Responsibilities and Duties:
- Obtains patient consent for care and ensures patient confidentiality. Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations.
- Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response.
- Delegates as allowed under the Nurse Practice Act. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns.
- Educate patients and families about health status, health maintenance, and management of acute and chronic conditions.
- Documents patient assessment and intervention data using electronic medical record and documentation practices.
- Participates in multidisciplinary teams to improve patient care processes and outcomes. Tracks quality assurance data and monitors for acute and chronic care management.
- Maintains/reviews patient records, charts and other pertinent information. Posts tests and examination results.
- Responds to/refers incoming patient treatment-related phone calls.
- Maintains patient confidentiality.
Job Requirements:
EDUCATION: RN degree. Completion of nursing training from an accredited school of nursing.
CERTIFICATION: BLS Required
EXPERIENCE: Minimum of two years professional nursing experience, strong clinic experience preferred. Cardio-pulmonary or emergency medicine a plus.
Knowledge:
- Knowledge of professional nursing theory, regulations and practices to give and evaluate patient care.
- Knowledge of nursing processes; health care systems, structure, and functions; and community resources. Understanding of health care technology, equipment, and supplies. Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures.
- Knowledge of Electronic Medical Record (EMR) documentation requirements and federal/state laws related to release of health care information.
- Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
Skills:
- Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.
- Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination.
- Skill in initiating appropriate crisis interventions and emergency response.
- Skill in patient triage in person and on the phone.
- Skill in preparing/maintaining records, writing reports and responding to correspondence.
Abilities:
- Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources.
- Ability to engage clients and families in the development and implementation of a care plan.
- Ability to read and interpret physicians’ orders and notes from other providers.
- Ability to calculate and administer drug dosages and injections and measure results.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to communicate clearly.
