Registered Nurse

Urgent Care Registered Nurse

Under the direction of the UC Supervisor, this position is responsible to collaborate with the BFMC health care team to promote optimal patient treatment and outcomes by using critical thinking, communication, and assessment skills. An Urgent Care Registered Nurse (RN) implements patient procedures, tests, medication administration and education as ordered by the provider while adhering to policy and regulatory guidelines of Bakersfield Family Medical Group (BFMG). The Urgent Care RN will participate in an interdisciplinary and inter-facility approach to achieving the mission, philosophy, and goals of BFMG. The Urgent Care RN will interact with other departments, clinic personnel, and outside providers in a professional and friendly manner, to create and maintain a positive relationship with our internal and external customers.

Responsibilities include:

• Appropriate telephone etiquette.
• Knowledge of basic nursing skills.
• Triaging patient problems and provide patient education over the phone as, or when appropriate.
• Possesses good clinical judgment, careful listening, critical thinking, and assessment skills in a fast-paced environment while remaining calm and composed.
• Must be skilled on what questions to ask, as she/he cannot rely on visual observations or diagnostic tests to help make a diagnosis of patient's problem.
• Responsible for obtaining and documenting all pertinent patient information.
• Responsible to assist patient to the triage examination room.
• Ability to anticipate, assist, and perform procedures ordered by the provider, within scope of practice.
• Competence on procedures/services offered in BFMC Urgent Care:
• Ankle-Brachial Index
• Specimen collection - blood draw, urinalysis, culture swab, etc.
• Catheterization of the bladder
• Colostomy/Urostomy care
• Wound care and dressing changes
• Ear lavage and eye irrigation
• Electrocardiogram and recognizing basic arrhythmias
• Audiogram
• TB skin testing and result interpretation
• Visual Acuity
• Pulmonary Function Test
• Basic orthopedic splinting and application of Durable Medical Equipment (DME)
• Proficient in intravenous catheter insertion, intravenous medications, and infusion therapy.
• Proficient in intravenous therapy including access and care to peripheral and central lines.
• Proficient in venous access devices (PICC, port-a-cath) - access, infusion, dressing change, maintenance flushing and care according to standards and policy.
• Administer medication as prescribed by a provider, within in scope of practice.
• Capable of obtaining vital signs and knowing the parameter of abnormal highs and lows, and when to notify a provider.
• Responsible for performing CLIA waived and moderate complexity testing.
• Serves as a mentor to support and guide new employees, especially during orientation and training.
• Serve as the clinic expert in the field and act as the resource person for the rest of the staff when it comes to standard of care, and implementation of policies and procedures of the company.
• On the day chosen to work the opening shift, open the unit in the morning and ensure that doors are locked in the evening and the staff will exit as a group.
• Responsible for coordinating with Clinic Specialist and UC Supervisor to ensure adequate staffing; dismiss staff if necessary, to avoid unnecessary overtime.
• Act as a legal agent for staff and/or patients, and report non-compliance issues to UC Supervisor, Risk Management, or Employee Services.
• Order supplies and ensure PAR levels are maintained.
• Be the leader after office hours and on weekends and provide answers for Refer to UC Supervisor or Senior VP of Health Services if unsure of answer.
• Responsible for reporting incidents that occur in Urgent Care following the chain of command.
• Ability to delegate patient care duties to support staff, as appropriate.
• Maintain patient safety, privacy, and confidentiality in compliance with HIPAA.
• Maintain compliance with infection control and proper waste management.
• Reinforce and support patient education programs.
• Maintain patient flow and room availability.
• Responsible for the cleaning and sterilization of equipment, as necessary.
• Stock and maintain examination rooms and nursing stations.
• Document in patient electronic medical record and ensure that all encounters are completed properly.
• Maintain all equipment used for patient care and testing.
• Assist with training and orientation of new personnel.
• Supervise patient care performed by Licensed Vocational Nurses and Medical Assistants.
• Ability to identify problems, provide solutions, and evaluate results, as needed.
• Assume responsibilities for narcotic medications, as assigned.
• Responsible for monitoring clinic daily and monthly logs (quality control, temperature, autoclave, etc.)
• Ensure proper handling, administration, and documentation of all medication as ordered by the provider, within scope of practice.
• Responsible to initiate and/or participate in Code White, Code Blue, Code Red, and Code 7 situations as they arise, within scope of practice.
• Must provide current proof of licensure and BLS and ACLS certification.
• Must be familiar with contents of Policy and Procedure book and MSDS.
• Other duties and responsibilities as assigned by supervisor.

Qualifications include:

• Graduate of an accredited program for Registered Nurses.
• Current California Registered Nurse Licensure.
• Current BLS and ACLS certification.
• One (1) year acute hospital experience, preferred.
• Must be IV therapy proficient.

The pay range for this position at commencement of employment is expected to be reasonably between $53.77 and $63.26. However, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. If hired, employee will be in an "at-will position" and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.