PRN Registered Nurse

PURPOSE AND SCOPE

Serves the organization's mission, vision, core values, and customer service philosophy. Adheres to the organization's Compliance Program, including regulatory and organizational policy requirements.

Quality

• Supports and drives organization quality standards through meeting regulatory and accrediting body requirements and Continuous Quality Improvement (CQI).
• Assists with implementation of organization quality goals and facility-specific action plans.
• Maintains integrity of medical records and other organization administrative and operational records.
• Complies with all data collection and auditing activities.
• Maintains facility environmental integrity and safety.

Patient

• Obtains necessary medical history, discusses procedure, and performs nursing assessment on the day of the procedure.
• Provides education to patients and their families regarding post-procedure care of vascular access.
• Makes rounds to monitor patient condition before, during, and after the procedure, especially for patients receiving moderate sedation and contrast media injections.
• Addresses and communicates patient-related issues to facility management as needed.
• Completes documentation of patient information from admission to discharge in an accurate manner.
• Verifies and documents lab work and other orders in accordance with facility policies.
• Administers medications and IV moderate sedation to patients as directed by physician's orders.
• Assists with patient workflow by transporting patients as needed.
• Performs point-of-care laboratory testing as directed by physician's orders.
• Performs IV insertion as per physician's orders.
• Performs additional tasks as designated by physician, practicing in compliance with state regulations.

Physicians

• Provides regular and effective communication with physicians on an as-needed basis.
• Attends and participates in CQI meetings with physicians, reporting on assigned topics.
• Aids facility management in verifying necessary instruments and equipment.
• Aids in the completion and reporting of state-required adverse event reports and internal reporting as per organization/FMC policy and procedure.

Maintenance/Technical

• Operates appropriate facility equipment and technology, including patient monitors, defibrillators, medical recording devices, sterilizers, and computers in a safe and efficient manner.
• Inspections of facility equipment and operating systems, including temperature checks in appropriate areas and physical structure of the facility, and reports any issues to the Facility Manager.
• Maintains a clean, safe, and sanitary environment in the vascular access facility at all times.
• Ensures immediate response to blood spills according to the organization/FMCNA Bloodborne Pathogen Control Policies.

Administrative

• Affords efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals following all guidelines established in the organization formularies.
• Aids in the development and revision of applicable policies and procedures related to the facility to ensure continuous process improvement.
• Affords Continuous Quality Improvement (CQI) activities including monthly reports and attends meetings as required.
• Affords medication supply management, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law.
• Affords usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law.
• Affords facility supply inventory management, including ordering and restocking of supplies as needed.
• Affords examination of emergency equipment and supplies, including stocking of the crash cart on a regular basis.
• Affords completion of medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient.
• Affords performance of chart audits on a regular basis.
• Affords participation in facility regulatory and accreditation surveys and action plans to address any deficiencies.
• Affords completion of state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines.
• Affords participation in staff meetings, training, and orientation as assigned.
• Affords compliance with HIPAA policies and standards regarding patient information and medical records.
• Affords assistance with various projects as assigned by direct supervisor.

Physical Demands and Working Conditions

• Regular desk and personal computer work.
• Interaction with patients, facility staff, and physicians.
• Frequent prolonged periods of standing.
• Frequent bending over.
• Occasional movement of patients and equipment of up to 200 lbs.
• Two-person assist program and material assist devices for heavier items.
• Work environment characterized by air temperature control and moderate noise levels.
• May be exposed to infectious, contagious diseases/materials and radiation.
• May be required to wear protective gear in procedure rooms for extended periods of time.

Education

• High School Diploma required.
• Associate's Degree desirable.
• Bachelor's Degree strongly preferred.
• Graduate of an accredited School of Nursing (R.N.).
• Current appropriate state licensure and ACLS certification required.
• 4 - 6 years' related experience preferred.
• Office-Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred.

Experience and Required Skills

• Proficient in the use of computers and related software such as Microsoft Office.
• Proficient in IV insertion.
• Proficient in cardiac rhythm recognition.
• Experience with Medical database software.
• Certified in BLS & ACLS successfully completed course certifications.