Oregon Health & Science University

RN, Endoscopy, FT, Days

Job Locations US-OR-Portland
Requisition ID
2020-6131
Position Category
Nursing-RN
Position Type
Regular Full-Time
Job Type
ONA union represented
Department
Endoscopy
Salary Range
Commensurate with experience
FTE
1.00
Schedule
Monday - Friday (variable days)
Hours
7:00 am - 5:30 pm
HR Mission
Healthcare
Drug Testable
Yes

Department Overview

The Gastrointestinal Endoscopy Unit provides intra-procedure to adult patients undergoing gastrointestinal endoscopy procedures and studies. The department is open Monday – Friday 7am-5:30PM and one Sunday per month.  The Nurses take mandatory call in the evening until 8:00PM and rotate weekend/holiday call.

 

The OHSU registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations.   The RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics.  The RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge transferor [O’Rourke Model of the Professional Role™].  Professional accountability enriches the RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. 

Function/Duties of Position

  1. Scientist
    • Evaluates knowledge of self and others:
      • Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals.
      • Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships
    • Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
    • Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods. 
  2. Leader
    • Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to:
      • Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
      • The interdisciplinary plan of care
      • Documenting decision making in the patient’s plan of care and hand-off  communication
    • Protects and advocates for patient safety, health and wellbeing:
      • Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command).
      • Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice.
    • Keeps the patient as the focus  when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
      • Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to.
      • Allocates resources based on identified patient and family needs
      • Speaks up immediately about concerns regarding assigned responsibilities
  3. Practitioner
    • Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate.
    • Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
    • Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
    • Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.
  4. Knowledge Transfer
    • Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home.
    • Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record.
    • Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Required Qualifications

  • External applicants: Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
  • Internal applicants: Associate's Degree in Nursing
  • Current, unencumbered Oregon State Registered Nurse License
  • BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)
  • BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application)
  • Must be able to perform the essential functions of the position with or without accommodation

Department Specific Requirements:

  • Heavy handling and administration of narcotics while moving at fast pace that requires ability to focus attention on details while performing other skills at the same time.
  • At least one year experience working in critical care, recovery room, emergency room or procedural area setting.
  • Experience with EKG monitoring required.
  • IV skills required.
  • Moderate sedation experience required at time of hire.
  • ACLS required.
  • Confidence to work next to and communicate directly with physicians throughout the shift.
  • Requires ability to triage patient symptoms over the telephone and document advice in telephone encounter.
  • Excellent communication skills including active listening, the ability to engage with a diverse set of patient populations, and success with conflict management.
  • Ability to work independently and as part of a team while being collaborative in resolving problems.
  • Ability to successfully navigate complex patient care coordination needs independently.
  • Serve as a role model in supporting and promoting OHSU’s vision and mission.
  • Efficient time management to effectively move patients through the system.

Preferred Qualifications

  • Current OHSU employees: BSN preferred

Department Specific Preferences (competencies, certifications, etc.):

  • Experience with caring for patients undergoing Procedures and complications associated –required for resource nurses.
  • Experience with GI Surgery or GI medicine and the disease processes associated with them
  • Experience as a Charge RN in a related setting (ICU, PACU, ED).
  • Motility and PH testing experience
  • Experience in fast paced unit where you provided care for more than 6 patients per shift
  • Experience as a member of a Shared Governance council or committee.
  • Phone triage skills

Additional Details

Usual Orientation Time:   

  • Specialty Experience: 1-3 months
  • Experience, but not in specialty area: 2-4 months
  • Resource Nurse:  2 weeks and limited expose to roles within the department dependent on experience.

 

Department Specific Working Conditions:

  • Requires ability to push patient in a stretcher around corners throughout the shift.
  • Requires the ability to ride the Arial tram throughout the day
  • Requires the willingness to work with High Level Disinfectants.
  • Requires the ability to work in a dark procedure room.
  • Requires the flexibility to stay focused and have your assignment changed several times throughout your shift.
  • Requires weekend and after hours call and ability to report to work within 30 min of being called – not required for Resource RN or nurses working .5 FTE or less.
  • Requires work in fluoro room and standing for up to 3 hours wearing lead garments.
  • Fast paced environment that may ask you to care for up to 14 patients per day. 
  • Ability to move, turn, and lift sedated patients using provided safe patient mobilization devices.

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

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