Boise Veterans Affairs Medical Center (BVAMC) is an interdisciplinary teaching facility with service-lines serving medical, surgical, inpatients and outpatients, with an Emergency Department, and multiple community-based outpatient clinics (CBOC). There is a large outpatient psychiatric population, with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home. The Endoscopy nurse is assigned to Nursing Service and Endoscopy Unit. The Endoscopy nurse practices in a complex patient care setting with minimal supervision. This nurse is accountable as assigned as a primary nurse for care of a defined group of patients on his/her shift or for an entire episode of care. This nurse will be assigned as a preceptor to new or less experienced staff or as a program charge nurse. This nurse will be involved in department and hospital wide committees. Duties include but are not limited to: Educates patients and care providers on the appropriate procedural preparations including laxative preps, dietary restrictions, medication adjustments and post procedure care needs for endoscopic procedures. Safely and efficiently track patients post procedure including post procedure follow up calls and facilitation of agreed upon dates for return to clinic (AUD/RTC) order placements. Documents all patient education and GI pre-op's in the electronic medical record. Documents moderate sedation procedural information on the moderate sedation flow sheet. Acts as a nursing consultant in the care and monitoring or patients using procedural protocols. Participates in Medical Center and Service level Quality and Performance Improvement activities including preparation to meet Joint Commission, OIG, VISN and facility accreditation requirements. Plans and coordinates health education and endoscopy procedural teaching to patients and significant others. Assumes responsibility for the care for endoscopy patients and the supervision of technical staff assigned to the care of endoscopy patients. Administers and evaluates pharmacological and other therapeutic treatment regimens. Monitors and assesses the patient receiving moderate sedation and analgesia throughout diagnostic and therapeutic endoscopic procedures. Provides monitoring for moderate sedation patients post procedure per hospital guidelines. Functions as endoscopic technician in the absence of GI medical instrument technicians and while on call. Ensures that all documentation in the endoscopic unit is in compliance with all standards and medical center policies and procedures. Maintains moderate sedation and endoscope pre-treatment/reprocessing competencies. Establishes priorities in making ethically and clinically sound decisions to ensure safe patient care. Assists and anticipates appropriate procedural interventions during diagnostic and therapeutic procedures to promote optimal, cost-effective patient outcomes. Collaborates with multidisciplinary team members in planning patient care; acting as a resource for other health care team members. Responds to emergency situations to promote optimal patient outcomes by recognizing changes in the patients' health status. Ensures appropriate par levels of specific therapeutic endoscopic supplies maintained in accordance with unit requirements. Work Schedule: Monday-Friday, varying tours from 7:00 am to 4:30 pm, must take call (1 week of call approximately every 9 weeks) Compressed/Flexible: Available Telework: Not available Virtual: This is not a virtual position. Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.