Registered Nurse - RN - Endoscopy Full Time Days

About the Role

Administers patient care in a hospital or inpatient setting where patients have an advanced illness or injury that routinely requires timely, intense, and complex care to stabilize and support the patient's medical condition. These areas require a lower caregiver-to-patient ratio and highly trained team members with advanced skills.

About Orlando Health Sebastian River Hospital

Orlando Health Sebastian River Hospital is a 178-bed comprehensive medical and surgical facility serving the communities along Florida’s Treasure Coast as a trusted healthcare provider for more than 50 years. With the latest technology and a team of skilled healthcare professionals, we are committed to bringing the highest level of expert and compassionate care. Specialties include emergency care, heart and vascular care, orthopedics, and surgical services. The hospital is fully accredited by The Joint Commission and holds advanced certification as a Primary Stroke Center.

Responsibilities

• Demonstrates critical knowledge, skills, and judgement to care for patients requiring complex assessment and therapies, high intensity interventions, and high-level continuous nursing vigilance.
• Utilizes information and assessment data to anticipate and respond with confidence and adapt to rapidly changing patient conditions.
• Identifies and prioritizes information to take immediate and decisive evidence-based, patient-focused action.
• Monitors and adjusts specialized equipment used on patients, including intracranial pressures, central venous pressures, pulmonary artery pressures, and cardiac rhythms from monitors, respirators, ventilators, and oxygen pumps.
• Responds to life-saving situations based on nursing standards and protocol.
• Observes, monitors, and assesses patients’ condition, recognizing and interpreting serious situations; calls Physician or takes preplanned emergency measures when necessary.
• Assesses patient’s needs and develops/revises an individualized plan of care; evaluates progress toward expected outcomes.
• Respects diversity by building respectful relationships with all team members and customers; functions as a patient and family advocate.
• Demonstrates advanced knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Serves as a preceptor, charge nurse, unit educator, and/or nurse clinician.
• Communicates and collaborates with medical staff and interdisciplinary team to effectively plan and manage the unit/department.
• Serves as a role model for staff and supports hospital and nursing department goals and strategies.
• Demonstrates knowledge of growth and development principles over the life span; assesses data reflective of patient status and interprets information relative to age-specific needs.
• Coordinates care and delegates as appropriate to other team members for a defined group of patients.
• Documents patient care in a knowledgeable, skillful, and consistent manner meeting all regulatory standards (assessment, education, medication administration, treatments, and patient safety).
• Demonstrates competency in nursing skills and use of patient care/unit equipment as defined by unit/department-specific requisite skills.
• Prioritizes patient care in accordance with Evidence-Based Practice Standards of Care.
• Practices effective problem identification and resolution.
• Delegates tasks and duties to healthcare team members based on patient needs and team member capabilities.
• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
• Demonstrates caring practices by providing a compassionate and therapeutic environment for patients and their families.
• Demonstrates awareness of legal issues and patients’ rights.
• Collaborates with the education department and nursing leadership to transition and support new team members and/or students.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies and federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

ECMO Specialist Specific Responsibilities

• Provides daily staffing for Extracorporeal Life Support (ECLS) services as a trained Advanced Care Registered Nurse ECMO Specialist.
• Works under the direction of unit leadership, intensivist services, and perfusion services to ensure adequate perfusion, proper acid-base balance, and hemodynamic stability for ECMO patients.
• Communicates with physicians, perfusionists, and other healthcare team members to interpret, adjust, and complete treatment-specific care for ECMO patients.
• Performs required technical skills with efficiency, accuracy, and safety; anticipates, troubleshoots, and manages crises and emergency situations according to policy.
• Performs scheduled, unscheduled, and emergency ECLS in the hospital setting.
• Operates all ECMO equipment under the direction of MD/perfusion providers.
• Monitors and optimizes the ECMO circuit and related equipment during management.
• Accurately administers blood products and medications through the ECMO circuit when ordered.
• Manages equipment connected in-line with the ECMO circuit.
• Manages ECLS during transport and ensures continuous ECLS coverage.
• Attends mandatory quarterly simulations.
• Contributes to the knowledge and skills of others and the continuous improvement of healthcare practice and organizational outcomes.
• Participates in and may lead unit-level or organizational-level committees for nursing practice and performance improvement.
• Participates in department and organizational peer review, mentoring, and coaching regarding professional practice or role performance.
• Maintains equipment and supplies for ECMO/perfusion services; provides pertinent information to supervisor/director in conjunction with biomed or vendors.
• Provides critical nursing resource support to CVICU or other areas as directed by leadership when not providing ECLS services.

Requirements

• Graduate of an approved school of nursing.
• Meets all mandatory, developmental, and performance competency requirements for Orlando Health and unit/department.
• 1 year of experience required unless approved by AVP level or above.
• Maintains current State of Florida RN license or valid eNLC multistate RN license.
• Maintains current BLS/Healthcare Provider certification.
• ACLS, NRP, PALS, TNCC are required for certain areas; NRP required for Neonatal Intensive Care Unit (NICU).

Benefits

• Competitive pay with evening, night, and weekend shift differentials for qualifying positions.
• All-inclusive benefits starting on day one, including:
  • Student loan repayment and tuition reimbursement.
  • FREE college education programs.
  • Retirement savings plan.
  • Paid paternity leave and fertility benefits.
  • Backup elder and childcare, pet insurance.
  • Paid time off (PTO) and holidays.