Moderate Sedation RN

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Phoenix, AZ, US

3 days ago Requisition

Salary Range: $42.00 To $50.00 Hourly

Location: Phoenix, Arizona
Employment Type: Full-Time
Department: Surgical/Procedural Services
Reports To: Charge Nurse/Director of Nursing

True Precision Medical is seeking an experienced and attentive Registered Nurse to provide nursing care for patients receiving moderate sedation during outpatient procedures. The Moderate Sedation RN is responsible for assessing and preparing patients, administering medications as ordered and permitted, continuously monitoring patients during procedures, recognizing changes in patient condition, and supporting safe recovery and discharge.

The ideal candidate has strong critical-care assessment skills, is proficient in IV medication administration and airway monitoring, and can remain focused and composed during urgent situations. This nurse will work closely with physicians, procedural staff, and recovery personnel to provide safe, compassionate, and efficient care.

• Complete and document a comprehensive pre-procedure nursing assessment.
• Review the patient’s medical history, medications, allergies, laboratory results, previous anesthesia or sedation experiences, and required medical clearances.
• Confirm patient identity, planned procedure, informed consent, NPO status, responsible adult availability, and completion of all pre-procedure requirements.
• Obtain and document baseline vital signs, oxygen saturation, level of consciousness, pain level, and other required clinical information.
• Identify potential sedation risks and promptly communicate concerns to the procedural provider.
• Start and maintain intravenous access.
• Confirm the availability and proper functioning of oxygen, suction, monitoring devices, emergency equipment, reversal medications, and resuscitation supplies.
• Educate patients and caregivers about the procedure, sedation process, recovery expectations, discharge requirements, and post-procedure restrictions.
• Provide reassurance and emotional support to patients before their procedures.

• Administer moderate-sedation medications and analgesics according to provider orders, facility policy, professional standards, documented competency, and the Arizona RN scope of practice.
• Continuously monitor the patient’s respiratory rate, oxygen saturation, blood pressure, heart rate, cardiac rhythm, level of consciousness, pain, and response to medications.
• Use capnography and other monitoring equipment when required by facility policy, the patient’s condition, or the procedure being performed.
• Maintain continuous observation of the patient throughout the sedation period.
• Document medication names, dosages, administration times, vital signs, sedation level, oxygen delivery, interventions, and patient responses at required intervals.
• Recognize signs of over-sedation, respiratory depression, airway obstruction, hemodynamic instability, allergic reaction, or other complications.
• Perform airway-support interventions and initiate emergency-response measures when necessary.
• Administer reversal medications according to provider orders, approved protocols, and facility policy.
• Maintain current competency in airway management and the rescue of patients who progress to a deeper-than-intended level of sedation.
• Immediately notify the procedural provider of significant changes in the patient’s condition.
• Advocate for the patient and request that the procedure be paused or stopped when necessary for patient…