Registered Nurse-Hourly

What You’ll Do 

Direct Patient Care & Clinical Responsibilities 

• Provide professional, direct patient care in assigned areas of the Surgery Center 

• Utilize the nursing process to assess, plan, implement, monitor, and adjust patient care plans as appropriate 

• Continuously assess and monitor the physical and emotional status of patients and document findings per policy 

• Verify patient identity using two identifiers and confirm correct patient, procedure, and physician using “ask, don’t tell” 

• Review patient medical records to ensure continuity of care and communicate variances to the healthcare team 

• Address patient needs specific to the anticipated procedure and type of anesthesia 

• Verify and explain procedures, discuss the plan of care, and provide comfort and reassurance to patients 

• Maintain patient privacy, dignity, and patient rights at all times 

• Administer medications per physician orders and document appropriately 

• Successfully start and manage peripheral IVs 

• Monitor for and report abnormal findings or complications to the anesthesia provider and physician 

• Participate in surgical timeouts and utilize the Safe Surgical Checklist 

• Ensure appropriate and safe patient positioning throughout procedures 

• Monitor patients during recovery from anesthesia 

• Prepare patients for discharge, including:  

• Assisting with dressing 

• Reviewing discharge instructions 

• Medication reconciliation 

• Follow-up appointment instructions 

• Confirm and document patient and responsible adult understanding of discharge instructions and indications for seeking emergent care 

Procedural Support & Coordination 

• Supervise and direct patient care in preprocedure, procedure, and postprocedure areas 

• Work collaboratively with physicians, anesthesia providers, and the healthcare team to support the total endoscopy process 

• Organize nursing activities, time, equipment, supplies, and personnel to provide efficient, cost-effective patient care 

• Delegate activities appropriately based on staff skill level, scope of practice, and Center policies 

• Assist with preparing assigned areas according to patient, physician, and procedure requirements 

• Assemble and ensure availability of functioning equipment, supplies, and instruments 

• Ensure sterilization and high-level disinfection of supplies and equipment per policy 

• Handle and log tissue specimens accurately according to policy and procedure 

• Maintain and update physician preference cards as needed 

• Assist with supplies, medications, and equipment inventories 

• Maintain order and cleanliness of preprocedure areas, procedure rooms, and PACU 

Documentation, Compliance & Professional Practice 

• Accurately interpret and follow physician orders per policy and procedures 

• Document patient care accurately, legibly, and timely in the medical record 

• Utilize proper aseptic and sterile techniques and monitor for breaks in sterile technique 

• Demonstrate ongoing competency in patient assessment and appropriate interventions 

• Assess fall risk and implement precautions per Center policy 

• Use medical equipment correctly following manufacturer Instructions for Use 

• Follow all Center policies, procedures, and accepted standards of nursing practice 

Quality Assurance, Safety & Regulatory Compliance 

• Participate in the Center’s compliance program and adhere to accreditation and regulatory standards 

• Support and actively participate in the Quality Assurance Performance Improvement (QAPI) Program 

• Proactively identify opportunities for quality, safety, and efficiency improvements 

• Adhere to OSHA regulations and workplace safety standards 

• Monitor the physical environment to ensure safety, comfort, cleanliness, and efficiency 

• Monitor equipment care, cleaning, and maintenance to ensure proper working condition 

• Report observed or suspected safety concerns, hazards, or noncompliance through proper channels 

• Protect patient privacy and adhere to HIPAA regulations regarding Protected Health Information (PHI) 

Teamwork, Communication & Professionalism 

• Communicate patient care needs and significant information clearly to the healthcare team 

• Collaborate with Center leadership on patient flow and staffing needs 

• Interact with patients, families, and colleagues in a respectful, professional manner 

• Participate in staff meetings, in-services, continuing education, and QAPI activities 

• Maintain regular and predictable attendance 

• Attend all required education 

• Perform other duties as assigned 
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  Physical & Work Environment Expectations 

   
  • Ability to stand, walk, bend, and move throughout the workday 
   
  • Ability to lift, push, pull, and assist with patient movement (up to 50 pounds) 
   
  • Manual dexterity and ability to perform clinical procedures 
   
  • Work in procedure rooms with medical equipment and disinfecting agents 
   
  • Exposure to bloodborne pathogens and body fluids 
   
  • Climate controlled environment with occasional reduced lighting 
   
  • Schedule and hours may vary based on patient and Center needs 
   

   

   

  Why Join Wake Endoscopy Center 

   
  • Hourly nursing role in an outpatient procedural setting 
   
  • Daytime schedule with no inpatient responsibilities 
   
  • Supportive, team based culture 
   
  • Opportunity to specialize in endoscopy and procedural nursing 
   
  • Strong focus on patient safety, quality outcomes, and efficient care delivery