Registered Nurse - Outpatient

JOB SUMMARY

Under the guidance of the Practice Manager, Clinical Service Specialist, Operation Managers, and Physician will be responsible for assisting with patient assessment and care, maintaining appropriate documentation, maintaining the clinical area, and performing all clinical procedures. Strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience.  Recognizes and demonstrates understanding of patient and family centered care. 

PRIMARY JOB RESPONSIBILITIES

1. 1. Completes nursing assessments appropriate to chief complaint including vital signs (temperature, heart rate, respiratory rate, blood pressure) and any additional measurements as indicated by condition or age (e.g. height, weight, head circumference in children, chief complaints, allergies and other data as needed) documents findings in the medical record and alerts physician to significant abnormalities.
   2. Reviews patient’s medications at each visit and documents current medications. 
   3. Prepares patient physically and psychologically for exams and procedures with proper protection, explanation, and reassurance that is appropriate for patient’s age.
   4. Provides patient education based on identified patient needs (re: diagnosis, procedures, contraception, home care, etc.)
   5. Functions within the limits of his or her education and provider, practice policies and procedures.
   6. Orders and stocks necessary clinical supplies.
   7. Controls inventory use and loss by monitoring purchases and use of equipment and supplies.
   8. Ensures well working equipment by routinely checking that equipment is cleaned according to manufacturer’s direction, routine maintenance is performed and quality control measures are utilized.
   9. Demonstrated knowledge of sterile technique, universal precautions, etc. as the situation merits.
   10. Performs laboratory tests as requested by the physician and logs for follow-up.
   11. Greets patients and takes them back to patient exam area.
   12. Performs the history and physical portion of the patient exam and documents in chart.
   13. Assists physician with procedures as directed.
   14. Prepares and cleans the patient area as necessary.  Sets up equipment, cleans and facilitates room set up after a procedure is complete.
   15. Administers and documents oral, IM, subcutaneous and dermal medications as physician orders.
   16. Assists with patient discharge.
   17. Triage patient by phone, soliciting orders when appropriate from physician and communicates back to patient and documents in chart.
   18. Telephones prescriptions to pharmacies, differentiating between controlled substances.
   19. Maintains supplies and stock medications needed for daily operation.
   20. Ensures patient consent forms are completed for procedures that require them.
   21. Demonstrates professional conduct and communicates in a professional manner with patients, physicians, office employees and other hospital personnel.
   22. Ensures sample medications are logged in and out according to policy.
   23. Establishes and maintains a medical records system in accordance with procedures:
       1. Records patient information, including noting of patient assessment data appropriately on designated form.
   24. Maintains confidentiality of patient information and ensures patient’s right to privacy.
   25. Adheres to and contributes to the development of policies and procedures.
   26. Assists in maintaining a clean and safe environment for patients and co-workers.
   27. Assists in identifying areas of concern regarding clinical aspects of department, recommends solutions, and/or takes necessary action to resolve them.
   28. Demonstrates flexibility in response to unexpected changes in work volume, staffing, and scheduling.
   29. Performs other duties as assigned by Operations Manager or Physician.
   30. Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
   31. Demonstrates knowledge of and support of MH mission, vision, and value statements, standards, policies, procedures, operating instructions, confidentiality statements, corporate compliance plan, and coding ethical behavior.
   32. Oversight of vaccine programs, if applicable

DEPARTMENTAL AND ADDITIONAL JOB RESPONSIBILITIES

1.   Other duties as assigned

JOB SPECIFICATIONS

EDUCATION

1. Graduate from an accredited school of nursing with current Michigan RN License.

EXPERIENCE

1. Two (2) years of recent RN experience in specialty area of physician practice is desired.

ESSENTIAL PHYSICAL ABILITIES/MOTOR SKILLS

These physical requirements are not exhaustive and additional job related physical requirements may be added on an as needed basis.  Corrective devices may be used to meet physical requirements.

1. Sedentary Work:  Frequently required to stand, kneel and crouch.  On a daily basis may be required to move about, sit, climb stairs and bend.  Is frequently required to lift and carry up to 20 lbs.  May be required to push/pull/carry items between 20-100 lbs.
2. Vision:  Requires the ability to perceive the nature of objects by the eye.  Near acuity:  Clarity of vision at 20 inches or less.  Midrange Acuity:  Clarity of vision at distances of more than 20 inches and less than 20 feet.
3. Motor Coordination:  While performing the duties of the job, it is required to regularly perform functions that include using hand and finger movement, handle or feel objects, be able to use tools or equipment that requires reaching with hands and arms.  Must be able to travel independently throughout the hospital; access patients/families including areas confined by space and/or equipment.
4. Speaking/Hearing:  Ability to give and receive information through speaking and listening.

ESSENTIAL TECHNICAL ABILITIES

1. Proficiency using modern office, computer and telephone equipmentas used by Memorial Healthcare.

ESSENTIAL MENTAL ABILITIES

1. Ability to adapt and maintain focus in fast paced, quickly changing or stressful situations.
2. Ability to read and interpret a variety of documents including, but not limited to policies, operating instructions, white papers, regulations, rules and laws.

ESSENTIAL SENSORY REQUIREMENTS

1. Able to see for the purpose of reading information received in formats including but not limited to paper, computer, reports, bulletins, updates, manuals.
2. Able to hear for work-related purposes.

INTERPERSONAL SKILLS

1. Ability to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication.
2. Required to remain calm when adversity is encountered.
3. Open, honest, and tactful communication skills.
4. Ability to work as a team member in all activities.
5. Positive, cooperative and motivated attitude.

ACCIDENT/HEALTH HAZARDS

The tasks performed on the job procedure exposure to injuries (cuts, fractures, strains, burns, etc.) obtained in use of equipment, hazardous material or health hazards (based on contact with communicable diseases) that would not be expected to result in permanent or long-term illness or injury.