GI/IR Hybrid Registered Nurse
Folsom, California
Mercy Hospital of Folsom

Registered Nurse - GI-IR Hybrid

Location: Folsom, California
Contract Length: 13 weeks

Job Overview

This is a unique hybrid role combining Gastrointestinal (GI) and Interventional Radiology (IR) nursing. The position involves covering IR/procedural sedation in the mornings and GI cases in the afternoons. The role primarily functions as a circulator in GI cases, with preference for candidates who can also tech for GI procedures. No preoperative or recovery duties are required.

Schedule & Call

• Shifts: 10-hour shifts on Monday, Wednesday, Thursday, and Friday
• Call: GI coverage Monday-Friday 4 PM to 8 AM, and Saturday-Sunday 7 AM to 8 AM (approximately 25 hours/week)
• Holiday: One holiday shift during the contract if applicable
• Floating: May be required to float to other units or a sister hospital depending on skillset (possible units include GI, IR, ICU, or ER)

Caseload

• GI: 3 cases per day Monday-Thursday; 7-8 cases on Friday
• IR: 3-7 cases per day depending on focus (if hybrid, generally 3 IR cases/day)
• Common GI cases: EGDs, colonoscopies, ERCPs, occasional stents and banding for bleeds
• Common IR cases: dialysis catheters (tunneled), paracentesis, thoracentesis, liver biopsies (basic, non-vascular)

Required Certifications

• BLS (AHA)
• ACLS (AHA)
• PALS (AHA)
• NIH Stroke Scale (NIHSS)
• Procedural Sedation Certification (must be obtained during orientation)

Required Experience & Skills

• Minimum 1 year of nursing experience
• If IR-focused only: 1 year experience in IR, ICU, or ER required
• Strong preference for candidates with knowledge or experience teching for GI cases
• Ability to cover both GI and IR areas is ideal; candidates with strong IR experience but no GI experience will also be considered
• Must pass a Dysphagia Exam within 24-48 hours of acceptance (pass/fail with two attempts allowed)

Job Duties

• GI: Primarily circulator; tech role preferred if experienced
• IR: Circulating and procedural sedation
• No preoperative or recovery responsibilities
• May assist with scope cleaning on weekends if willing to train

Orientation & Work Environment

• Approximately 5 days of unit/department-specific orientation including charting system training
• Small department with supportive physicians
• Charge nurse oversees both GI and IR units and does not take patient assignments
• No dedicated GI techs; RNs perform tech duties in this role
• IR techs scrub during procedures

Additional Notes

• Must provide 2 supervisory references from modality submitting to (one within 12 months, one within 3 years)
• May be asked to float to ICU or ER depending on skillset
• Dress code and scrub color provided

Electronic Medical Record (EMR) System

• Cerner