Registered Nurse Endoscopy

RN Specialty II PRN, DDEC Endoscopy Center, Downtown NashvilleAs a member of the HMA patient care delivery team, the RN may perform routine clerical, administrative, and clinical duties within the scope allowed under the TN Board of Nursing in order to ensure an operationally efficient, thorough, and positive patient experience. This position reports to the designated Site or Department Manager and may be assigned to a specific clinic/provider and/or float to various clinics/providers based on business needs and must demonstrate the ability to work collaboratively and effectively with physicians, providers, fellow team members, patients, and the general public in the performance of all job duties. In addition to the duties listed below, the RN may be required to perform other related duties as requested/assigned at a level that meets and/or exceeds HMA expectations. RN must be customer focused and driven to grow and to further develop a working culture consistent with HMA's mission, vision, values, and commitment to high standards of ethical and business conduct and compliance with all applicable laws and regulations and third party payer requirements.Job RequirementsRequiredMust possess a valid Tennessee State RN license; graduation from an accredited RN programCurrent Cardiopulmonary Resuscitation (CPR) certificationKnowledge, skills and abilities to provide limited patient care / treatment specific to the age of the population served:vital signschartingmedical terminologypatient focused customer servicemedication administration / effectsclinic procedurespatient educationvarious types of equipment used in examination and treatment proceduresadminister IVinfection control guidelinessafety and HIPAA guidelines (patient confidentiality)sterile techniques and sterilization process, etc.PreferredExperience and/or an understanding of electronic health records (EHR) i.e. Allscripts softwarePrior experience in a large multi-specialty physician practiceCore CompetenciesClinicalGathers, via direct care and/or telephone encounters, clinical data and maintains documentation in the clinical record (initials/dates) to ensure accurate tracking of medical treatment, i.e. chief complaint, vital signs, allergies, medications, advanced directive, growth charts, pain score, health history - i.e. immunization records, allergy injection record, etc.; completes Comprehensive Health Assessment as indicated annuallyNotifies physician / provider immediately of patient's status, pending lab test results, and any abnormal data / complaints observed or obtained from the patient - i.e. breathing difficulties, adverse drug reactions, medication effectiveness, cardiac arrhythmias, etc. and administers CPR should the need arise; notifies other personnel of physician orders; preps charts for physician(s) as instructedTriages patients appropriately – i.e. face-to-face encounter, phone calls and Follow My Health messages and informs physician / provider of issues in a timely mannerIn accordance with established protocol/policy and consistent with the age of the patients served, properly prepares (correct dosages) and administers (sub-Q, intra-muscular, intra-dermal, intra-venous / infusion) medication, allergy serum, immunizations, O2, treatments, tests (flu, Mono, Strep, TB, etc.) as ordered; demonstrates knowledge and understanding of dosages, reactions, and side effects of medications; accurately documents in patient'sCorrectly conducts CLIA waived testing – i.e. glucose, UAs, pregnancy, strep, etc. as ordered; follows established lab protocol/guidelines i.e. controls (strep, urine, RSV, Flu, hemoglobin, cholesterol, lipid, A-disk, pregnancy, etc.)Accurately follows established procedures for collecting, documenting, and handling various specimens / cultures – i.e. throat, wound, stool, urine, sputum, etc.; infection control in the handling and disposing of infectious / hazardous waste materials.Appropriately uses/operates/troubleshoots various equipment needed in delivering patient care – i.e. scales (infant / adult), digital thermometer, EKG, pulse oximeter, oxygen/nasal cannula/mask, nebulizer, spirometer, Holter Monitor / event recorder, lead placement, Snellen, audiometry, endoscopes/endoscopic accessories, patient monitoring, Ambu bag, AED, crash cart, stretcher, etc.Assists physician and/or provider with patient encounter including: patient education / instruction, lab tests, results, reports, etc. and with various procedures / set-up - e.g. pap and pelvic, lesion removal, biopsies, ear irrigation, colposcopy, sutures, etc.; keeps exam rooms stocked and room and equipment clean in accordance with established scheduleProperly cares for patient – e.g. clean wounds, assist with suturing, apply sterile dressings, accurate in labeling/photo of patient skin conditions, knowledge of phototherapy booth, access/assess port, assess sedation effects, ensures peripheral venous access, provides discharge instructions, etc.Calls in / e-scribes / prints prescriptions to pharmacies as ordered by the physician / provider and documents in patient's chart accurately and timely.Maintains sample medications by checking refill lines timely, enters samples provided to patient in the computer and documents appropriately; remove / dispose of expired medications; ensures sample medication and other medication and supplies are adequately stocked and maintained in locked/secured areas.Performs all job duties listed in this job description, as well as, other related duties as assigned/directed in a manner that ensures timely completion of clinic workflows, clinic operations, and navigating the patient through their encounter (in person/telephone/HMA patient portal); all work activities must promote patient satisfaction, efficiency, and a collaborative, team-spirited environmentAdministrativeEnsures sterile instrument processing is completed timely in accordance with established protocol and manufacturer recommendations – i.e. check instrument expiration dates, cleans and disinfects equipment, accessories, and packages itemsAccurately schedules patient with physician, other specialty physicians, surgeries, by:informing patient of prep required for procedures / labsobtaining necessary consent formsobtaining (in advance) pre-certifications, PA's, and referrals when mandated by insurance companyTracks initial specialist office visit appointment to ensure patients keep appointment, completes charts and charge tickets; reviews and verifies codes for physician chargesDemonstrates knowledge of Occupational Medicine procedures including pre-employment, physical exams, appropriate lab testing, and treatment of work related injuries; knowledge of appropriate referral processTracks all diagnostic studies to ensure results are received and patient is informed of results as directed by the physician and /or the providerMaintains a clean and orderly work area and adheres to Quality Control Guidelines such as monitoring medication refrigerator temperature, eye wash checklist, O2 checklist, Code Cart Maintenance, AED checklist, and the autoclave checklist.ClericalAnswers phones and returns phone calls / voice mail (within 24 hours) in a positive and professional manner ensuring customer needs are adequately addressedTimely orders supplies / accessories to avoid shortages / outages which may impede the delivery of patient care servicesProperly uses the copy machine and faxes – ensures paper trays are filled, ink cartridges are replaced as needed, and maintenance is called if necessaryCompletes HMA required forms accurately and timely – i.e. Incident /Accident report, Occurrence report, Needle Stick report, clinic nursing forms, logs, mammogram, MME, patient referral forms, etc.Complies with HMA policies and procedures and accreditation agencies, OSHA, etc.Attends and actively participates in required clinic meetings, huddles, and training to remain current of operational / workflow changes and to further develop skill setCustomer ServiceDisplays sensitivity, courtesy, and respect when dealing with patients, team members, and the general publicDemonstrates a willingness to ensure customer questions are answered and their needs are addressed – goes the extra mile to assist others and ensure the message