Registered Nurse-Hourly

What You'll Do

Direct Patient Care & Clinical Responsibilities

• Provide professional, direct patient care in assigned areas of the Surgery Center
• Utilize the nursing process to assess, plan, implement, monitor, and adjust patient care plans as appropriate
• Continuously assess and monitor the physical and emotional status of patients and document findings per policy
• Verify patient identity using two identifiers and confirm correct patient, procedure, and physician using "ask, don't tell"
• Review patient medical records to ensure continuity of care and communicate variances to the healthcare team
• Address patient needs specific to the anticipated procedure and type of anesthesia
• Verify and explain procedures, discuss the plan of care, and provide comfort and reassurance to patients
• Maintain patient privacy, dignity, and patient rights at all times
• Administer medications per physician orders and document appropriately
• Successfully start and manage peripheral IVs
• Monitor for and report abnormal findings or complications to the anesthesia provider and physician
• Participate in surgical timeouts and utilize the Safe Surgical Checklist
• Ensure appropriate and safe patient positioning throughout procedures
• Monitor patients during recovery from anesthesia
• Prepare patients for discharge, including:
• Assisting with dressing
• Reviewing discharge instructions
• Medication reconciliation
• Follow-up appointment instructions
• Confirm and document patient and responsible adult understanding of discharge instructions and indications for seeking emergent care

Procedural Support & Coordination

• Supervise and direct patient care in preprocedure, procedure, and postprocedure areas
• Work collaboratively with physicians, anesthesia providers, and the healthcare team to support the total endoscopy process
• Organize nursing activities, time, equipment, supplies, and personnel to provide efficient, cost-effective patient care
• Delegate activities appropriately based on staff skill level, scope of practice, and Center policies
• Assist with preparing assigned areas according to patient, physician, and procedure requirements
• Assemble and ensure availability of functioning equipment, supplies, and instruments
• Ensure sterilization and high-level disinfection of supplies and equipment per policy
• Handle and log tissue specimens accurately according to policy and procedure
• Maintain and update physician preference cards as needed
• Assist with supplies, medications, and equipment inventories
• Maintain order and cleanliness of preprocedure areas, procedure rooms, and PACU

Documentation, Compliance & Professional Practice

• Accurately interpret and follow physician orders per policy and procedures
• Document patient care accurately, legibly, and timely in the medical record
• Utilize proper aseptic and sterile techniques and monitor for breaks in sterile technique
• Demonstrate ongoing competency in patient assessment and appropriate interventions
• Assess fall risk and implement precautions per Center policy
• Use medical equipment correctly following manufacturer Instructions for Use
• Follow all Center policies, procedures, and accepted standards of nursing practice

Quality Assurance, Safety & Regulatory Compliance

• Participate in the Center's compliance program and adhere to accreditation and regulatory standards
• Support and actively participate in the Quality Assurance Performance Improvement (QAPI) Program
• Proactively identify opportunities for quality, safety, and efficiency improvements
• Adhere to OSHA regulations and workplace safety standards
• Monitor the physical environment to ensure safety, comfort, cleanliness, and efficiency
• Monitor equipment care, cleaning, and maintenance to ensure proper working condition
• Report observed or suspected safety concerns, hazards, or noncompliance through proper channels
• Protect patient privacy and adhere to HIPAA regulations regarding Protected Health Information (PHI)

Teamwork, Communication & Professionalism

• Communicate patient care needs and significant information clearly to the healthcare team
• Collaborate with Center leadership on patient flow and staffing needs
• Interact with patients, families, and colleagues in a respectful, professional manner
• Participate in staff meetings, in-services, continuing education, and QAPI activities
• Maintain regular and predictable attendance
• Attend all required education
• Perform other duties as assigned
• Physical & Work Environment Expectations
• Ability to stand, walk, bend, and move throughout the workday
• Ability to lift, push, pull, and assist with patient movement (up to 50 pounds)
• Manual dexterity and ability to perform clinical procedures
• Work in procedure rooms with medical equipment and disinfecting agents
• Exposure to bloodborne pathogens and body fluids
• Climate controlled environment with occasional reduced lighting
• Schedule and hours may vary based on patient and Center needs

Why Join Wake Endoscopy Center

• Hourly nursing role in an outpatient procedural setting
• Daytime schedule with no inpatient responsibilities
• Supportive, team based culture
• Opportunity to specialize in endoscopy and procedural nursing
• Strong focus on patient safety, quality outcomes, and efficient care delivery