Registered Nurse

Registered Nurse

The mission of Health Services is to create the best possible experience for every patient in a Christ-centered environment. The Registered Nurse supports this mission by providing safe, compassionate, evidence-based nursing care; performing patient assessment and triage; supporting physicians and clinical staff; educating patients; coordinating care; and helping the Health Center deliver accessible, high-quality, and cost-effective services. The Registered Nurse works with patients across the lifespan, including newborns, children, young adults, adults, and older adults.

Major Accountabilities

Nursing Services Assessment and Triage

Provides nursing assessment, intervention, and triage for family practice and college health patients in the clinic and by telephone; provides immunizations for infants, children, and adults; therapeutic and allergy injections; nebulizer treatments; venipuncture; IV therapy; ear irrigations; wound care; and other nursing services within scope, training, and Health Center policy; responds to urgent and after-hours nursing questions as assigned; documents assessments, interventions, patient instructions, and follow-up in the electronic medical record; applies sound clinical judgment and promptly communicates significant findings to the physician or other appropriate clinician.

Patient Education Care Coordination and Referrals

Provides patient education related to diabetes management, chronic disease prevention, coronary heart disease, asthma control, family planning, maternity and newborn care, college health, first aid, medications, and wellness; reinforces treatment plans and promotes adherence; facilitates referrals to specialists, hospitals, and other providers, obtaining appropriate preauthorization from DMBA; supports chronic disease case management and continuity of care; communicates with patients and families in clear technical and nontechnical language while maintaining cultural sensitivity and confidentiality.

Diagnostic Testing Procedures and Physician Support

Performs and documents waived-category laboratory testing and other diagnostic services within training and authorization, including Hemocue hemoglobin and glucose analyzers, Alere Afinion HgbA1C analyzer, Siemens Clinitek+ urinalysis unit, Sofia 2 analyzers for influenza, COVID, RSV, and strep testing, Osom Mono test kit, OneStep+ HCG test; performs electrocardiograms and other assigned clinical testing; assists the physician with surgical, pelvic, casting, and minor procedures, including room setup, equipment preparation, patient support, cleanup, and sterilization.

Clinical Team Support Quality and Compliance

Assists nurse manager with OSHA exposure control, blood-borne pathogen safety, CLIA quality control, infection prevention, housekeeping, and equipment cleaning and sterilization; participates in required staff education, retraining, and quality-improvement activities; supports a positive image of the Health Center and University and performs other duties assigned by the supervisor.

Medication Supply and Equipment Management

Prepares medications as authorized, labels vials, and provides medication instructions to patients; assists with vaccination ordering and inventory as assigned.

Emergency Response and Campus Health Support

Responds to on-campus medical emergencies and assists with emergency stabilization within scope and training; supports tuberculosis testing and clearance for students and BYU-H employees in compliance with Hawaii State health laws; administers Hepatitis B vaccine to high-risk employees as assigned and authorized; participates in Health Center and University activities that support student and employee health.

Qualifications and Experience

Education and work experience: Must possess a current Registered Nurse license in the State of Hawaii and a Bachelor of Science in Nursing (BSN) degree. Three years of acute nursing experience is required. Experience in medical-surgical nursing, family practice, ambulatory care, pediatrics, women's health, or college health is particularly valuable. Demonstrated experience in patient assessment, telephone triage, immunizations, chronic disease management, patient education, office procedures, point-of-care testing, electronic medical records, and medication administration is highly preferred.

Skill Set: Strong patient assessment, triage, clinical judgment, prioritization, problem-solving, and decision-making skills. Knowledge of nursing procedures, medical terminology, medications, immunizations and immunization schedules, infection prevention, OSHA and CLIA requirements, and outpatient clinical workflows. Proficient computer skills, including electronic medical records, electronic mail, Microsoft Word, Excel, and other office and clinical systems. Excellent verbal and written communication, organizational, leadership, teaching, and interpersonal skills. Ability to maintain confidentiality, work effectively with patients and families from diverse backgrounds, remain calm in a busy clinic, and communicate in another language is helpful.

License or Certification: Current, unrestricted Hawaii Registered Nurse license; current Basic Life Support (BLS) or CPR certification; current continuing education necessary to maintain licensure and clinical competency. Certification by the Hawaii State Department of Health to administer and read PPD skin tests is preferred or must be obtained when required by the position.

Decisions Made and Referred

Decisions made independently by this position:

Nursing assessment, triage, and initial nursing plan of care

Patient education, follow-up instructions, and nursing interventions within scope

Selection and performance of authorized nursing procedures and point-of-care testing

Identification of urgent findings and initiation of emergency response within training

Recommendation and coordination of appropriate referrals and follow-up

Professional development and continuing competency activities

Decisions referred to the supervisor or physician:

Medical diagnosis, treatment decisions, and orders outside nursing scope

Duties to be delegated to medical assistants and other unlicensed personnel

Training, preceptorship, skills assessment, and performance evaluation of medical assistants

Medical staff scheduling, staffing levels, and personnel matters

Delegation of CLIA, OSHA, infection-control, and compliance tasks

Medical staff in-services, policy changes, and major operational changes

Medication and medical-supply ordering outside established procedures, budgetary matters, and capital purchases

Work Schedule

Regular clinic hours are Monday through Friday from 8:00 a.m. to 5:00 p.m., with a one-hour lunch period to be taken between 12:30 p.m. and 2:00 p.m. The Registered Nurse may need to work before 8:00 a.m. or after 5:00 p.m. as warranted and may be assigned after-hours telephone triage, emergency response, or other coverage consistent with Health Center operations.

Training and Evaluations

The Registered Nurse is expected to participate in mandatory University and Health Center training programs, including regulatory, compliance, safety, blood-borne pathogen, OSHA, CLIA, emergency response, and electronic medical record training. The Registered Nurse maintains clinical competency through continuing education, professional development, current nursing literature, and approved educational activities. Performance evaluations will be conducted annually by the Director and will include assessment of clinical quality, patient safety, documentation, patient education, teamwork, professionalism, competency, compliance with university policies, and stewardship of Health Center resources.

Regulations

All activities must comply with applicable federal and State of Hawaii laws and regulations governing the practice of nursing, including HIPAA, OSHA, CLIA, blood-borne pathogen standards, communicable-disease requirements, and professional standards of care. Employees are expected to support and comply with university policies, including the BYU-Hawaii Honor Code and the values and standards of The Church of Jesus Christ of Latter-day Saints.

Work Environment

Work is performed primarily indoors in a pleasant yet challenging outpatient Health Center. The Registered Nurse routinely provides care for patients with acute illnesses, injuries, chronic medical conditions, and preventive-care needs and may be exposed to communicable diseases, blood-borne pathogens, hazardous medications, chemicals, medical sharps, infectious waste, and biological materials. Patient volume and acuity may fluctuate throughout the day. The Registered Nurse must demonstrate flexibility, sound clinical judgment, and the ability to respond effectively to changing priorities and urgent medical situations.

Equipment Used

Diagnostic equipment: EKG, stethoscope, blood-pressure equipment, pulse oximeter, thermometer, spirometer, infant scale, and oxygen regulator. Emergency and treatment equipment: defibrillator, IV equipment, nebulizer, wound-care supplies, medication administration equipment, and ear-irrigation equipment.

Laboratory equipment: Hemocue hemoglobin and glucose analyzers, Alere Afinion HgbA1C analyzer, Siemens Clinitek+ urinalysis unit, Sofia 2 analyzers for influenza, COVID, RSV, and strep testing, Osom Mono test kit, OneStep+ HCG test, centrifuge, microscope, and autoclave, vaccine freezer and refrigerator.

Office and information systems: electronic medical record system, pharmacy program, desktop or laptop computer, printer, copier/scanner, telephone, and related office equipment.

Physical Requirements

The Registered Nurse must be able to safely perform the physical demands of an outpatient nursing practice, including standing and walking for extended periods;