RN Specialty, UroGyn, Dr. Gini Ikwuezunma, Mount Juliet

Job Summary

As a member of the HMA patient care delivery team, the RN may perform routine clerical, administrative, and clinical duties within the scope allowed under the TN Board of Nursing in order to ensure an operationally efficient, thorough, and positive patient experience. This position reports to the designated Site or Department Manager and may be assigned to a specific clinic/provider and/or float to various clinics/providers based on business needs and must demonstrate the ability to work collaboratively and effectively with physicians, providers, fellow team members, patients, and the general public in the performance of all job duties. In addition to the duties listed below, the RN may be required to perform other related duties as requested/assigned at a level that meets and/or exceeds HMA expectations. RN must be customer focused and driven to grow and to further develop a working culture consistent with HMA's mission, vision, values, and commitment to high standards of ethical and business conduct and compliance with all applicable laws and regulations and third party payer requirements.

Job Requirements

Required

Must possess a valid Tennessee State RN license; graduation from an accredited RN program

Current Cardiopulmonary Resuscitation (CPR) certification

Knowledge, skills and abilities to provide limited patient care / treatment specific to the age of the population served:
• vital signs
• charting
• medical terminology
• patient focused customer service
• medication administration / effects
• clinic procedures
• patient education
• various types of equipment used in examination and treatment procedures
• administer IV
• infection control guidelines
• safety and HIPAA guidelines (patient confidentiality)
• sterile techniques and sterilization process, etc.

Preferred

Experience and/or an understanding of electronic health records (EHR) i.e. Allscripts software

Prior experience in a large multi-specialty physician practice

Core Competencies

Clinical

1. Gathers, via direct care and/or telephone encounters, clinical data and maintains documentation in the clinical record (initials/dates) to ensure accurate tracking of medical treatment, i.e. chief complaint, vital signs, allergies, medications, advanced directive, growth charts, pain score, health history - i.e. immunization records, allergy injection record, etc.; completes Comprehensive Health Assessment as indicated annually

2. Notifies physician / provider immediately of patient's status, pending lab test results, and any abnormal data / complaints observed or obtained from the patient - i.e. breathing difficulties, adverse drug reactions, medication effectiveness, cardiac arrhythmias, etc. and administers CPR should the need arise; notifies other personnel of physician orders; preps charts for physician(s) as instructed

3. Triages patients appropriately - i.e. face-to-face encounter, phone calls and Follow My Health messages and informs physician / provider of issues in a timely manner

4. In accordance with established protocol/policy and consistent with the age of the patients served, properly prepares (correct dosages) and administers (sub-Q, intra-muscular, intra-dermal, intra-venous / infusion) medication, allergy serum, immunizations, O2, treatments, tests (flu, Mono, Strep, TB, etc.) as ordered; demonstrates knowledge and understanding of dosages, reactions, and side effects of medications; accurately documents in patient's

5. Correctly conducts CLIA waived testing - i.e. glucose, UAs, pregnancy, strep, etc. as ordered; follows established lab protocol/guidelines i.e. controls (strep, urine, RSV, Flu, hemoglobin, cholesterol, lipid, A-disk, pregnancy, etc.)

6. Accurately follows established procedures for collecting, documenting, and handling various specimens / cultures - i.e. throat, wound, stool, urine, sputum, etc.; infection control in the handling and disposing of infectious / hazardous waste materials.

7. Appropriately uses/operates/troubleshoots various equipment needed in delivering patient care - i.e. scales (infant / adult), digital thermometer, EKG, pulse oximeter, oxygen/nasal cannula/mask, nebulizer, spirometer, Holter Monitor / event recorder, lead placement, Snellen, audiometry, endoscopes/endoscopic accessories, patient monitoring, Ambu bag, AED, crash cart, stretcher, etc.

8. Assists physician and/or provider with patient encounter including: patient education / instruction, lab tests, results, reports, etc. and with various procedures / set-up - e.g. pap and pelvic, lesion removal, biopsies, ear irrigation, colposcopy, sutures, etc.; keeps exam rooms stocked and room and equipment clean in accordance with established schedule

9. Properly cares for patient - e.g. clean wounds, assist with suturing, apply sterile dressings, accurate in labeling/photo of patient skin conditions, knowledge of phototherapy booth, access/assess port, assess sedation effects, ensures peripheral venous access, provides discharge instructions, etc.

10. Calls in / e-scribes / prints prescriptions to pharmacies as ordered by the physician / provider and documents in patient's chart accurately and timely.

11. Maintains sample medications by checking refill lines timely, enters samples provided to patient in the computer and documents appropriately; remove / dispose of expired medications; ensures sample medication and other medication and supplies are adequately stocked and maintained in locked/secured areas.

12. Performs all job duties listed in this job description, as well as, other related duties as assigned/directed in a manner that ensures timely completion of clinic workflows, clinic operations, and navigating the patient through their encounter (in person/telephone/HMA patient portal); all work activities must promote patient satisfaction, efficiency, and a collaborative, team-spirited environment

Administrative

1. Ensures sterile instrument processing is completed timely in accordance with established protocol and manufacturer recommendations - i.e. check instrument expiration dates, cleans and disinfects equipment, accessories, and packages items

2. Accurately schedules patient with physician, other specialty physicians, surgeries, by:

1) informing patient of prep required for procedures / labs

2) obtaining necessary consent forms

3) obtaining (in advance) pre-certifications, PA's, and referrals when mandated by insurance company

3. Tracks initial specialist office visit appointment to ensure patients keep appointment, completes charts and charge tickets; reviews and verifies codes for physician charges

4. Demonstrates knowledge of Occupational Medicine procedures including pre-employment, physical exams, appropriate lab testing, and treatment of work related injuries; knowledge of appropriate referral process

5. Tracks all diagnostic studies to ensure results are received and patient is informed of results as directed by the physician and /or the provider

6. Maintains a clean and orderly work area and adheres to Quality Control Guidelines such as monitoring medication refrigerator temperature, eye wash checklist, O2 checklist, Code Cart Maintenance, AED checklist, and the autoclave checklist.

Clerical

1. Answers phones and returns phone calls / voice mail (within 24 hours) in a positive and professional manner ensuring customer needs are adequately addressed

2. Timely orders supplies / accessories to avoid shortages / outages which may impede the delivery of patient care services

3. Properly uses the copy machine and faxes - ensures paper trays are filled, ink cartridges are replaced as needed, and maintenance is called if necessary

4. Completes HMA required forms accurately and timely - i.e. Incident /Accident report, Occurrence report, Needle Stick report, clinic nursing forms, logs, mammogram, MME, patient referral forms, etc.

5. Complies with HMA policies and procedures and accreditation agencies, OSHA, etc.

6. Attends and actively participates in required clinic meetings, huddles, and training to remain current of operational / workflow changes and to further develop skill set

Customer Service

1. Displays sensitivity, courtesy, and respect when dealing with patients, team members, and the general public

2. Demonstrates a willingness to ensure customer questions are answered and their needs are addressed - goes the extra mile to assist others and ensure the message delivered is received as intended

3. Exhibits behavior that is consistent with HMA's mission, vision and values

Interpersonal Skills

1. Is open and receptive to constructive criticism from HMA leadership, Physicians / providers, co-workers and patients and responds in a positive, non-confrontational manner

2. Responds in a calm, private, and professional manner when involved in adversarial situations or in situations involving conflict with others - involves supervisor as appropriate

3. Addresses and responds to others in a professional manner - speaks clearly, listens, offers assistance, and answers questions succinctly and accurately

4. Serves as a mentor to new employees and willingly assists them through the orientation process

5. Demonstrates behavior that is collegial, team spirited, and collaborative in working with other members of the HMA team; does not participate in gossip or interactions that break down team

6. Works collaboratively with fellow team members and volunteers to assist others without being asked or directed in order to promote a team spirited work environment and to ensure the workflow and processes are completed and the patient experience is seamless and positive; seeks out work when own work is completed

Education & Certification

REQUIRED

• Valid Tennessee State RN license (and/or compact RN license).
• Graduation from an accredited RN program.
• Current CPR certification.

PREFERRED

• EHR experience preferred; EPIC familiarity a plus.
• Prior experience in a large multi-specialty physician practice.

Physical Demands and Work Environment

• Must be able to stand for 8 to 10 hours a day
• Requires regular walking, bending, pushing, pulling and lifting
• Must be able to lift at least 25lbs
• Must be able to assist patients with transfers from chair to wheelchair, to exam tables, and back to wheelchair/chair
• Must be able to assist patient with turning/positioning on exam table
• Must be able to push patient in wheelchair
• Must be able to manipulate objects-reaching, grasping, handling
• Must exhibit good communication skills-understand, respond and translate into action
• Ability to delineate between numeric numbers
• Clinical setting; exposure to communicable diseases, bloodborne pathogens, medical preparations and other conditions common to a clinical environment.