Registered Nurse/Scribe

Job Description

Job Description

Description:

Job Title : Registered Nurse

Supervisor: Clinic Lead

Employment Type: Full-Time

FLSA Classification: Non-Exempt

Location: Various

Requirements:

SUMMARY OF RESPONSIBILITIES

The position of Registered Nurse (RN) is responsible for assisting the Provider with patient visits during clinic, as well as administering moderate sedation during procedures.

ESSENTIAL FUNCTIONS

During clinic, the essential functions of the Registered Nurse position can be divided into two categories – Scribe duties and Circulator duties. During any particular patient visit, the RN may be responsible for performing some or all of these functions, depending on the nature of the visit, the direction of the Provider and the presence or absence of a second assistant during the particular patient visit.

The Scribe duties that may be assigned to the RN include, but are not limited to, the following:

(1) Accompanying Provider into the patient examination room and accurately documenting the Provider’s encounter with the patient, including HIP, ROS, Physical Assessment, Education, Lab Orders, Radiology Orders, Assessment/Plan, Billing, and Meaningful Use. The position does not complete charting documentation for prescriptions.

(2) Ensuring that the Provider reviews and signs off on the patient’s chart.

(3) Regularly monitoring voicemails and promptly returning phone calls from patients.

(4) Regularly monitoring EMR messages and responding in a timely manner.

(5) Performing other related duties as assigned.

The Circulator duties that may be assigned to the RN include, but are not limited to, the following:

(1) After each patient visit, updating Face Sheet Plan with all pertinent information including but not limited to UDS/PMP/Pill Count Consistent/Inconsistent, Repeat UDS, Procedures/Imaging/PT, and Medication Refills/Changes/Weaning Plan.

(2) Documenting Warnings/Violations/Inappropriate Behavior in “Alerts” or in the personal notes section of the Face Sheet.

(3) Updating Past Medical History ICD codes, reconciling current medication list, performing pill counts, and entering PQRS codes.

(4) Obtaining and recording patients’ vital signs in the medical health records software.

(5) Completing letter out referrals for orders.

(6) Sending messages for prior authorizations for back braces.

(7) Scheduling patients’ next appointments.

(8) Regularly monitoring voicemails and promptly returning phone calls to patients.

(9) Regularly monitoring EMR messages and responding in a timely manner.

(10) Performing other related duties as assigned.

In addition, during procedures, the RN is responsible for administering moderate sedation to patients. The essential functions relative to this aspect of the RN position are as follows:

(1) Demonstrating knowledge of anatomy, physiology, pharmacology, cardiac arrhythmia recognition and complications related to sedation/analgesia medications.

(2) Assessing total patient care requirements before, during and after administration of sedation/analgesic medication.

(3) Understanding principles of oxygen delivery, respiratory physiology, transport/uptake. And demonstrating the ability to use oxygen delivery devices.

(4) Recognizing potential complications of sedation/analgesia for each type of agent being administered.

(5) Possessing the required knowledge and skills to assess, diagnose and intervene in the event of complications or undesired outcomes to institute nursing interventions in compliance with orders (including standing orders) and institutional protocols.

(6) Performing other related duties as assigned.

CORE COMPETENCIES

• Excellent oral and written communication skills
• Strong telephone communication skills
• Knowledge of current medical terminology to communicate with physician, staff, and patients
• High level of attention to detail
• Strong organization, filing, and time management skills
• Basic computer literacy and typing
• Patient focused

REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS

The position requires a valid, unrestricted Arkansas Registered Nurse license, ACLS and BLS certification, current influenza vaccination, current TB skin test. One (1) year of prior relevant experience is preferred.

WORKING ENVIRONMENT AND PHYSICAL DEMANDS

This is a full-time position. Days and hours of work are expected to include 7:00 a.m. to 5:00 p.m. Occasional overtime may be required. The position operates in a professional office environment and the incumbent, in the course of performing this position, spends time writing, typing, speaking, listening, driving, seeing (such as close, color and peripheral vision, depth perception and adjusted focus), sitting, walking, standing, and reaching. The incumbent may operate any or all of the following standard office equipment including but not limited to multi-line telephone system, postage mater, facsimile machines, calculator, photocopy machine, computer/printer, and coffee maker. The incumbent may operate medical equipment. The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job.

OTHER

Employee performance, in part, is evaluated based upon completion of the tasks listed herein. PTCOA/ISI reserves the right to change this job description at any time according to business needs and/or assign tasks that it may deem appropriate. This document does not represent a contract of employment, and employment with PTCOA/ISI may be terminated by the employee or employer at any time, for any reason.