RN Physician Practices - Per Diem

Summary

The primary purpose of your job is to be responsible for the delivery of patient care in accordance with current applicable Federal, State, and local standards, guidelines and regulations and established policies and procedures as may be directed by the Administrator, to assure that the highest degree of quality care and safety can be maintained.

Supervises: LPNs, CNAs, Medical Assistants.

Reports to:

Nurse Manager or Practice Manager.

Every job has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

• Embodies the mission, vision and values of Martha's Vineyard Hospital and the Primary Care Department.
• Applies knowledge of illnesses, injuries and diseases and uses available resources in assessment process.
• Completes nurse visits as assigned.
• Documents assessment of patient at time of visit.
• Documents nursing intervention, patient response, effectiveness, complications, etc.; communicates information to provider.
• Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures. Intervenes with proper technique, procedures, and safety precautions to meet individual needs of patient.
• Implements physician's orders.
• Manages patient care in department. Coordinate with providers, Practice managers, PSCs, Department Coordinators, and MAs and delegate tasks as needed.
• AED/O2 checks in the department.
• Manage incoming clinical needs faxes for department (routed from front desk), including but not limited to PAs, DME, VNA. Separate provider faxes and distribute to them.
• Works with assigned care team to coordinate care with outside agencies.
• Consults with all available in-house resource personnel and departments for treatment.
• Respects dignity and confidentiality of patient acting as an advocate.
• Provides a safe and secure environment for the patient.
• Performs in a calm and professional manner during crisis and/or emergency situations.
• Functions within limits of the State Nurse Practice Act.

• Reviews patient and family knowledge of diseases, illness, or readiness to accept care for patient at home.
• Identifies needs for care, or alternatives such as outpatient treatment, extended care facility, etc.
• Sets realistic learning objectives by including patient and family in instruction planning.
• Provides self‑care instructions.
• Identifies necessary medical information to be communicated to community resources, which are utilized.
• Uses individualized techniques designed to meet specific patient needs.
• Initiate referrals, as necessary, to healthcare providers, other resource agencies, etc.

• Adheres to nursing dress code and wears identification badge.
• Demonstrates organizational skills in providing nursing care by the ability to adapt to changing workloads.
• Participates in plan of care with entire team.
• Administers medication/immunization.
• Performs nursing procedures.
• Patient education.
• Maintains open communication channels with all colleagues and physicians.
• Communicates factual and pertinent information in reports.

• Identifies own learning needs and seeks opportunities for self‑growth.
• Uses and shares skills gained at continuing education classes.
• Has current BLS, initial or annual competencies completed.

• Evaluates for age‑appropriate behavior motor skills and physiological norms of patients.
• Recognizes patient's psychological development and modifies approaches for patients.
• Recognizes potential lifestyle changes resulting from illness that will interfere with the care plan and develops plan.
• Identifies increased physical/emotional dependency needs and evaluates availability of support system.
• Interview/communication techniques are age appropriate.
• Assesses patients for signs and symptoms of…