Registered Nurse

POSITION SUMMARY:

Under the direction of the Clinical Nurse Manager and the direct supervision of the Charge RN or designee, the Registered Nurse (RN) provides general nursing care, including treatments, administering medications, preparing patients for and assisting in examinations. The RN also provides patient education within their scope of practice to meet the needs of MHSI's patient population; assembles and operates clinical equipment, records appropriate information in patient records, oversees and directs medical assistants, and manages patient flow in the department.

They maintain a collaborative relationship with all management staff. All duties performed must reflect the employee's scope of practice and Clinical Skill Checklist competency as determined during orientation and introductory periods and updated as recommended by the supervisor.

(To be performed within the employee's scope of licensure.)

• Obtain vital signs; assess and monitor patient clinical symptoms; determine chief complaint per clinic protocol; identify reactions to and/or perception of illness or expression of need; communicate this information to the provider to ensure follow-up assessment if required.
• Recognize and respond to emergencies; perform triage duties in person and over the phone utilizing established policies and procedures.
• Investigate urgency of patient symptoms and facilitate patient access to appropriate medical services either within the clinic, affiliated facilities, or hospital. Document and relay messages appropriately.
• Prepare patients for exam and/or treatment, collect data, and initiate appropriate procedures per department protocol. Implement nursing measures for the comfort and well-being of the patient as needed.
• Assist in the examination of patients. Perform and/or assist with EKGs, nebulizer treatments, wound care, other treatments/procedures, medication administration, and other common ambulatory care procedures based on written provider orders and clinical procedures.
• Administer oral, subcutaneous, intradermal, intramuscular, intravenous, inhaled, and topical medications, including immunizations, as permitted by licensure and established protocols. Provide complete, accurate documentation of nursing assessment, nursing advice, and medication administration.
• Notify patients of diagnostic test results. Communicate abnormal results to the appropriate medical staff for input prior to contacting the patient.
• Identify and document patient care gaps (such as overdue preventive screenings, immunizations, chronic condition follow-ups, and labs) in the EMR and proactively bring them to the supervising provider's attention so they can be addressed and closed during the patient encounter
• Assist with providing extended/urgent care nursing coverage as needed and when requested for various MHSI sites.
• Coordinate and ensure providers' schedules are reviewed the day before to determine appropriateness and that the necessary equipment is available the day of the patient's visit.
• Coordinate and ensure that charts are reviewed prior to patient arrival to assure necessary reports are available prior to the visit; review and follow up on lab reports in accordance with departmental protocol.
• Work collaboratively with the provider for the coordination of quality health care to the clinic's patients including screening and handling messages/phone notes, processing referrals, orders, medication refills, and communicating delays in care to patients and relevant staff.
• Ensure department and clinic efficiency by giving report (on staffing, clinic flow, priority of patients, etc.) to next shift nurse before leaving at the completion of the previous shift.
• Schedule appointments, referrals/consultations, collect specimens, perform rapid tests, and assist those with special needs.
• Comply with all policies and procedures related to the clinical and corporation (nursing, human resources, safety and security, etc.).
• Provide patient education within scope of practice and skill level.
• Room patients when a medical assistant is unavailable.
• Order and maintain necessary medical supplies and inventory for exam rooms and medical assistant carts, including assisting with inventory of injectables and medications. Ensure stocking/preparation of rooms and carts according to provider's specialty prior to and at the end of each clinical session.
• Manage and maintain sample and floor stock medications. Ensure that all medications in…