U.S. Department of Defense
About the Position
This position is located within the Gastroenterology Service, Tacoma, Washington. The purpose of the work is to aid with and performance of a variety of complex diagnostic and therapeutic procedures for patients with various disorders of the gastrointestinal tract.
Serve as a rotating on‑call nurse staff for various weekdays and the occasional weekend for the MTF, to include a 30‑45 minute report time.
This is a Direct Hire Solicitation
Duties
Provide comprehensive nursing care to patients with complex gastrointestinal disorders in the outpatient and critical care area of the hospital - ICU East/West, the Emergency room, Radiology, or the Operating Room.
Educate patients/family about normal gastrointestinal function and the underlying disease processes associated with gastrointestinal disorders.
Promote a multi-disciplinary environment to ensure a safe patient care environment is maintained, including comprehensive knowledge of the inpatient environment.
Serve as a preceptor and subject matter expert for the interdisciplinary team, including serving as charge nurse.
Triage clinical data to identify deviations, perform appropriate interventions and notify the physician of findings/interventions/recommendations.
Identify and interpret life‑threatening situations, and initiate appropriate emergency interventions as necessary.
Perform targeted patient assessments to ensure admit criteria has been met for the scheduled endoscopy procedure and sedation level.
Perform targeted patient assessments to ensure sedation level is appropriate to the type of sedation ordered/consented.
Perform targeted patient assessments to ensure discharge criteria has been met, to include management of acutely unstable patients.
Operate and maintain specialized equipment, including advanced endoscopy equipment, endoscope automatic re‑processor and telemetry monitors.
Document comprehensively within the patient chart (endoscopy software and local EHR), including systematic audits.
Perform care across the outpatient and inpatient continuum, serving as a resource nurse for the gastroenterology and anesthesia team, as needed.
Assist the physician with diagnostic and therapeutic EGDs, colonoscopies, flexible sigmoidoscopies, ERCPs, EUS, biliary stents, stricture dilations, and foreign body removals.
Perform interventions to ensure airway and hemodynamic stability including intravenous medications, fluid resuscitation and airway maintenance.
Perform moderate sedation (intravenous administration) and assess/monitor their effects IAW local guidance.
Requirements
Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
A Personnel Security Investigation Tier 1 is required.
Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
This position is a Testing Designated Position subject to pre‑employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing.
A pre-placement medical examination is required.
Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS.
Applicants must be able to fulfill non‑privileged professional credential requirements.
Moderate to heavy lifting up to 35 pounds is required.
This position may require the incumbent to work occasional weekends for the Military Treatment Facility (MTF) to include a 30‑45 minute report time.
Position requires employee to wear a uniform and/or protective clothing.
Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.
Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
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Serve as a rotating on‑call nurse staff for various weekdays and the occasional weekend for the MTF, to include a 30‑45 minute report time.
This is a Direct Hire Solicitation
Duties
Provide comprehensive nursing care to patients with complex gastrointestinal disorders in the outpatient and critical care area of the hospital - ICU East/West, the Emergency room, Radiology, or the Operating Room.
Educate patients/family about normal gastrointestinal function and the underlying disease processes associated with gastrointestinal disorders.
Promote a multi-disciplinary environment to ensure a safe patient care environment is maintained, including comprehensive knowledge of the inpatient environment.
Serve as a preceptor and subject matter expert for the interdisciplinary team, including serving as charge nurse.
Triage clinical data to identify deviations, perform appropriate interventions and notify the physician of findings/interventions/recommendations.
Identify and interpret life‑threatening situations, and initiate appropriate emergency interventions as necessary.
Perform targeted patient assessments to ensure admit criteria has been met for the scheduled endoscopy procedure and sedation level.
Perform targeted patient assessments to ensure sedation level is appropriate to the type of sedation ordered/consented.
Perform targeted patient assessments to ensure discharge criteria has been met, to include management of acutely unstable patients.
Operate and maintain specialized equipment, including advanced endoscopy equipment, endoscope automatic re‑processor and telemetry monitors.
Document comprehensively within the patient chart (endoscopy software and local EHR), including systematic audits.
Perform care across the outpatient and inpatient continuum, serving as a resource nurse for the gastroenterology and anesthesia team, as needed.
Assist the physician with diagnostic and therapeutic EGDs, colonoscopies, flexible sigmoidoscopies, ERCPs, EUS, biliary stents, stricture dilations, and foreign body removals.
Perform interventions to ensure airway and hemodynamic stability including intravenous medications, fluid resuscitation and airway maintenance.
Perform moderate sedation (intravenous administration) and assess/monitor their effects IAW local guidance.
Requirements
Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
A Personnel Security Investigation Tier 1 is required.
Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
This position is a Testing Designated Position subject to pre‑employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing.
A pre-placement medical examination is required.
Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross or American Heart Association. Advanced certification (e.g., ALS) does not supersede BLS.
Applicants must be able to fulfill non‑privileged professional credential requirements.
Moderate to heavy lifting up to 35 pounds is required.
This position may require the incumbent to work occasional weekends for the Military Treatment Facility (MTF) to include a 30‑45 minute report time.
Position requires employee to wear a uniform and/or protective clothing.
Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.
Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
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