Registered Nurse

Provides, coordinates and evaluates effectiveness and outcomes of care to clients presenting for medical/ nursing based services at the VNA Health Center clinic sites (on and off clinic sites to include community and home based services: Home Health, Hospice and House Calls). These clinics and services may include:

• Primary Health Care – comprehensive primary medical care for clients of all ages across the health care continuum. Includes performing procedures related to care (e.g. vitals, treatments as ordered by the MD/NP…), assessment of patients’ needs for counseling, education and referrals, pregnancy options counseling, and family planning care and education.
• Women’s Wellness Clinic – care to women in need of health maintenance and promotion services, family planning, STD counseling, as well as care for acute and chronic illnesses. This may include: assessment and counseling in all aspects of women’s health; immunization assessment, administration and counseling; and performing procedures related to care (e.g. anthropometric measurements, vital signs, and Waived Testing
• Child Health Clinic – care to children in need of routine preventive, and for acute and chronic illnesses. This may include: assessment and counseling in all aspects of child health (physical, developmental, emotional, social, dental and nutritional); immunization assessment, administration and counseling; and performing procedures related to care (e.g. anthropometric measurements, vital signs, and Waived Testing.
• Immunization Clinic – assessment, administration and counseling for the ACIP recommended vaccines for clients from infancy through adulthood.

• Work assignment (clinic, community, phone/triage, homebased services) is determined based upon business need as determined by the Associate Director of Health Center Operations or Health Center Coordinator.
• Prepares nursing, medical and lab areas with medical supplies; emergency kits;vaccine; and educational and referral materials as appropriate for specific clinic services.
• Reviews thoroughness of Client Registration/ Consent and other consents specific to services to be provided.

Obtains complete client and family health histories if appropriate to specific clinic services.

Assesses client needs, develops and coordinates an individualized plan of care, including involving the client/family in the development of the client’s goals andcollaboration with other health care professionals as necessary.

Initiates nursing interventions identified in the plan of care, per applicable Standing Ordersand Protocols, evaluating effectiveness and outcomes of care and revising asneeded.

Administers medications as ordered by the clinic physician or nurse practitioner according to applicable protocols, policies and procedures. This includes medications related to family planning and emergency contraception.

Educates/counsels client (or parent/guardian, if client is a child) specific to identified needs,plan of care and clinic requirements as described in the appropriate clinic policies and procedures. (e.g. Family Planning Program, IBCCP Program,Immunization Program)

Initiates referrals to other health care services as needed and completes follow up on referrals per applicable protocols, policies and procedures.

Call Center(Phone Triage)

Communicates with patients over the phone regarding symptoms and health concerns and determines the type of care needed.

Returns patient related calls. Communicates and coordinates accordingly with clinical and provider staff.

Ensures patient calls are addressed in a timely manner following agency procedure and protocols.

Provides Home Based Services (Home Health, Hospice and House Calls) nursing care for all VNApatients, as assigned.

Completes client clinical record documentation specific to clinic services provided, according to applicable policies and procedures, and in a timely manner.

Maintains safe handling, administration and storage of vaccines and medications.

Documents administration of medications and vaccines on the appropriate inventory log andEMR.

Understands and applies exposure…