Registered Nurse (RN) - Primary Care Clinic

Job Title

Assesses, plans, implements, evaluates, and documents nursing care of patients in a non-acute environment. Provides care in accordance with organizational policies, and in accordance with standards of professional nursing practice, utilizing the framework for professional nursing practice and development. Is accountable for the quality of nursing services delivered by self or others who are under his/her direction. Utilizes specialized knowledge, judgment, and nursing skills necessary to assess data, plan, provide, and evaluate care appropriate to the physical and developmental age of assigned patients.

Responsibilities

Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.

Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient's status.

Implements the plan of care through direct patient care, coordination, delegation, and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care. Provides care in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.

Evaluates patient and family response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient response and the effectiveness of teaching.

Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is legible, timely, and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient response to treatment. Notes physician orders accurately and in a timely manner.

Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others by acting as a preceptor or mentor when appropriate.

Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.

In some roles, this position may supervise staff and work flow of the department.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

Qualifications

Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice.

Relates throughout the interview process the experience, training and education needed to perform the job.

Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area.

Bachelor's degree preferred. Professional certification preferred.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.