RN

Registered Nurse

Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. Advise patients on health maintenance and disease prevention or provide case management.

Provide nursing services for a variety of conditions and to people of various ages within a clinic setting.

Obtain and record patients' medical information and vital signs. Prepare patients for and assist with examinations or treatments.

Use clinical protocols to order and conduct specified laboratory tests to assist provider to assess and identify patient's condition. Performs venipuncture for blood draws, instructs patient on specimen collection.

Triages and provides immediate/urgent treatment, according to the status of patients and level of care needed within scope of practice and knowledge. Inform physician of patient's condition. Consults with charge nurse or provider on all abnormal or unusual findings to determine appropriate care.

Safely and correctly prepares, administers prescribed oral, inhaled, subcutaneous, intramuscular, intravenous, and oxygen therapy, monitors patients for reactions, understands and teaches patients about side effects. Performs intravenous cannula insertion for IV therapy.

Sets-up and operates specialized equipment such as cardiac monitors, defibrillators, nebulizers, EKG machines, IV pumps, and ventilators.

Observes patients for conditions that require emergency measures, interprets data, establishes, and monitors intravenous therapy which may include medications and intervals as necessary, understands side effects.

Assess the needs of individuals, families, or communities, including assessment of individuals' home or work environments, to identify potential health or safety problems.

Instruct individuals, families, or other groups on topics such as health education, disease prevention, or childbirth and develop health improvement programs. Refer patients to specialized health resources or community agencies furnishing assistance.

Properly enter/record patient information in electronic medical records. Maintain accurate, detailed reports and records including nursing assessment, observations, interventions, therapeutic measures, and patient education.

Case management of empaneled patients as assigned: including consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans, consult with institutions or associations regarding issues or concerns relevant to the practice and profession of nursing, coordinate with families/caregivers for follow up of hospital/ER, specialty care referrals, or other care obtained at outside facilities.

Maintain professional knowledge and skill in nursing by attending opportunities for continuing education, workshops, webinars, conferences, in-house learning, and staff meetings.

Observe medical assistants and visit patients to ensure proper nursing care. Guide and train less-skilled nursing or healthcare personnel.

Charge nurse duty as assigned.

Coordinate infection control or quality programs, advising or consulting with specified personnel about necessary precautions.

Work with individuals, groups, or families to plan or implement programs designed to improve the overall health of communities.

In performance of their respective tasks and duties, an employee of Laguna Healthcare Corporation is expected to conform to the following:

Fully uphold all principles of confidentiality and patient care.

Adhere to all professional and ethical behavior standards of the healthcare industry.

Maintain all licensures and certifications required of position.

Interact in an honest, trustworthy and respectful manner with patients, employees, visitors and vendors.

Participate in Board of Director meetings, departmental staff meetings, quality management activities and educational programs as required.

Comply with Laguna Healthcare Corporation policies and procedures.

Maintain a current insurable driver's license.

Completion of Nursing Program. Two (2) years of nursing experience preferred.

Associate Degree in Nursing. Bachelor's Degree in Nursing preferred.

Current, active, full and unrestricted license as a Registered Nurse from any US state or the District of Columbia.

Current BLS/ACLS certification.

Ambulatory care RN certification within 2 years of hire.

To perform this job successfully, an individual must be able to perform each responsibility satisfactorily. These requirements are representative, but not all-inclusive, of the knowledge, skill, and ability required for this position.

Theory, principles, practices and methods of providing nursing care and services at the level of a registered nurse.

Patient care coordination and chronic disease management and tracking.

Techniques of medical assessment and evaluation of various age groups.

Ability to maintain accurate medical records in the standard format for information on charts and other medical documentation.

Knowledge and ability to apply safety principles, practices and equipment related to nursing.

Knowledge and ability to apply routine infection control procedures and practices.

Proper techniques for documentation of examination and treatment information.

Techniques for dealing with a variety of individuals from various socio-economic, ethnic and cultural backgrounds, in person and over the telephone.

Computer software utilized by the clinic.

Assessing client medical status and situations and taking or recommending appropriate action.

Coordinating health care of patients between multiple health facilities.

Organization, follow-up, tracking and trending patient health data.

Performing skilled nursing in a clinical setting.

Using medical instruments and techniques skillfully and safely.

Interpreting, applying and explaining applicable laws, codes and regulations.

Compiling and summarizing information and preparing periodic or special reports related to the nursing area and client population.

Using tact, discretion and prudence in dealing with customers.

Using initiative and independent judgment within established procedural guidelines.

Establishing and maintaining effective working relationships with a variety of individuals from various socio-economic, ethnic and cultural backgrounds.

The work environment characteristics described here are representative to those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. Limited overnight travel may be required from time to time. This position may be exposed to certain health risks that are inherent when working within a health center facility, such as potential exposure to hazardous chemicals, sharps and infectious body fluids. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, hear and perform repetitive motions. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors and staff. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Operation of a motor vehicle required to travel between LHC facilities and perform other assigned off-site tasks.

There are a number of deadlines associated with this position. The employee must be able to handle frequent interruptions and must also multi-task and interact with a wider variety of people on various and, at times, complicated issues.

Applicants who possess the knowledge, skills, and abilities required by this position, and who are enrolled members of the Pueblo of Laguna will be given primary preference in hiring and employment for this position. Members of other Federally recognized Indian Tribes will be given secondary preference for hiring and employment after providing proof of Tribal membership.

All employees must fully uphold all principles of confidentiality. This position will have access to sensitive information, and a breach of these principles will be grounds for immediate termination.

This position may be subject to a criminal history background check, a suitability background check and/or a credit check. In addition, some positions are subject to a more extensive background check to ensure compliance with Public Law 101-630 Indian Child Protection and Family Violence Prevention Act. Candidates must be able to successfully pass all required background checks to qualify for this position.

All applicants must successfully pass a pre-employment drug screening prior to beginning employment and will be subject to random drug testing.

The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.