class I and class II invasive procedures and documents completely including appropriate signatures, times and dates. Revises plan of care as indicated from the assessment.
• Interprets physiological information from technical equipment, on each patient and applies this information to the plan of care.
• Documents the findings from all assessments, evaluations and implementations on the patient record where, when, and how daily.
• Reports all critical abnormal assessments and lab values to the physician, per hospital policy and implements further orders immediately and documents details on the patient record.
• Utilizes AIDET (acknowledge, introduce, duration, explain and thank) initiatives to include managing up with each patient.
• Utilizes only approved abbreviations in patient documentation.

Provides patient education. (25% of the time)

• Evaluates patient learning ability and motivational levels. Implements alternative learning measures, as evidenced by patient or caregiver verbalization or return demonstrations, as documented on the patient record i.e.; effectively communicates.
• Effectively communicates discharge instructions to patient and responsible party at the time of discharge, per departmental discharge policy.
• Explains all procedures and medications to patients prior to implementation.

Maintains a safe and comfortable environment. (25% of the time)

• Removes malfunctioning equipment from unit immediately upon discovering problem.
• Complete requisition for repair or malfunctioning equipment by the end of shift.
• Cleans and stocks supplies within the department, as needed.
• Effectively communicates the plan of care on each patient to ancillary departments, case management and pharmacy staff as indicated by the orders received, patient diagnosis or condition.
• Ensures all required documents are on the chart prior to going into the procedure room (H&P, Check One, informed consent, test results if applicable).
• Evaluates the effectiveness of the communication, as evidenced by the preparedness of the patient and takes appropriate actions, including notifying performing physician.

• Demonstrates thorough knowledge of location, care and operation of all departmental equipment.
• Accurately records, handles and labels specimens; demonstrates care of specimens.
• Ensures alarms on any assigned area are audible to alert staff.
• Checks code blue carts each shift and upon using the cart, ensuring it has an intact tag attached.
• Fully responsible for care of scopes when working in the procedure/decontamination rooms including cleaning, processing and storage.
• Follows written procedure…