Clinical RN, Endoscopy, Full Time, Days, Up to $10,000 Bonus!
Manchester, NH Manchester, NH Full-time Per diem Full-time Per diem Estimated:
$64.
1K - $81.
2K a year Estimated:
$64.
1K - $81.
2K a year POSITION
Summary:
To administer nursing care to patients before, during, and after routine endoscopic procedures.
This includes assessing the patient, preparing the patient for the procedure, and monitoring the patient during the procedure.
This role will also serve as a patient advocate, providing support and information to family members.
Carry out functions in a manner consistent with Performance Improvement and in accordance with hospital policies and procedures.
PRINCIPAL DUTIES AND
Responsibilities:
Under the general direction of the Director and in accordance with standards of care and practice established by the Nursing Organization and, the specific department; the rules, regulations and/or standards established by the State Board of Nursing and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
Quality of Care/Performance Improvement:
Demonstrates quality nursing care and a commitment to the quality care processes as evidenced by:
1.
Assesses patients' physical and psychosocial status based on interview, examination and review of clinical data.
2.
Prepare outpatients for endoscopic procedures, including assessments of the patient's needs, allergies, and current medications and procedure instructions 3.
Assist during the care of acute and/or inpatient emergent cases 4.
Administer medications under the direction of anesthesia 5.
Monitor patient vital signs during the procedure 6.
Assists the Gastroenterologist and or Pulmonologists during the procedure 7.
Provide patient and family education on endoscopic procedures and post-procedure care 8.
Maintain accurate documentation of patient care and procedure 9.
Uses the nursing process as a basis for developing, implementing and evaluating nursing interventions.
10.
Provides patient-centered care with sensitivity and respects for the diversity of human experience.
11.
Performs technical skills as needed by specific clinical unit safely and competently.
12.
Coordinates and implements the medical diagnostic and therapeutic orders as directed.
13.
Anticipates and manages complications of disease progression and invasive procedures.
14.
Documents plan of care, assessments and interventions and patient outcomes in an electronic medical record thoroughly, accurately, and according to CMC Professional Nursing Practice Standards and ANA Scope and Standards of Practice.
15.
Reports status, including response to care, and changes in status as appropriate.
16.
Ensures calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate.
17.
Adheres to all safety, organizational and ethical standards according to ANA Code of Ethics.
18.
Implements elements of core measures in conjunction with Performance Improvement.
19.
Identifies current trends which could impact patient outcomes.
20.
Identifies system resources effectively and allocates them appropriately at the point of care delivery.
21.
Demonstrates clinical excellence and proficiency in practice in one or more of the following:
Researches information relative to a new device or medical procedure, that is relevant to the units' population, and develops reference packet available for staff on unit and encourages colleagues to seek his/her guidance in managing new device or medical procedure.
Manages a specific complex clinical procedure common to patients in area of practice, and encourages colleagues to seek her/his guidance in managing the specific procedure/technique throughout the year.
Serves as a primary preceptor throughout the year, providing guidance and support during orientation of new staff members or for student nurses in their senior practicum.
Takes on role of Charge Nurse throughout the year, providing guidance and support to colleagues and ancillary staff members.
Achieves and maintains certification in specialty area of practice 22.
Employs critical thinking skills to solve problems and achieve patient outcomes 23.
Identifies & communicates needs for innovative nursing practices.
24.
Identifies & communicates need for new or revised policies, procedures, guidelines, etc.
25.
Identifies research as a resource in clinical practice.
26.
Stays current with new resources/knowledge/evidence 27.
Serves as a resource/trainer for colleagues regarding competencies, policies and procedures, and clinical practice related to patient population served.
28.
Utilizes the change process to improve patient care, the work environment, and patient and staff satisfaction.
Consultation and Resources/Community and Hospital/Interdisciplinary Collaboration:
Consistently and competently demonstrates communication and collaboration as evidenced by:
Collaborates with the interdisciplinary team in initiating discharge planning upon admission and updates status of the discharge plan on a continuing basis.
Anticipates, plans for, and manages psychological and spiritual needs of the patient and family in collaboration with other health care teams.
Communicates with patients, families, staff, volunteers and management in an accurate, considerate, and timely manner.
Accepts constructive feedback and initiates appropriate actions to correct situation.
Foster sense of teamwork & collaboration within department & hospital; deals with conflict professionally.
Interacts with staff, patients and members of the public with dignity and respect; behavior is courteous and professional, reflecting sensitivity to the hospital's mission and values.
Promotes and maintains positive relationships between academia, physicians, the community, and the hospital.
Appropriately initiates consult as needed, documents consult, and helps ensure plan of care is followed through.
Identify and utilizes cost-effective resources in the hospital, community and beyond as needed.
Facilitates the transition of the patient through the continuum of care.
Uses best current evidence to decide when to modify clinical practice.
Nurses as Teachers:
Demonstrates the ability to meet the educational needs of patients/families as evidenced by:
1.
Provides health education to patients and families.
2.
Integrates adopted Jean Watson's Theory of Caring and CMC Professional Practice Model into professional practice development and educational programs.
3.
Develops an individualized education plan for the patient and family, including age-specific developmental needs and incorporating their input and preferences whenever possible, based on assessment.
4.
Provides education based on patient/family's assessed needs, in accordance with the plan of care.
5.
Serves as a resource to colleagues in developing and implementing a teaching plan.
Professional Development/Image of Nursing:
Seeks professional development and fosters the image of nursing as evidenced by:
Demonstrates accountability and competency for own nursing practice.
Demonstrates accountability and competency for maintaining current credentials and competency in required skills.
Recognizes the uniqueness of the individual and shows respect for patients, families, and all healthcare providers.
Demonstrates caring behaviors toward the patient and significant others receiving care.
Promotes and maintains a positive image of nursing.
Uses national safety resources (OSHA, The Joint Commission, CMS) for professional development and to focus attention on assuring safe practice.
Demonstrates self-direction in pursuing opportunities for role-related growth and development.
8.
Promotes and supports the principles of shared decision-making.
Acts as an effective role model and resource for students and support staff.
Delegates responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines.
Demonstrates a commitment to communicate effectively in all interactions within the organization.
Prioritizes and organizes workload effectively; completes work in a timely manner.
Utilizes the peer review evaluation and self-evaluation process for professional growth.
Demonstrates ability to accept constructive feedback and initiate appropriate actions to correct situations.
Identifies and takes action toward meeting own learning needs.
Attends staff meetings and mandatory training sessions.
KNOWLEDGE, SKILLS AND ABILITIES:
Individuals must possess the following knowledge, skills and abilities or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:
Knowledge of endoscopic procedures, equipment, and medications Able to work in a fast-paced environment Excellent communication and interpersonal skills Able to work independently and as part of a team 5.
Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the hospital.
6.
Ability to perform computer entry including:
ordering, ADT, and charging functions independently or in collaboration with the department coordinator.
7.
Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
8.
Ability to perform job alone following standard practices and any of several procedures as defined by the American Nurses Association's Nursing Scope and Standards of Practice and the NH State Board of Nursing, but refer questionable cases when they arise out of standard practice.
9.
Ability to exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
10.
Requires the ability to utilize and navigate electronic clinical documentation system in order to enter patient data.
11.
Basic computer keyboarding and data entry skills required.
WORK SCHEDULE:
Work schedule may include four 8 hour shifts hours per day with an on call rotation per schedule based on department needs.
Personnel may be expected to cover for patient care needs by rotating or working extra shifts.
Qualifications:
Education:
Graduate of an accredited school of nursing preferred.
BSN strongly preferred.
Specialty certification strongly preferred.
Experience:
Minimum of one year of nursing experience and/or meets the requirements of Entry RN.
Previous experience in endoscopy nursing preferred Licensure/Certification:
Current registration in the State of NH as a Registered Nurse.
Basic Life Support (BLS) certification required.
ACLS required or obtained within one year Job Types:
Per diem, Full-time
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee discount Free parking Health insurance Life insurance Paid sick time Paid time off Pet insurance Referral program Tuition reimbursement Vision insurance Physical setting:
Outpatient Standard shift:
Day shift Supplemental schedule:
Holidays On call Weekly schedule:
Monday to Friday Ability to commute/relocate:
Manchester, NH 03102:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Nursing:
1 year (Required) License/Certification:
BLS Certification (Preferred) RN (Required) Work Location:
In person 401(k) 401(k) matching Dental insurance Disability insurance Employee discount Free parking Health insurance Life insurance Paid sick time Paid time off Pet insurance Referral program Tuition reimbursement Vision insurance Outpatient Day shift Holidays On call Monday to Friday Manchester, NH 03102:
Reliably commute or planning to relocate before starting work (Required) Nursing:
1 year (Required) BLS Certification (Preferred) RN (Required).
Estimated Salary: $20 to $28 per hour based on qualifications.
$64.
1K - $81.
2K a year Estimated:
$64.
1K - $81.
2K a year POSITION
Summary:
To administer nursing care to patients before, during, and after routine endoscopic procedures.
This includes assessing the patient, preparing the patient for the procedure, and monitoring the patient during the procedure.
This role will also serve as a patient advocate, providing support and information to family members.
Carry out functions in a manner consistent with Performance Improvement and in accordance with hospital policies and procedures.
PRINCIPAL DUTIES AND
Responsibilities:
Under the general direction of the Director and in accordance with standards of care and practice established by the Nursing Organization and, the specific department; the rules, regulations and/or standards established by the State Board of Nursing and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
Quality of Care/Performance Improvement:
Demonstrates quality nursing care and a commitment to the quality care processes as evidenced by:
1.
Assesses patients' physical and psychosocial status based on interview, examination and review of clinical data.
2.
Prepare outpatients for endoscopic procedures, including assessments of the patient's needs, allergies, and current medications and procedure instructions 3.
Assist during the care of acute and/or inpatient emergent cases 4.
Administer medications under the direction of anesthesia 5.
Monitor patient vital signs during the procedure 6.
Assists the Gastroenterologist and or Pulmonologists during the procedure 7.
Provide patient and family education on endoscopic procedures and post-procedure care 8.
Maintain accurate documentation of patient care and procedure 9.
Uses the nursing process as a basis for developing, implementing and evaluating nursing interventions.
10.
Provides patient-centered care with sensitivity and respects for the diversity of human experience.
11.
Performs technical skills as needed by specific clinical unit safely and competently.
12.
Coordinates and implements the medical diagnostic and therapeutic orders as directed.
13.
Anticipates and manages complications of disease progression and invasive procedures.
14.
Documents plan of care, assessments and interventions and patient outcomes in an electronic medical record thoroughly, accurately, and according to CMC Professional Nursing Practice Standards and ANA Scope and Standards of Practice.
15.
Reports status, including response to care, and changes in status as appropriate.
16.
Ensures calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate.
17.
Adheres to all safety, organizational and ethical standards according to ANA Code of Ethics.
18.
Implements elements of core measures in conjunction with Performance Improvement.
19.
Identifies current trends which could impact patient outcomes.
20.
Identifies system resources effectively and allocates them appropriately at the point of care delivery.
21.
Demonstrates clinical excellence and proficiency in practice in one or more of the following:
Researches information relative to a new device or medical procedure, that is relevant to the units' population, and develops reference packet available for staff on unit and encourages colleagues to seek his/her guidance in managing new device or medical procedure.
Manages a specific complex clinical procedure common to patients in area of practice, and encourages colleagues to seek her/his guidance in managing the specific procedure/technique throughout the year.
Serves as a primary preceptor throughout the year, providing guidance and support during orientation of new staff members or for student nurses in their senior practicum.
Takes on role of Charge Nurse throughout the year, providing guidance and support to colleagues and ancillary staff members.
Achieves and maintains certification in specialty area of practice 22.
Employs critical thinking skills to solve problems and achieve patient outcomes 23.
Identifies & communicates needs for innovative nursing practices.
24.
Identifies & communicates need for new or revised policies, procedures, guidelines, etc.
25.
Identifies research as a resource in clinical practice.
26.
Stays current with new resources/knowledge/evidence 27.
Serves as a resource/trainer for colleagues regarding competencies, policies and procedures, and clinical practice related to patient population served.
28.
Utilizes the change process to improve patient care, the work environment, and patient and staff satisfaction.
Consultation and Resources/Community and Hospital/Interdisciplinary Collaboration:
Consistently and competently demonstrates communication and collaboration as evidenced by:
Collaborates with the interdisciplinary team in initiating discharge planning upon admission and updates status of the discharge plan on a continuing basis.
Anticipates, plans for, and manages psychological and spiritual needs of the patient and family in collaboration with other health care teams.
Communicates with patients, families, staff, volunteers and management in an accurate, considerate, and timely manner.
Accepts constructive feedback and initiates appropriate actions to correct situation.
Foster sense of teamwork & collaboration within department & hospital; deals with conflict professionally.
Interacts with staff, patients and members of the public with dignity and respect; behavior is courteous and professional, reflecting sensitivity to the hospital's mission and values.
Promotes and maintains positive relationships between academia, physicians, the community, and the hospital.
Appropriately initiates consult as needed, documents consult, and helps ensure plan of care is followed through.
Identify and utilizes cost-effective resources in the hospital, community and beyond as needed.
Facilitates the transition of the patient through the continuum of care.
Uses best current evidence to decide when to modify clinical practice.
Nurses as Teachers:
Demonstrates the ability to meet the educational needs of patients/families as evidenced by:
1.
Provides health education to patients and families.
2.
Integrates adopted Jean Watson's Theory of Caring and CMC Professional Practice Model into professional practice development and educational programs.
3.
Develops an individualized education plan for the patient and family, including age-specific developmental needs and incorporating their input and preferences whenever possible, based on assessment.
4.
Provides education based on patient/family's assessed needs, in accordance with the plan of care.
5.
Serves as a resource to colleagues in developing and implementing a teaching plan.
Professional Development/Image of Nursing:
Seeks professional development and fosters the image of nursing as evidenced by:
Demonstrates accountability and competency for own nursing practice.
Demonstrates accountability and competency for maintaining current credentials and competency in required skills.
Recognizes the uniqueness of the individual and shows respect for patients, families, and all healthcare providers.
Demonstrates caring behaviors toward the patient and significant others receiving care.
Promotes and maintains a positive image of nursing.
Uses national safety resources (OSHA, The Joint Commission, CMS) for professional development and to focus attention on assuring safe practice.
Demonstrates self-direction in pursuing opportunities for role-related growth and development.
8.
Promotes and supports the principles of shared decision-making.
Acts as an effective role model and resource for students and support staff.
Delegates responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines.
Demonstrates a commitment to communicate effectively in all interactions within the organization.
Prioritizes and organizes workload effectively; completes work in a timely manner.
Utilizes the peer review evaluation and self-evaluation process for professional growth.
Demonstrates ability to accept constructive feedback and initiate appropriate actions to correct situations.
Identifies and takes action toward meeting own learning needs.
Attends staff meetings and mandatory training sessions.
KNOWLEDGE, SKILLS AND ABILITIES:
Individuals must possess the following knowledge, skills and abilities or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:
Knowledge of endoscopic procedures, equipment, and medications Able to work in a fast-paced environment Excellent communication and interpersonal skills Able to work independently and as part of a team 5.
Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the hospital.
6.
Ability to perform computer entry including:
ordering, ADT, and charging functions independently or in collaboration with the department coordinator.
7.
Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
8.
Ability to perform job alone following standard practices and any of several procedures as defined by the American Nurses Association's Nursing Scope and Standards of Practice and the NH State Board of Nursing, but refer questionable cases when they arise out of standard practice.
9.
Ability to exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
10.
Requires the ability to utilize and navigate electronic clinical documentation system in order to enter patient data.
11.
Basic computer keyboarding and data entry skills required.
WORK SCHEDULE:
Work schedule may include four 8 hour shifts hours per day with an on call rotation per schedule based on department needs.
Personnel may be expected to cover for patient care needs by rotating or working extra shifts.
Qualifications:
Education:
Graduate of an accredited school of nursing preferred.
BSN strongly preferred.
Specialty certification strongly preferred.
Experience:
Minimum of one year of nursing experience and/or meets the requirements of Entry RN.
Previous experience in endoscopy nursing preferred Licensure/Certification:
Current registration in the State of NH as a Registered Nurse.
Basic Life Support (BLS) certification required.
ACLS required or obtained within one year Job Types:
Per diem, Full-time
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee discount Free parking Health insurance Life insurance Paid sick time Paid time off Pet insurance Referral program Tuition reimbursement Vision insurance Physical setting:
Outpatient Standard shift:
Day shift Supplemental schedule:
Holidays On call Weekly schedule:
Monday to Friday Ability to commute/relocate:
Manchester, NH 03102:
Reliably commute or planning to relocate before starting work (Required)
Experience:
Nursing:
1 year (Required) License/Certification:
BLS Certification (Preferred) RN (Required) Work Location:
In person 401(k) 401(k) matching Dental insurance Disability insurance Employee discount Free parking Health insurance Life insurance Paid sick time Paid time off Pet insurance Referral program Tuition reimbursement Vision insurance Outpatient Day shift Holidays On call Monday to Friday Manchester, NH 03102:
Reliably commute or planning to relocate before starting work (Required) Nursing:
1 year (Required) BLS Certification (Preferred) RN (Required).
Estimated Salary: $20 to $28 per hour based on qualifications.
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