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Providence Health & Services RN Endoscopy Procedure - Ambulatory Surgery Center *$7,000 Sign-On Bonus* in Spokane Valley, Washington


Providence is calling a Registered Nurse (RN) (Endoscopy Asc, Day Shift, Full Time) to Providence Medical Group in Spokane Valley, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

Offering a $7,000 sign on bonus to any new external candidate hired into this position.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.

In this position you will:

  • Assessment:

  • Assess the physiological health status of the patient:

  • Verify the endoscopic procedure using the consent form, patient’s statement and if needed the surgeon’s verification prior to procedure.

  • Note the condition of the skin for rashes, bruises, lesions and previous incisions.

  • Determine mobility of the body utilizing the patient’s statement, range of motion, and the history & physical.

  • Report deviation of diagnostic studies such as lab or radiology reports.

  • Identify presence of prosthesis such as dentures, pacemakers and joint prosthesis/implants.

  • Note nutritional status such as patient has been NPO.

  • Verify allergies to medication, food, or chemicals

  • Communicate and documents physiological data to other members of the health care team in verbal or written report, including data which may be relevant to discharge planning.

  • Assess the psychological health status of the patient/family:

  • Elicit patient expectations of care and outcome of surgery.

  • Determine level of knowledge and ability to understand, such as language barrier and seeks assistance as necessary.

  • Identify philosophical, religious and cultural beliefs concerning the procedure, such as blood transfusions, disposal of tissue and sacraments.

  • Communicate and documents psychological data to other members of the health care team in verbal or written report, including data which may be relevant to discharge planning.

  • Planning:

  • Establish realistic and attainable goals based on nursing diagnosis and develop a plan of care based on nursing actions to achieve patient goals.

  • Provide positioning aids during the procedure to prevent skin breakdown or impairment of the nervous or vascular system.

  • Provide equipment to insure patient safety in regards to the use of electro cautery or laser during the procedure.

  • Coordinate use of supplies and equipment.

  • Organize nursing activities in logical sequence, prioritizing nursing duties.

  • Coordinate patient care needs with other members of the health care team.

  • Assign activities to appropriate personnel based on their qualifications and the patient needs.

  • Maintain required certifications (CPR/ACLS/PALS) and performs effectively in an emergency situation.

  • Communicate and documents the patient’s plan of care to the health care team in verbal or written report, including that which may be relevant to discharge planning.

  • Implementation:

  • Implement nursing actions in transferring the patient according to plan of care

  • Confirm the patient’s identity using the ID bracelet and verbal conformation from the patient/family.

  • Select appropriate personnel for transport as determined by patient acuity and number of staff needed.

  • Provide emotional needs during transport.

  • Communicate and documents method of transport.

  • Participate in patient/family teaching

  • Participate in pre-operative teaching as needed, such as explanation of procedure and environment.

  • Communicate and documents patient/family teaching.

  • Create and Maintain a sterile/clean field

  • Use principles of aseptic technique in varying situations, such as infection control practices, skin preps, demonstrating knowledge of clean vs. sterile.

  • Initiate corrective action when breaks in technique occur.

  • Maintain sterility while opening sterile supplies for procedure, including pouring solutions onto the field.

  • Adhere to dress code policy for peri-operative areas.

  • Provide equipment and supplies based on patient needs

  • Anticipate needed equipment and supplies.

  • Select equipment and supplies in an organized, timely and cost effective manner.

  • Assure all equipment is functioning before use.

  • Operate mechanical, electrical and powered equipment according to manufacturers’ instructions and the centers policy.

  • Remove malfunctioning equipment from service, tags it appropriately and initiates repair.

  • Use supplies judiciously and in a cost-effective manner.

  • Communicate and documents provisions of equipment and supplies including charges.

  • Administer drugs and solutions as prescribed.

  • Administer medications according to policy.

  • Communicate and documents administration of medications and solutions according to policy, including medication errors.

  • Monitor and control the environment.

  • Control the environment in the procedure room to provide ultimate patient care, such as temperature of room, sensory stimuli, and traffic and noise level.

  • Adhere to all safety policies and procedures.

  • Adhere to sanitation policies for infection control including confine and contain waste disposal.

  • Safe handling of specimens.

  • Respect patient’s rights

  • Demonstrate awareness and practices according to the Patient’s Bill of Rights and the Center’s policies.

  • Provide for patient safety and maintains patient confidentiality.

  • Communicate and documents provisions for patient’s rights as appropriate.

  • Evaluation:

  • Perform nursing actions that demonstrates accountability:

  • Exercise safe judgment in decision-making

  • Demonstrate flexibility and adaptability to changes in nursing practice.

  • Respond in a positive manner to constructive criticism or recommendations for improvement.

  • Demonstrate tact, understanding, and good guest relations when dealing with patients, visitors, physicians, and team members.

  • Practice within ethical and legal guidelines.

  • Seek opportunities for continual learning.

  • Communication and document nursing actions.

  • Evaluate Patients:

  • Develop outcome criteria and measures degree of achievement.

  • Communicate and document degree of achievement to members of the health care team, in a verbal and written report.

  • Evaluate the effectiveness of nursing care:

  • Continuously evaluate the patient’s needs, plan of care, and nursing actions, adjusting the plan as required to provide optimum patient outcomes.

  • Communicate and documents effectiveness of care and results of nursing care to other members of the health care team in verbal and written report, including that which may be relevant to discharge planning.

  • Participate in the Quality Improvement Program activities including identification of aspects of care, collection and analysis of data, formulation of recommendations, implementation of an improvement plan and evaluation of the process.

  • In keeping with the teamwork philosophy, acts as a resource person to other staff.

  • Guideline for Universal Precautions for exposure to blood and body fluids, using appropriate personal protective equipment (PPE).

  • Participate in the orientation of new employees. Attends department staff meetings, and educational opportunities.

  • Demonstrate flexibility in meeting the needs of the Center.

  • Follow AORN Recommended Practices and the Center’s policies at all times.

  • Assist visitors, staff, physicians, utilizing good guest relations.

  • Demonstrate on an annual basis required competencies pertaining to job responsibilities.


Required qualifications for this position include:

  • Graduated from Accredited Nursing Program.

  • Current Washington State Nursing License.

  • Current BLS – Healthcare Provider (must be AHA accredited) for Department 72000 (ASC).

  • Current ACLS - Healthcare Provider (must be AHA accredited) for Department 72000 (ASC) within 90 days of hire.

  • Current PALS- Healthcare Provider (must be AHA accredited) for Department 72000 (ASC) within 90 days of hire.

  • Recent experience in Endoscopy.

  • Moderation sedation experience.

Preferred qualifications for this position include:

  • Bachelor's of Science in Nursing (BSN)

About the ministry you will serve.

Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve

eastern Washington in clinic locations. Our providers and staff strive to create a distinctive health care experience for each

patient – one focused on trust, respect, communication and teamwork.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Clinic/Ambulatory Care Nursing

Location: Washington-Spokane Valley

Req ID: 319778