Forest County Potawatomi
|POSITION TITLE:||Clinical Staff Nurse|
|DEPARTMENT:||Health and Wellness Center|
Under direct supervision of the Nursing Director, provide safe, direct patient care to promote and resort patients; health through direct nursing care using the Medical Home concept. Provides telephone and in-house triage in ranking client’s health problems according to their urgency. Educates, advises, and making safe, effective, and appropriate decisions according to protocols. Collaborate with Medical providers and multidisciplinary team members. Maintains confidentiality of all privileged information.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Essential Duties & Responsibilities:
- Provides direct, professional nursing care to patients utilizing the nursing process of assessment, planning, implementation, and evaluation.
- Functions as the lead of the Care Team under the direction of the Medical Provider.
- Assures medical home standards are incorporated into all aspects of patient care.
- Advocates for patient.
- Evaluates patients chart prior to appointment to assess needed labs, immunizations or preventive health exams per provider/protocol.
- Prepares equipment an assists Medical Providers during examinations and treatments.
- Performs evaluation of new and existing patients to determine priority and suitability of treatment and/or need for modifications.
- Collaborates with other members of the Health Care Team.
- Performs telephone and in-house triage to assess patient acuity and needs for appropriate and timely care.
- Administers prescribed medications, immunizations, applies sterile dressings, splint applications, ear flushing, nebulizer treatments, performs phlebotomy, EKG’s and monitors vital signs.
- Performs or assists the provider during procedures when necessary, obtains prior authorization.
- Performs delegated medical acts under the general supervision of Medical provider.
- Responds to Medical Code 22.
- Delegates medical acts to LPN or CMA in accordance with the Wisconsin Board of Nursing rules on delegation. Assists LPN/CMA with preparing patients for the Medical Provider when necessary.
- Provides patient education when needed by the patient, instructed by the provider or in settings that determine delivery of educational needs and follows up with patient as needed.
- Prepares prescriptions electronically or calls in prescriptions and medication refills as per MD order/protocol.
- Informs patients of lab/diagnostic test results and provide education.
- Schedules/coordinates referral and procedure appointments, contacts patients to schedule missed or cancelled appointments, and schedule recalls for follow up office visits, labs, x-rays, etc.
- Reviews the providers schedule as needed during the day to account for emergencies, walk-ins and unscheduled appointments. Responsible for smooth flow of provider’s schedule.
- Incorporates Infection Control policies into daily practice. Follows prescribed clinic policy of cleaning the exam room following patient visitation. Sterilizes medical equipment according to standards.
- Ensures that equipment is maintained; monitors supply and medicine requisitions; maintains supply stock levels.
- Records and reports pertinent observations and reactions regarding patients to medical staff.
- Ensures that patient medical records contain necessary information; documents medical history or chief complaint; triages and initiates care for walk-in patients.
- Assures completion of Quality Measure guidelines. Reviews monthly measures as a team and completes patient reminders as needed for over-due exams, tests or office visits.
- Functions as changed agent utilizing Plan, Do, Study, Act Model for improvement.
- Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner.
- Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don’t understand or may “not seem right.
- Attending meetings, in-services, and any other events or continuing education. Maintains responsibility for personal development to ensure current knowledge in the profession.
- Ensures strict confidentiality of records.
- Contributes to a team effort and accomplishes related results as required.
- Supports the patient and healthcare system by coordinating care for the patient, creating care plans for the patient, and collaborating across the care continuum.
- Performs other duties as required.
Bachelor’s or Associates Degree in Nursing; Wisconsin’s Licensed Registered Nurse; two years patient care experience in a medical setting; CPR and Basic Life Support Certified; Current Valid Driver’s license. Must successfully pass a pre-employment drug/alcohol screen, tuberculosis screening, and background investigation.
Knowledge, Skills, and Abilities:
- Knowledge of applicable federal, state, county and local laws, regulations, and requirements.
- Knowledge of JCAHO, HIPPA, Workers Compensation, OSHA, Federal, State and Local regulations.
- Knowledge of current principles, methods and procedures for the delivery of nursing procedures and quality of care.
- Knowledge of patient care charts and patient histories.
- Knowledge of current and emerging trends in technologies, techniques, issues, and approaches in area of expertise.
- Knowledge or CPR and emergency medical procedures.
- Knowledge of related accreditation and certification requirements.
- Knowledge of clinical operations and procedures.
- Knowledge of health education theory and practice.
- Ability to observe, assess, and record symptoms, reactions, and progress.
- Ability to maintain quality, safety, and/or infection control standards.
- Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment.
- Ability to clearly communicate medical information to professional practitioners and/or the general public.
- Ability to communicate effectively in the English language, both verbally and in writing.
- Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with vendors and co-workers at all levels.
- Ability to maintain confidentiality.
- Ability to foster a cooperative work environment.
- Ability to work both independently and in a team environment.
- Ability to exercise sound judgment in decision making.
- Strong customer service orientation.
- Skill in preparing and maintaining patient records.
- Skill in operating business computers and office machines, including in a Windows environment, specifically, Word, Excel, Access, and presentation software (such as PowerPoint).
- Skill in analyzing problems, projecting consequences, identifying solutions, and implementing recommendations.
While performing the duties of this job, the employee regularly is required to stand; use hands to finger, handle, or feel; reach and pull with hands and arms; and talk or hear. The employee frequently is required to walk. The employee occasionally is required to sit; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds.
Work is generally performed in a medical office or hospital setting with exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protection equipment and exposure to blood borne pathogens. Exposure to latex products on a routine basis. Evening and/or weekend work may be required. Extended hours and irregular shifts may be required.
As authorized by federal law, Forest County Potawatomi reserves the right to exercise preference in hiring for qualified Tribal members/Indians in connection with all positions.
CLOSING: Until Filled