Endoscopy PACU RN
Seattle, Washington
Harborview Medical Center

Registered Nurse - Endoscopy (Travel/Contract)

Location: Seattle, Washington
Contract Length: 13 weeks

Job Summary

• Role involves working in Endoscopy with sedation experience required.
• Conscious sedation certification is highly preferred.
• Must be proficient in telemetry (Tele) including interpretation and management of dysrhythmias (Relias test required).
• Float required across intake, sedation, and post-procedure areas.
• Nurse-to-patient ratios:

  • Intake area: 1:1
  • Sedation area: 1:1
  • Post-procedure area: 1:2
• CRNAs available for patients requiring MAC sedation.
• Shift: 4 days per week, 10-hour day shifts (8:30 AM - 7:00 PM), with possible early start (7:30 AM) if notified.
• On-call requirement: 1-2 weekend or holiday shifts per month.
• Weekend requirement: 1 weekend call shift per month.
• No block scheduling accommodations.
• Locals accepted; no local radius rule.
• Facility may call off 1 shift per 2-week pay period.
• Float required within endoscopy procedural and pre/post areas.

Required Qualifications

• Valid RN license in Washington.
• Associate of Science in Nursing / Associate Degree in Nursing.
• Minimum 2 years of Post Anesthesia Care Unit (PACU) experience, with at least some experience within the last year.
• Conscious/procedural sedation experience.
• Endoscopy experience.
• Experience with Epic electronic health record system.
• ACLS certification issued by the American Heart Association.
• BLS certification issued by the American Heart Association.

Competencies & Testing

• Relias Advanced Dysrhythmia Exam (pass with 80% or higher, max 2 attempts) required prior to start.
• Conscious Sedation Competency Exam required for GI Lab/Endoscopy.
• Medication/Pharmacology competency exam required (80% minimum in dosage calculations).
• Orientation testing is pass/fail with 80% passing score.

Facility & Work Environment

• Magnet-designated, teaching hospital, Level I Trauma center.
• Preference for candidates with experience in high volume, high acuity, teaching, and trauma settings.
• Unit staffed with 4 beds.
• Charting system: Epic (hard stop).
• Daily onsite parking available (fees apply).
• Offsite parking with shuttle service available on weekdays.

Background Checks & Compliance

• 7-year criminal background check required within 45 days of start, including nationwide, sex offender, FACIS Level 1, and state-specific searches.
• Education verification required for Med Lab Techs (not applicable here).
• WA WATCH search required for Washington state.
• Drug screen within past 12 months required (pending drug screens at discretion).
• 2 professional references required.

Health & Immunization Requirements

• Physical exam within 1 year prior to start recommended (not required by facility).
• Mask fit test within 12 months required (specific mask models).
• Immunizations or titers required:

  • Tdap (within 10 years) or declination with acknowledgment.
  • Measles (Rubeola), Mumps, Rubella: titer or 2 vaccines after 1968 and after 12 months of age, or declination.
  • Hepatitis B: positive titer or completed vaccine series with re-titer, or declination.
  • Varicella: titer or 2 vaccines or declination.
• Annual TB questionnaire required; Qgold, Tspot, or 2-step PPD within 90 days of start (with grace period for pending results).
• Seasonal flu vaccine or declination required during flu season (Sept 29 - Mar 31).
• COVID vaccination or declination required for tracking purposes.

Facility-Specific Documents & Requirements

• Badge photo required (professional, waist-up, clear lighting, simple background).
• Must sign facility-specific job description, license acknowledgment, equipment safety form, health history form, policies and procedures acknowledgment, PCIS agreement, personal data form, and code of conduct acknowledgment.
• Completion of annual stroke education modules required for RNs working in neuro and related units.
• WA multi-state licensed nurses must complete suicide prevention training and demographic attestation prior to start.

Additional Notes

• Candidates must complete all pending license requirements, including fingerprinting, prior to starting.
• Relias EKG exam and Tele Study Guide provided to prepare for dysrhythmia competency exam.
• Facility allows no more than 6 days off between return-to-office (RTO) days.

This position is ideal for experienced acute care RNs with sedation and telemetry skills seeking a travel contract in a high-acuity, teaching, and trauma environment.