Registered Nurse (RN) - In Clinic Phone Triage Internal Medicine Clinic

Job Title

Registered Nurse

Major Job Responsibilities

Provides patient centered nursing care in an outpatient clinic according to established scope of practice guidelines and standards of care. Develops, coordinates and implements the patient plan of care in collaboration with the health care team.

Uses the nursing process to provide ongoing care (assess, plan, intervention, and evaluation). Recognizes and responds to changes in a patient's status and need for care. Determines priorities of patient care based on essential patient needs.

Provides triage and consultation to patient, family, and/or significant others according to protocol and organization guidelines. Communicates with physicians and other members of the health care team. Documents and communicates accurate and timely information regarding patient conditions.

Prepares and rooms the patient for exam by obtaining vital signs and documenting/updating pertinent health information (i.e. chief complaint, allergies, medications).

Performs laboratory procedures (i.e. strep test, wound culture, specimen collection, etc.) using principles of aseptic technique and standard precautions / infection control guidelines. Assists the physician/provider with procedures and surgeries such as pelvic exams, allergy scratch testing, EMG, cautery, colposcopy, etc.

Administers medications, under physician/provider orders, including: immunizations, antibiotics, narcotic pain medications, vitamins, topical agents, insulin, blood thinners, and allergy antigens. Initiates, maintains and discontinues IV therapy; performs mixing of medications according to protocols.

Assesses and provides basic to complex patient education and counseling on the performance of tasks, skills, treatment and self-care integrating health promotion and preventive aspects of care. Follows through with necessary procedure or test requests, prescription refills, new appointment times and referrals to other facilities or services. Refers questions to physician/provider and relays information back to patient as directed.

Performs advanced clinical tasks or skills such as removal of sutures and staples, catheterization, audiograms, laboratory procedures (throat/nose culture, drug screen, phlebotomy - butterfly, venous access, heel stick), spirometry, Holter monitor application, casting, complex wound care, fetal heart tone monitoring, Hickman/port-a-cath/PIC line, central line care, conscious sedation, anti-coagulation clinic operation, etc., with demonstrated competency and under clinical supervision.

Assists in the development and implementation of staff orientation, competency and educational activities. Acts as an expert clinical and department resource. May provide work direction to other staff and/or assist with patient care flow and the provision of services.

Organizes and prepares exam rooms, lab and work areas including: cleaning, stocking, ordering supplies, and maintaining equipment.

Completes routine maintenance and quality monitoring of clinic equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.

Licenses & Certifications

Registered Nurse license issued by the state in which the team member practices, and

Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required.

Degrees

Associate's Degree in Nursing.

Required Functional Experience

No experience required

Knowledge, Skills & Abilities

Excellent communication (written and verbal) and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians. Demonstrated ability to effectively make critical, independent decisions. Excellent organization, prioritization and problem solving skills. Demonstrated leadership skills including delegation, organization, prioritization and building team rapport. Proficient computer skills including keyboarding, navigation within a windows operating system, use of electronic mail and electronic medical records systems.