Registered Nurse (RN) - Gastroenterology

Overview

QuarterLine (QL), a Planned Systems International (PSI) Company, is seeking a skilled Registered Nurse (RN) candidates, skilled in Gastroenterology for a position at Ft Hood medical center. This role will support high-quality patient care across multispecialty clinical settings by assessing patients, administering medications and treatments, coordinating referrals, assisting with procedures, and documenting care accurately in the electronic health record.

The ideal candidate will bring recent hands-on nursing experience, sound clinical judgment, strong communication skills, and the ability to collaborate effectively with physicians, providers, and multidisciplinary teams. Candidates should be comfortable working flexible shifts based on mission needs, including possible days, evenings, nights, weekends, training holidays, and federal holidays.

This opportunity is well suited for a dependable RN who values patient-centered care, professionalism, continuity of care, and service in a mission-focused military treatment facility.

Essential Functions and Job Responsibilities

• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Provide health promotions, counseling, and education.
• Administer medications, wound care, and numerous other personalized interventions.
• Direct and supervise care provided by other healthcare professionals.
• Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Make referral appointments and arrange specialty care as appropriate.
• Perform nursing services identified in the TO.
• Conduct research in support of improved practice and patient outcomes.
• Performs independent, comprehensive telephone, clinical triaging, and
• facilitate care throughout multidisciplinary locations.
• Acts as relief nurse, triages, and screens walk-in patients to assess the severity of the patient’s condition and need for provider intervention.
• Communicate with other providers regarding determinations and situations relating to direct patient care.
• Screens patient charts to assess medical history to determine health care needs.
• Makes psychosocial assessment of patients to identify significant cultural practices, ability to understand and cooperate, and expectations of care and coping mechanisms.
• Executes and/or ensures the completion of orders from health care providers.
• Recognizes and reports abnormal test results, changes in symptoms, and the need for follow-up.
• Records required data in patient charts.
• Assists health care providers with examinations and procedures.
• Responsible for educating patients for high risk, painful, or stressful procedures with education and support.
• Monitors or ensure the monitoring of patients pre, during, and postprocedures per CRDAMC MTF guidelines.
• Assess post-procedure patients prior to their release from the clinic.
• Monitors patients pre, during, and post procedures. Assess postprocedures prior to release from clinic.
• Prepares and administers oral, subcutaneous, intra-muscular, and intravenous medications.
• Complete thorough and accurate documentation, within established guidelines, for all patient care and procedures.
• Demonstrates and instructs patients on the proper administration self-medicated prescriptions.
• Educate patients and ensure distributed instructions are understood for maintenance of health and self-care. Provides clinic one-on-one patient orientation and educational activities related to acute and/or chronic illnesses, self-care, wellness and/or preventive health measures, normal development, and physiology.
• Assesses patients’ emotional, cognitive, social, and motivational status relative to education and determines patients and/or family educational needs and priorities.
• Interact with patients and/or family in stressful environments.
• Assists patients’ compliance with medical treatment plans telephonically or through in-person clinic visits.
• Identify self as a contract worker, coordinate patient referrals to a variety of health care services to include, but not limited to, community health nurse, health promotion center, social work service, dietician, clinical nurse specialist, chaplain, and other ancillary services as directed by attending physician.
• After physician approval, performs nursing assessment of patients’ conditions, nursing diagnosis, and formulates and adjusts nursing plan of care to include nursing orders to support patients’ evolving condition.
• Coordinates prescription refills and after physician approval provides reassurance and/or advice regarding side effects of medications.
• Use tact and diplomacy in notifying patients of laboratory tests that are abnormal per provider instructions, instructing patients on further care

Gastroenterology RN Specific Core Duties.

• Provides specialized nursing care to gastrointestinal patients to include complex cases to include, but not limited to, endoscopic retrograde cholangiopancreatography (ERCP), biliary, and pancreatic disorders.
• Knowledge with EKG and rhythm tracings, colonoscopy, endosonoultrasound, endoscopic retrograde cholangiopancreatography, upper esophagogastroduodenoscopy, hepatic tissue biopsy, Brave wireless capsule pH probe application, and advance motility testing using both solid state catheters and water perused systems.
• Monitor patient post-procedure activities to assess patient status, comfort, inspection of venous and arterial sites, inspection of telemetry and 12-lead electrocardiography data, and surveillance of appropriate medical therapy.
• Assist physicians during endoscopy procedures by providing necessary instruments and equipment.
• Perform nursing duties in the endoscopy procedure room, including assisting with pre-operative processes, monitoring vital signs, and documenting procedural findings.
• Assist the anesthesiologist and gastroenterologist during procedures.
• Assist with checking in, booking, and scheduling patients

Minimum Requirements

• US Citizen

• Associates Degree of Nursing. Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE).

• Shall possess one (1) year of clinical or inpatient experience, post-education/graduation and post-licensure, within the last two (2) years providing direct care in multispecialty inpatient or outpatient clinical settings.
• Experience must demonstrate recent hands-on proficiency in assessing, planning, implementing, and evaluating nurse care for patients across diverse medical and surgical specialties in accordance with current professional nursing standards
• Professional Certification (s):
  • Gastro: ACLS, BLS
  • Current, full, active, and unrestricted license to practice as a Registered Nurse.
  • Basic Life Support (BLS) by AHA or American Red Cross

Additional Information

• Must pass TB Test
• Subject to a background/security investigation
• Willingness to comply with DHA vaccination requirements.
• Willingness to complete a physical examination
• Pre-employment drug screening
• Required to wear PPE during performance of services.
• Walking, long periods of standing, stretching, crouching, bending, stooping, lifting to 50lbs, lifting over 50lbs with assistance.
• Exposure to infections disease; toxic, hazardous, or irritating chemicals; carcinogenic materials; noxious fumes; flammable liquids; radiation; pathogenic bacteria; electric hazards.
• Contract workers should maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance.

Company Benefits

PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.

EEO Commitment

It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law. Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Human Resources by emailing [email protected], or by dialing 703-575-8400.