Clinic RN Orthopedics

Overview:

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U. S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U. S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

*** $5,000 SIGN-ON BONUS for fulltime Clinic Registered Nurse positions *** (sign on bonus applies to external hires only and must meet company guidelines for bonus payout)

Franciscan Medical Group is currently seeking a full time Clinic RN for the Franciscan Orthopedic Clinic in Enumclaw. Team-oriented physicians and staff with free on-site parking. No weekends or organizationally recognized holidays required.

Job Summary:
This job is responsible for providing professional nursing services which focus on the provision of quality patient care in a clinic setting consistent with CHI Franciscan Health (CHI-FH) standards/values, applicable regulatory requirements and Franciscan Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in direct care of clinic patients, including assessing, coordinating, triaging, evaluating and delegating work to members of the patient care team, and for providing education and consultation with patients, families, physicians and other staff members in implementing appropriate nursing interventions for optimal patient care.

Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks.

Essential Duties:

Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff.

• Performs a variety of patient assessment/care tests (e.g. EKG, Spirometry, vision/hearing screening, peak flow, color blindness, etc) in accordance with established protocols.
• Makes independent wound assessments and performs complex wound care and dressing changes, including placement or changing of wound vac); removes sutures or staples after wound assessment by a Provider.
• Inserts and/or removes tubes, drains, urinary catheters, including removal of peripherally-inserted central catheter (PICC); applies splints/braces.
• Instructs patients in the collection of samples and other tests; ensures that patient or family understands follow-up and referral information.
• Informs patients of lab results, calls in prescriptions to pharmacies and returns practitioners’ phone messages.
• Answers questions and provides health care education and guidance to patients and/or families; explains/interprets results, findings, and diagnoses to patient and/or patient’s family within standards of practice.
• Provides direct assistance to provider in complex nursing care situations.

Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances.

• Administers approved medications (e.g. legend drugs, vaccines and schedule III-V controlled substances) via oral, subcutaneous, intramuscular or intradermal routes; administers IV fluids/medications, including antineopastic agents, investigational drugs and/or blood products, in accordance with physician orders; performs installation of fluids or medications into bladder via catheter.
• Administers drops, topical ointments/pastes/creams and/or nebulizer treatments.

Assists with point of care testing (CLIA-Waived Tests only)/lab tests following established protocols/instructions.

• Obtains samples for point of care tests including swabs and urine/stool; performs venipuncture to obtain venous blood samples.
• Performs POCT testing, following package insert instructions, and documents results (e.g. urinalysis, flu, RSV, Homoccult, Mono, H. Pylori, Hemoglobin, etc).
• Documents daily ambient, refrigerator/freezer temperatures and humidity levels for medication storage; follows established protocols if variation from standard range.

Documents procedures and interactions in patient’s electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate.

• Responds to/triages patient telephone calls using approved protocols, ensuring documentation of phone call meets standards.
• Takes verbal orders from a provider in regard to urgent and/or emergent (not routine/non-complex care) patient safety issues; assures orders are signed off in accordance with established procedures.

Prepares patients for practitioner visit; rooms patients, obtains and records vital signs and other appropriate information, such as height, weight, drug allergies, current medications and presenting problem; chaperones and documents the patient exam, ensuring patient privacy and comfort.

• Collects patient information through telephone and in-person contact; screens, communicates and responds to patient needs appropriately.
• Provides patient mobility assistance, as necessary.
• Manages patient flow ensuring enough time for patient and family education.

Organizes exam rooms, including general cleaning, upkeep and re-stocking of supplies; prepares, cleans and sterilizes instruments and maintains related equipment.

• Anticipates provider’s needs for available medications, supplies and equipment for patient exams.
• Sets up proper equipment for specific clinic-based procedures.
• Cleans, leak tests and disinfects endoscopes and endocavity probes according to manufacturer’s directions; wraps, cleans and autoclaves instruments.
• Disposes of contaminated items according to Franciscan Medical Group Exposure Control Plan.

Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for /effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served: Demonstrates knowledge and proper skills associated with the department’s defined specific populations served.

Performs related duties as required.

#MISSIONCRITICAL

Qualifications

Education/ Work Experience:

• Graduation from an accredited school of nursing approved by the Washington State Board of Nursing. One year RN work experience in a clinic setting OR two years of acute care RN work experience preferred.

Licensure/Certification

• Current licensure as a Registered Nurse by the Washington State Board of Nursing.
• Current Healthcare Provider BLS Certification.

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