Specific Duties include:
1. Demonstrates knowledge and skill in performing nursing procedures applicable to practice area. Identifies the need for new or revised policies, procedures, standards, or guidelines.
2. Develops and involves patient/family in establishing realistic, measurable goals, planning care, discharge planning, and patient education. Initiates and completes documentation in the medical record to reflect teaching and outcomes.
3. Demonstrates sound clinical judgment and leadership in improving patient care through the use of the nursing process for patients requiring specialized or complex care prior to procedure (eg colonoscopy education /preparation), during procedure and after endoscopic procedure: pre-procedure intake, intra-procedural nursing care and post procedure recovery.
4. Utilizes the nursing process to assess, plan, implement, document, address any patient special needs and evaluate the options and services that will meet the patients health needs across the continuum from pre-procedure to post procedure and return to PACT.
5. Procures and coordinates healthcare resources based upon patient need. Identifies potential problems involving resources and/or safety and takes action to avert or manage the issues or situation.
6. Evaluates and revises the plan of care based upon changing needs, barriers to care, and availability of resources.
7. Documents observations, assessments, interventions, and outcomes in CPRS
8. Acts as an advocate in educating patient and family on resources and in facilitating patient self-determination.
9. Serves as a resource for patients and families throughout the pre and post procedure recovery process
10. Utilizes interventions, which maximize health capabilities (e.g., safely administers medications, utilizes techniques for management of patient behavior, provides appropriate activities to enhance psycho-social and physical functioning of patient). Actively supports or participates in preparing patients for successful completion of GI procedures, such as teaching patients on preparation process for colonoscopy, procedures for NPO prior to procedure, use of medications prior to procedure etc
11. Demonstrates clinical expertise in medication use in procedural sedation and the reversal agents that may need to be given. Demonstrates competence in administration of IV medication used in GI procedural sedation.
12. Demonstrates clinical competence in performing assessment pre-procedural/pre-operatively ( intake) and post procedural or post operatively
13. Implements and documents nursing interventions/orders and physician orders in a timely and accurate manner.
14 Initiates and documents teaching and discharge planning based on patient/familys identified needs, seeking assistance as needed.
15. Evaluates and documents patient response/progress towards attainment of goals/expected outcomes.
16. Consistently completes patient care assignments, including documentation, by the end of tour of duty.
17. Takes a leadership role in initiating effective action in emergencies. Directs others as indicated to maintain a safe and therapeutic environment. Examples may include: life threatening emergencies, disturbed behavior management, internal or external disaster.
18. Promotes the least restrictive environment that maximizes patients functional status.
19. Follows established safety and infection control standards, policies and procedures.
20. Takes a leadership role in utilizing problem-solving methodologies to resolve system or process problems that impact on patient care or staff performance at the unit/team level.
21. Delegates patient care duties and assignments based upon patient care needs and competencies of providers. Considers position descriptions, and functional statements in making assignments.
22. Actively participates in ad hoc, nursing and/or hospital wide committees, particularly Nursing Shared Governance
23. Complies with and ensures the staff adheres to the Standard Operating Procedure (SOP) for pre-cleaning, reprocessing/cleaning Reusable Medical Equipment (RME) as defined by Spaulding Classification. RME is classified as Critical Equipment - Class 1, Semi- Critical Equipment - Class 2, and Non-Critical - Class 3. RME cleaning will be done in accordance to the schedule on the unit.
24. Maintains training and annual competencies for administration of Moderate Sedation.
25. Demonstrates competence in equipment used in CPC/GI Procedures, CPC Recovery/PACU, and OR. Demonstrates competence in use of computerized systems that support patient care and patient procedures e.g. Pentax, Olympus, ERBE, CPRS, BCMA, iMed Consent etc.
26. Maintains annual training and competencies for use and operation of the equipment used in CPC GI Procedures.