Outpatient GI Endoscopy Procedural RN

Job Summary and Responsibilities

The RN Procedural Periop is responsible for providing high quality, skilled nursing services to assist patients to achieve optimum health, functional health status and safe passage while receiving an invasive or interventional procedure during an episodic or series of visits. All patients have unique needs and experience these needs across wide ranges or continuums from health to illness. The more compromised patients are, the more severe or complex their needs.

The dimensions of a nurse's practice are driven by the needs of a patient and family, which requires nurses to be proficient in multiple dimensions of nursing practice. Nurse competencies stem from patient needs and the characteristics of the nurse and patient synergies are when optimal patient outcomes can result. The RN Procedural Periop may need to demonstrate technical expertise in the following areas Periop, PACU, and procedural areas to support patient care during the episodic visit where interventions and procedures occur.

A goal of nursing is to utilize the nursing process to support a patient in achieving an optimal level of wellness as defined by the patient. Through skilled assessment and triage, education, collaboration and coordination of healthcare and community resources, the RN Procedural Periop assists patients to achieve optimum functional health status and safe passage throughout their procedural experience. The RN Procedural Periop assists patients/families, staff and systems to achieve high quality, evidence-based, cost-effective, and patient-focused outcomes.

Nursing care provided by nurses that function in the interventional/procedural areas reflects the nursing process through an integration of knowledge, skills, experience, and attitudes needed to meet the needs of patients and families. Specific domains of nursing practice include:

Clinical Judgment:
The RN Procedural Periop incorporates clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines.

Duties may include:

Moderate Sedation - including pre-procedure assessment for appropriateness, intra-procedure administration and patient monitoring, ability to intervene appropriately based on patient response, and post-procedure recovery

May also include cross training in functional areas to support patient care across multiple areas of clinical care within the assigned department, such as admission, discharge process, and IV insertion.

Responsible for providing patient education, pre and post calls to support patient care in anticipation or in follow up to procedures/discharge.

All clinical duties performed within AORN, ASPAN guidelines.

Clinical Inquiry:
The RN Procedural Periop exhibits the ongoing process of questioning and evaluating practice and providing informed practice changes. Creates practice changes through research utilization and experiential learning while leveraging the methods and tools of the Virginia Mason Production System (VMPS) to continuously improve the care delivery system. May be asked to participate in quality or safety process improvement teams or projects.

Caring Practices:
The RN Procedural Periop demonstrates behaviors that create a compassionate, supportive, and therapeutic environment for patients and staff during their episodic visit, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to, vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel. Incorporates the caring principles of Knowing, Doing For, Being With, Enabling and Maintaining Belief in accordance with Swanson’s Caring Theory.

Collaboration:

The RN Procedural Periop works with others (e.g., patients, families, healthcare providers) in a way that promotes/encourages each person's contributions toward achieving optimal/realistic patient/family goals. Involves intra- and inter-disciplinary work with colleagues and community

Advocacy and Moral…