LPN/RN - Endoscopy

Mountain View Hospital is looking for a Licensed Practical Nurse/Registered Nurse to join our team!

JOB SUMMARY:

LPN: The endoscopy/ ophthalmology practical nurse provides nursing care to patients being admitted for endoscopic and ophthalmic procedures as well as following discharge from the endoscopy/ ophthalmology procedure room in either an asleep but arrousable post procedure state or an awake post sedation state through discharge to home. During the admission process the nursing role focuses on assessing, identifying, and solving nursing care and pre-procedure problems. The nurse is responsible for starting and monitoring IVs, administering pre-procedure medications, performing pre-procedure instruction and explanation of the patient’s rights and procedures. During the recovery phase upon discharge from the endoscopy suite/ ophthalmology operating room, the nurse is responsible for monitoring vital signs, providing pain management, providing patient and family education, and ensuring the safety of the patient until discharge into the vehicle of a responsible driver. He/she must facilitate and demonstrate cooperative behavior with colleagues and supervisors at all times.

RN: The Endoscopy RN is responsible for assisting the physician and delivering patient care to those patients undergoing endoscopic procedures. He/she will facilitate and demonstrate cooperative behavior with colleagues and supervisors at all times.

BENEFITS:

Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

DUTIES AND RESPONSIBILITIES:

LPN:

1. Maintains area in a state of readiness at all times, ensuring that all necessary equipment is available and in good working order, with age specific supplies ready to use as needed.
2. Assesses physical and emotional needs of patients and implements appropriate nursing interventions. Completes the nursing pre-assessment record, including confirmation of the following:
a. Allergies.
b. Medications taken at home.
c. Dentures, contact lenses and glasses.
d. Pertinent medial conditions listed.
e. Pertinent past medical history listed.
f. Confirmations of consent and operative site.
g. Confirmation of responsible party and ride home.
h. Confirmation or ordered labs/test results on chart
3. Respects the patient’s right to privacy, dignity and confidentiality.
4. Assists the patient in undressing if needed and stores belongings appropriately. Apply drawsheet to bed for turning during the procedure.
5. Assess or performs the following.
a. Vital signs.
b. Weight and height.
c. Accu-Check for blood sugar if applicable.
d. Pregnancy test, if applicable.
e. Starts IV on all patients, except those who have an order not to start an IV.
Utilizes anesthesia protocol regarding IV fluids and catheter size.
f. Pain level
6. Ensures that patients are seen by the anesthesia provider prior to being taken to the endoscopy suite if physician has ordered procedure to be done by anesthesia provider.
7. Performs pre-operative instruction and explanation of procedures and patient’s rights.
8. Sets priorities to facilitate the timely and efficient flow of patients throughout the day.
9. Assess patients on admission to Post sedation Recovery for the following:
a. Respirations
b. Vital Signs
c. Level of Pain
d. Level of consciousness
10. Assess and records vital signs every 5 minutes.
11. Uses appropriate devices and techniques to assist patient’s respirations and maintains optimum blood oxygen saturation.
12. Assess surgical site (if applicable) for bleeding, reinforce dressing as needed, and notify physician of any increased drainage.
13. Able to assess and treat post-operative pain effectively.
14. Proficient knowledge of drugs used in the PACU Phase II
15. Positions patient as ordered by physician.
16. Assesses and records intake and output of all fluids.
17. Carries out physicians/anesthesiologist orders.
18. Assess patient for discharge when criteria is met, i.e. stable vital signs, adequate pain control, and adequate p.o. intake of fluids, alert and oriented.
19. Responds appropriately to emergency situations, recognizing the need for assistance and obtaining support from anesthesia personnel and/or physician as needed.
20. Records pertinent patient information on the nurse’s notes.
21. Maintains adequate inventory levels and demonstrates an economic use of equipment and supplies.
22. Maintains confidentiality of all pertinent patient care information to assure patient’s rights are protected.
23. Demonstrates commitment to excellence in patient, family and physician relations.
24. Communicates appropriate information to other members of the healthcare team in a timely manner.
25. Acts as the nursing advocate for the patient by upholding patient rights.
26. Participates in overall Endoscopy/ Ophthalmology Department functions, including, but not limited to:
a. Follows appropriate Pre-procedure, Admitting and Recovery Procedures.
b. Training new staff as needed,
c. Attends and participates in staff meetings.
d. Attends annual education in-services as required.
e. Is knowledgeable about and responsive to emergency situations, i.e. cardiac arrest, malignant hyperthermia, drug reaction, fire, disaster, etc.
27. Complies with attendance requirements.
28. Demonstrates an awareness of safe conditions and safe acts as related to hospital employment.
29. Maintains professional competency through appropriate continuing education.
30. Adheres to and practices MVH Compliance Program and participates in Performance Improvement activities.
31. Performs other related duties incidental to the work described herein.

RN:

1. Assesses patients for procedure utilizing history, physical and pre-op teaching form. Obtains vital signs, Aldrete score, O2 Saturation and other assessment tools according to protocol.
2. Assures that the patient history, physical, ASA status and procedural consent forms are signed within seven days of the procedure and are on the chart.
3. Assesses the patient’s knowledge and understanding of the procedure.
4. Reduces patient anxiety by explaining all procedures thoroughly in a calm and reassuring manner.
5. Assists Endoscopy Technician in maintaining endoscopy room in a state of readiness for procedures.
6. Attaches appropriate monitors to the patient (cardiac, blood pressure, oxygen saturation, capnography).
7. Positions the patient for procedures ensuring patient safety and comfort.
8. Drapes patient to ensure accessibility for the surgeon and privacy for the patient.
9. Monitors IV fluid intake according to the physician’s order and patient needs.
10. Administers IV sedation medications according to the physician’s orders and hospital protocol.
11. Assesses the patient’s response to sedation including vital signs, level of consciousness and comfort level.

About Mountain View:

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Education/Certification: LPN:  Graduate of an accredited school of nursing. Current licensure as a Practical Nurse in the state of Idaho. Current BLS certification.

RN: Graduate of an accredited school of nursing. Current licensure as a Registered Nurse in the state of Idaho. Current BLS, ACLS and PALS certification required.

Experience: Special training or experience in endoscopic procedures preferred. Knowledge and understanding of IV sedation medications, their actions, side effects, reversal agents, and precautions required.

Language/Communication: Must have the ability to effectively read, write, and speak English.

Mental Capabilities: Can frequently and consistently make sound judgments.