Urgent Care RN - Urgent Care (West Branch)

Urgent Care Registered Nurse

This position is an integral part of the urgent care team and requires the ability to work effectively with providers and other ancillary staff to deliver high quality, timely, compassionate care.

Under direct supervision of the provider, will be responsible for patient assessment, providing assistance with patient procedures, completing in office lab testing, splinting fractures, and educating the patient on their discharge instructions in the urgent care/occupational health setting. This position requires knowledge of specialty and/or primary care symptom management and a variety of medications to be able to assess, plan and deliver timely and appropriate care, especially in emergency situations.

This position is responsible for coordinating care and leading other staff team members in the delivery of patient care. The RN is required to have the skills to complete venipuncture's, pulmonary function testing and administer medications ordered by the provider during the patient visit. The nurse is responsible for communicating to the patient their lab and radiology results when directed by the provider.

This position may assist with the coordination and training of new employees ensuring that they have completed the required competency skills and training documentation.

The RN may be required to order medical, and pharmacy supplies, and office supplies to manage patient care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies.

Also, may perform other practice duties (occupational health patient care follow up, keyboarding, filing, telephone, computer and office equipment) as needed. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned. Your immediate supervisor will be able to clarify your responsibilities for you.

Responsibilities

(50%)* Greets patients and/or family, takes vital signs, obtains/reviews medical, social, surgical and medication history, and allergy information. Prepares patient for examination, performs procedures in accordance with standing orders. Completes in office labs; urinalysis, pregnancy testing, strep screens, EKG's, TB testing, pulmonary function testing per protocol, and reports results to the provider. Communicates information regarding testing, procedures and follow up care to patient in a clear, concise and professional manner.

(20%)* Accurately completes and documents all patient information in the medical record according to current guidelines.

(10%)* Triages emergency patients, assessing condition and responding clinically as needed to stabilize the patient. In conjunction with the provider, directs other staff in assisting in emergency situations. According to protocol, administers immediate treatment when indicated and notifies physician of patient status.

(10%)* Administers medications as prescribed by provider. Assists provider with patient examination, procedures and splinting.

(10%)* Prepares and cleans the patient area, sets up equipment, cleans and facilitates room set up after a procedure. Disposes of contaminated supplies and sterilizes medical instruments.

Certifications and Licensures

RN: Registered Nurse Equivalent Experience: A minimum of one year of nursing experience. Nursing experience in an urgent care or Emergency Department setting.

BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer

TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification)

Required Education

Education: Associates Degree

Other Information

OTHER DUTIES AND RESPONSIBILITIES:

Is able to assess and implement clinical protocols for patient care in an emergency situation.

Provides a complete patient assessment, as indicated, within the scope of the practice.

Based on the practice, may be required to: demonstrate competency to assist with procedures such as, but not limited to venipuncture, Orthopedic Casting Lab (OCL) splinting, electrocardiogram (EKG), pulmonary function testing (PFT), audiometry, vision testing, dressing changes, respirator fit testing, drug and alcohol testing.

Respirator fit testing requires the ability to learn and maintain knowledge of various mask types and proper mask fitting according to OSHA regulations.

Completes daily tasks in a timely manner as outlined by the practice, such as referrals to specialists and/or primary care, EMR tasks, patient result notification, prior authorizations and communication to companies and/or workers compensation as appropriate.

Places and receives calls to previously seen patients to evaluate patient progress, and to communicate results of lab and radiology testing.

Complies with company protocols, organizational departmental policies and protocols, locals, state Michigan Occupational Safety and Health Administration (MIOSHA), and federal CLIA, Joint Commission Federal Motor Carrier Safety Administration (FMCSA) guidelines while conducting daily duties.

Performs CLIA testing and maintains quality control logs.

Performs equipment sterilization according to the defined policy & procedure for autoclaving.

Participates as needed in continuous quality improvement projects and activities. This includes, daily, weekly, monthly checks of equipment, supplies and medications. In addition, staff may be asked to participate in organizational performance improvement projects.

Maintains a clean, sterile and safe environment. If applicable, may be required to travel to other urgent care clinics or companies to provide occupational health services.

Maintains a high level of confidentiality and ensures patient's rights in accordance with proper procedures and in compliance with Health Insurance Portability Accountability Act (HIPAA).

Based on the practice needs, may be required to order medical, pharmacy and office supplies according to established guidelines.

Communicates in a clear, effective and professional manner. Is able to easily adapt to changing work environments and clientele. Demonstrates excellent customer service. Able to work all shifts including day, evening and weekends up to 13 hours per day.

MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. Employees are required to participate in further learning opportunities offered by MidMichigan Health.

EXPERIENCE, TRAINING AND SKILLS:

A minimum of one year of nursing experience. Nursing experience in an urgent care or Emergency Department setting is preferred.

Professional Drug Collector certification within 6 months of hire or transfer.

Certified in Breath Alcohol certification within 6 months of hire or transfer.

Must possess the skills to lead and educate patients and colleagues.

Demonstrates excellent leadership, organizational communication and time management skills.

Working knowledge of the organization's Lawson, Electronic Medical Records, and Practice Management programs preferred or knowledge of similar software.

PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.