Registered Nurse- Clinic

Position Summary:

Patient encounters may be face-to-face or via telephone or other communication devices. Assesses the patient’s needs by collecting subjective and objective health status data from the patient or the patient’s care giver, and communicates this data to the health care provider. Triage based on this data. Prioritizes the information collected based on the patient’s condition, the situation, and/or anticipated needs, and implements a plan of care in collaboration with the authorized provider and evaluates the response of the prescribed treatment. Communicates and educates the health care provider’s instructions for care to the patient or the patient’s caregiver. Deals with situations and issues that are to always predictable.

Nursing diagnosis of human responses to actual or potential health problems of individuals or groups, providing preventative, restorative and supportive care, health teaching and counseling, case finding and referral; and administration, supervision, delegation, evaluation and teaching of health and nursing practice; which may require substantial specialized knowledge, judgment and skill based upon the principles of the biological, behavioral and sociological sciences, and for which the registered nurse bears responsibility and accountability.

The RN may assist with tests and procedures within the scope of practice for the RN. The nurse performs other duties as assigned by the Clinic Director or designee.

Education/Experience:

Bachelor’s Degree in nursing preferred. Minimum of one to two years of professional nursing experience in a clinic care setting preferred. In-depth knowledge of specialty area preferred.

Required Credentials (Licensure, Certification, or Registration):

Currently licensed with applicable State Nursing board and/or possess multi-state licensure privileges. Functions within the legal scope of practice.

Employment Variables:

Care is delivered to clinic patients of all ages. Work hours vary according to clinic schedules.

Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills:

Ability to read, write, speak and understand the English language and follow oral or written instruction. Excellent oral and written communication skills, work with customers and co-workers in a professional manner.

Direct Supervisor:

Clinic Director

PART II: CODE OF CONDUCT

Honesty We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions.

Expertise We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available.

Approachability We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect We will be understanding and sensitive to others’ feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others’ feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another’s name.

Teamwork We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.

PART III: ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.

Clinic Patient Care

• Collect, assess, and integrate data regarding patient’s condition and communicates patient needs to providers.
• Communicates provider’s instructions to the patient directly.
• Triage walk-in patients to assess needs.
• Instructs patients in collection of samples or tests.
• Performs vaccinations, injections, IVs, and records in patient charts.
• Assists with and assesses patients during tests and procedures within the scope of practice.
• Reports test results and physician instructions to patients.
• Obtains a complete history and chief complaint of new patients.
• Provides patient and family education regarding medications, nutrition, care and treatment protocols, and developmental milestones according to physician direction.
• Demonstrates and maintains infection control standards.
• May perform phlebotomy and laboratory testing as necessary.
• Cleans and prepares equipment and instruments according to protocol.
• May administer IV meds.
• May assist with clinical procedures as directed by provider.
• Does catheter changes, both indwelling and suprapubic.
• Does port-a-cath flushes and dressing changes, etc.

Communication Skills

• Assesses patient to determine physical and emotional needs.
• Utilizes effective communication and negotiation with the patient to establish goals that are consistent with the overall plan of care.
• Networks with health team members by communicating data based on nursing diagnosis to provide continuity of care.
• Communicates changes in client status with provider and/or family members.
• Modifies, implements and evaluates individualized teaching plan in order to restore, maintain or promote health.
• Gives pertinent and timely report to co-workers.
• Documents accurately, thoroughly and legibly.
• Promotes and assists others to practice safe work habits; identifies and reports health and safety hazards; and offers suggestions and participates in corrective action.
• May collaborate with other team members in intra/inter departmental issue recognition and resolution.
• Communicates with team members in a professional and respectful manner.

Professional Attitude

• Respects physical privacy of patient.
• Delegates care appropriately.
• Functions independently, recognizing own expertise as well as available resources.
• Recognizes own limitations and seeks assistance as needed.
• Provides professional best practice training and guidance when instructing students and orients.

Policies and Procedures

• Complies with department and organizational policies and procedures related to emergency/crisis intervention, confidentiality, safety practices, reporting of incidents, risk management procedures and mandated reporting policies.

PART IV: COMPLIANCE

Compliance

• Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position.
• The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

In a regular workday, employee may:

• Sit .25 Hours at a time; up to 2 Hours during the day
• Stand 1 Hours at a time; up to 3 Hours during the day
• Walk .25 Hours at a time; up to 4-6 Hours during the day

Motion

Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%.)

• Bend/Stoop Occasionally
• Kneel, Duration 30 sec Occasionally
• Squat Occasionally
• Balance Occasionally
• Crawl, Distance Occasionally
• Twist Occasionally
• Climb, Height Occasionally
• Keyboarding/Mousing Frequently
• Reach above shoulder level Occasionally

Physical Demand

Employee’s job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee’s job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Light Occasionally 35 lbs.
• Frequently 10 lbs.
• Constantly Negligible

Sensory Requirements:

Yes/No Explanation (if Yes)

• Speech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes
• Communicates with staff and patients on phone or in person. Responds to patient’s concerns and questions.
• Vision (VDT) Are there specific vision requirements for the job? Yes
• Must be able to read numbers and names. Must be able to distinguish colors and view a computer screen.
• Hearing Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes
• Vital communication with other clinic staff and patients directly or via telephone.

Environmental Factors

Yes/No Explanation (if Yes)

• Working on unprotected heights No
• Being around moving machinery No
• Exposure to marked changes in temperature and humidity No
• Driving automotive equipment No
• Wearing personal protective equipment Yes Potential exposure to body fluids and waste
• Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) No
• Exposure to extreme noise or vibration No
• Exposure to blood, body fluids and waste Yes Potential exposure to body fluids and waste
• Exposure to radiation Yes Potential positioning/assisting patient during x-rays
• Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives) Yes Exposed to needles and hazardous cleaning solutions

Emotional/Psychological Factors

Yes/No Explanation (if Yes)

• Stress: Exposed to stressful situations Yes
• Must be able to effectively deal with concerns of upset patients or other clinic staff.
• Concentration: Must be able to concentrate on work tasks amidst distractions. Yes
• There are many phone and personal interruptions throughout the workday.
• Must exert self-control. Yes
• Must be able to display control and confidence under stress.