RN H (31423)

Position purpose

Responsible for providing professional nursing care for patients including assessment, treatment, care planning, and medical care evaluation by following established standards and practices. Assists physicians and staff in coordinating patient care. Functions as primary liaison between patients, staff and physicians.

Responsibilities/Duties/Functions/Tasks:

• 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. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. Educates patients and families about health status, health maintenance, and management of acute and chronic conditions.
• Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices.
• 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.
• Other duties as directed or assigned.

Qualifications

EDUCATION: RN degree. Completion of nursing training from an accredited school of nursing. BSN preferred.

EXPERIENCE: Minimum of one year professional nursing experience, clinic and gastroenterology experience preferred.

REQUIREMENTS: Current state registered nurse license. Current CPR certificate.

Performance Requirements:

• 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 chart/medical record documentation requirements and federal/state laws related to release of health care information.
• Knowledge of common safety hazards and precautions to maintain a safe work environment.
• Skill and knowledge 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 verbal and written communication.
• Skill in initiating appropriate crisis interventions and emergency response calmly and effectively.
• Skill in patient triage in person and on the phone.
• Skill in preparing/maintaining records, writing reports and responding to correspondence.
• Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources.
• 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.