Scope of Service

The Endoscopy RN works collaboratively with the physician and the anesthesia provider and also monitors the patient during conscious sedation in order to determine patient needs during Endoscopic and GI procedures.

Endoscopy provides outpatient and inpatient services for pediatrics to adult patients over 18 years. The most frequent diagnoses are pain, bleeding, polyps, abnormal lab value, common bile duct stones, dysphagia, and pulmonary infiltrate. Procedures particular to this area include:

• EGD
• Colonoscopy
• ERCP
• Bronchoscopy
• Manometry
• 24 hour pH studies
• 24 hour pH studies - Bravo capsule
• Enteroscopy
• Endoscopic Ultrasound

Endoscopy is a 6 procedure room, 1 out patient testing room unit which provides Endoscopic services for routinely scheduled inpatient and outpatient procedures, and urgent add-on procedures. Patients requiring a higher level of care (Intensive Care Unit) may be treated at the bedside. The average number of procedures is 20-30/day.

The hours of operation are Monday through Friday 7:00 am to 5:30 pm and Saturday and working holiday's 7:00 am to 3:30 pm. 24-hour emergency coverage is provided with an on-call RN and GI Technician.

Responsibilities

Last Reviewed: 04/23
Effective Date: 02/03

I. JOB SUMMARY/RESPONSIBILITIES
Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.

II. TYPICAL PHYSICAL DEMANDS
Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.

III. TYPICAL WORKING CONDITIONS
Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.

IV. MINIMUM QUALIFICATIONS
A. Education/Certification and Licensure:
1.Licensure: Registered Nurse, State of Hawaii
2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred.
3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas.
4.Ability to read, write, speak and understand English effectively.

Additional Requirements

Additional Requirements for Experienced RN:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Current ACLS certification.

B. EXPERIENCE:

• Twelve (12) months of Telemetry RN experience required, preferably within the last three (3) years.