GI RN

## Description

CASS REGIONAL MEDICAL CENTER

Department Name: GI/Pain

Title: GI/Pain RN

EEOC Classification: Professional/Non-Exempt

**Dimension and Description**

**Primary Purpose**: To provide quality patient care while following all standards of care and maintaining a safe environment for both inpatients and outpatients who are receiving a variety of specialty services and provide proper documentation.

**Formal Policy-Setting Responsibilities**: Formally responsible for making recommendations regarding policies associated with the job's purpose and essential responsibilities.

**Routine Decision Making:** Determine appropriate protocols; procedures, drugs, pre-procedure testing and equipment for each patient based on assessment; achievement of adequate sedation and when to reverse; determine appropriate family/patient education.

**Formal Supervisory Responsibility**: No formal supervisory responsibility.

**Required Knowledge**: Knowledge of intravenous sedation; special procedures; instruments and equipment; medications; actions and adverse reactions; cardiac rhythms; airway maintenance; nursing process; insurance requirements; standards of care; JCAHO requirements.

**Required Skills and Ability**: Assessment; good communication; troubleshoot; monitoring equipment; time management skills; clinical skills.

**Unusual Working Conditions**: Risk of blood, body fluid contamination.

**Education and Certification/ Registration required for the Position**: Two to four-year RN degree; currently licensed in the state of Missouri; BLS required, ACLS recommended.

**Age Specific Competencies:** Provides care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 years-12 years); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

**Essential Responsibilities and Tasks**

• Assesses, Plans, implements and evaluates patients receiving high risk specialty procedures. (40% of the time)
• Performs pre-procedure interviews per paper/computer correctly on all patients receiving class I and II invasive procedures, evaluates the information obtained, and formulates a plan of care prior to the patient procedure.
• Identifies the patients using two patient identifiers prior to the procedure 100% of the time.
• Performs a comprehensive nursing assessment on patients receiving class I and class II invasive procedures and documents completely including appropriate signatures, times and dates. Revises plan of care as indicated from the assessment.
• Interprets physiological information from technical equipment, on each patient and applies this information to the plan of care.
• Documents the findings from all assessments, evaluations and implementations on the patient record where, when, and how daily.
• Reports all critical abnormal assessments and lab values to the physician, per hospital policy and implements further orders immediately and documents details on the patient record.
• Utilizes AIDET (acknowledge, introduce, duration, explain and thank) initiatives to include managing up with each patient.
• Utilizes only approved abbreviations in patient documentation.

**Provides patient education. (25% of the time)**

• Evaluates patient learning ability and motivational levels. Implements alternative learning measures, as evidenced by patient or caregiver verbalization or return demonstrations, as documented on the patient record i.e.; effectively communicates.
• Effectively communicates discharge instructions to patient and responsible party at the time of discharge, per departmental discharge policy.
• Explains all procedures and medications to patients prior to implementation.

**Maintains a safe and comfortable environment. (25% of the time)**

• Removes malfunctioning equipment from unit immediately upon discovering problem.
• Complete requisition for repair or malfunctioning equipment by the end of shift.
• Cleans and stocks supplies within the department, as needed.
• Effectively communicates the plan of care on each patient to ancillary departments, case management and pharmacy staff as indicated by the orders received, patient diagnosis or condition.
• Ensures all required documents are on the chart prior to going into the procedure room (H&P,
• Check One, informed consent, test results if applicable).
• Evaluates the effectiveness of the communication, as evidenced by the preparedness of the patient and takes appropriate actions, including notifying performing physician.
• Demonstrates thorough knowledge of location, care and operation of all departmental equipment.
• Accurately records, handles and labels specimens; demonstrates care of specimens.
• Ensures alarms on any assigned area are audible to alert staff.
• Checks code blue carts each shift and upon using the cart, ensuring it has an intact tag attached.
• Fully responsible for care of scopes when working in the procedure/decontamination rooms including cleaning, processing and storage.
• Follows written procedure for high level disinfection (HLD); knows responsibilities and the necessity for chemical monitoring.
• Able to accurately see and read color changes to biological and chemical monitors.

**Develops and promotes hospital/unit initiatives and professional relations. (5% of the time)**

• Establishes and maintains effective communication and good working relationship with co-workers for the patients benefit.
• Utilizes initiatives; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste.
• Participates in planning ways to solve problems and make improvements in the department as needed.
• Represents the organization in a positive and professional manner.

• **Other duties as directed. (5% of the time)**
• **ESSENTIAL PHYSICAL REQUIREMENTS**
• **TYPE OF WORK**
• Medium Work: Lifting 100# maximum with frequent lifting and/or carrying of objects weighing up to 25#.
• **PHYSICAL DEMANDS**

• Lifting: Raising or lowering an object from one level to another (includes upward pulling).
• Carrying: Transporting an object, usually holding it in hands or arms or on the shoulders.
• Pushing: Exerting force upon an object so that the object moves away from the force (including slapping, striking, kicking, and treadle actions).
• Pulling: Exerting force upon an object so that the object moves toward the force (includes jerking).
• Balancing: Maintaining body equilibrium to prevent falling when walking, standing, crouching, or running on a narrow, slippery, or erratically moving surfaces; or maintaining body equilibrium when performing gymnastic feats. &nbsp