Registered Nurse - Outpatient

Job Summary

Under the guidance of the Practice Manager, Clinical Service Specialist, Operation Managers, and Physician, the Clinical Service Specialist will be responsible for assisting with patient assessment and care, maintaining appropriate documentation, maintaining the clinical area, and performing all clinical procedures. The role strives for superior performance by consistently providing a product or service to leadership and staff that is recognized as ultimately contributing to the patient and family experience.

The specialist recognizes and demonstrates understanding of patient and family‑centered care.

• Completes nursing assessments appropriate to chief complaint including vital signs (temperature, heart rate, respiratory rate, blood pressure) and any additional measurements as indicated by condition or age (e.g., height, weight, head circumference in children, chief complaints, allergies and other data as needed) documents findings in the medical record and alerts physician to significant abnormalities.
• Reviews patient’s medications at each visit and documents current medications.
• Prepares patient physically and psychologically for exams and procedures with proper protection, explanation, and reassurance that is appropriate for patient’s age.
• Provides patient education based on identified patient needs (e.g., diagnosis, procedures, contraception, home care).
• Functions within the limits of his or her education and provider, practice policies and procedures.
• Orders and stocks necessary clinical supplies.
• Controls inventory use and loss by monitoring purchases and use of equipment and supplies.
• Ensures well‑working equipment by routinely checking that equipment is cleaned according to manufacturer’s direction, routine maintenance is performed and quality control measures are utilized.
• Demonstrated knowledge of sterile technique, universal precautions, etc. as the situation merits.
• Performs laboratory tests as requested by the physician and logs for follow‑up.
• Greets patients and takes them back to patient exam area.
• Performs the history and physical portion of the patient exam and documents in chart.
• Assists physician with procedures as directed.
• Prepares and cleans the patient area as necessary. Sets up equipment, cleans and facilitates room set up after a procedure is complete.
• Administers and documents oral, IM, subcutaneous and dermal medications as physician orders.
• Assists with patient discharge.
• Triage patient by phone, soliciting orders when appropriate from physician and communicates back to patient and documents in chart.
• Telephones prescriptions to pharmacies, differentiating between controlled substances.
• Maintains supplies and stock medications needed for daily operation.
• Ensures patient consent forms are completed for procedures that require them.
• Demonstrates professional conduct and communicates in a professional manner with patients, physicians, office employees and other hospital personnel.
• Ensures sample medications are logged in and out according to policy.
• Establishes and maintains a medical records system in accordance with procedures:
  • Records patient information, including noting of patient assessment data appropriately on designated form.
• Maintains confidentiality of patient information and ensures patient’s right to privacy.
• Adheres to and contributes to the development of policies and procedures.
• Assists in maintaining a clean and safe environment for patients and co‑workers.
• Assists in identifying areas of concern regarding clinical aspects of department, recommends solutions, and/or takes necessary action to resolve them.
• Demonstrates flexibility in response to unexpected changes in work volume, staffing, and scheduling.
• Performs other duties as assigned by Operations Manager or Physician.
• Demonstrates job related aspects of patient safety to assure a safe environment, safe and effective use of equipment and technology, and decreased risk of potential adverse patient occurrences.
• Demonstrates knowledge of and support of MH mission, vision, and value statements, standards, policies, procedures, operating instructions, confidentiality statements, corporate…