Job Title: | Registered Nurse (RN) | JD# | RN-001 |
Reports To: | Director of Nursing | Effective | |
Status: | Active / Full-Time | Revised: | |
Job Summary:
Responsible for providing professional nursing care for patients including assessment, treatment, care planning, and medical care evaluation by following established standards and practices. Assists physicians and staff in coordinating patient care. Functions as primary liaison between patients, staff, and physicians.
Duties and Responsibilities:
- Obtains patient consent for care and ensures patient confidentiality. Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations.
- Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response.
- Delegates as allowed under the Nurse Practice Act. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. Educates patients and families about health status, health maintenance, and management of acute and chronic conditions.
- Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices.
- Participates in multidisciplinary teams to improve patient care processes and outcomes. Tracks quality assurance data and monitors for acute and chronic care management.
- Maintains/reviews patient records, charts, and other pertinent information. Posts tests and examination results.
- Responds to/refers incoming patient treatment-related phone calls.
- Maintains patient confidentiality.
Required Skills and Abilities:
- Knowledge of professional nursing theory, regulations, and practices to give and evaluate patient care.
- Knowledge of nursing processes; health care systems, structure, and functions; and community resources. Understanding of health care technology, equipment, and supplies. Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures.
- Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information.
- Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
- Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.
- Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination.
- Skill in initiating appropriate crisis interventions and emergency response.
- Skill in patient triage in person and on the phone.
- Skill in preparing/maintaining records, writing reports and responding to correspondence.
- Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources.
- Ability to engage clients and families in the development and implementation of a care plan.
- Ability to read and interpret physicians’ orders and notes from other providers.
- Ability to calculate and administer drug dosages and injections and measure results.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to communicate clearly.
Education and Experience
RN degree required. Completion of nursing training from an accredited school of nursing required. Current state registered nurse license required. Current CPR certificate required.
BSN preferred. Minimum of one year professional nursing experience, clinic experience preferred
Physical, Mental Demands/Working Environment
Note: Reasonable accommodations may be made for individuals with disabilities to perform essential functions of this position
Varied activities including standing, walking, reaching, bending, lifting. Requires full range of body motion including handling and lifting patient’s manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours.
Combination of office and exam settings. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.
General Activity | Number of Hours |
| None | 1 -4 | 4-8 | 8-12 |
Drive | x | | | |
Sit | | x | | |
Stand | | | x | |
Walk | | | x | |
| | | | |
| Up to 1/2 of shift | 1/2 or more of shift |
Motion |
Bend | x | |
Squat | X | |
Crawl | X | |
Climb | X | |
Reach | X | |
Lift | X | |
Carry | X | |
Push | X | |
Pull | X | |
Twist | X | |
Turn | X | |
Use of Hands and Feet |
Right Hand | | X |
Left Hand | | X |
Right Foot | | X |
Left Foot | | X |
Weight Lifted/Force Exerted |
Up to 10 lbs. | | |
Up to 25 lbs. | | |
Up to 50 lbs. | | x |
Up to 100 lbs. | | |
More than 100 lbs. | | |
Body Fluid Exposure | Yes | No |
Mental Demands |
| Yes | No |
Attention Span | X | |
Concentration | X | |
Conceptualization | X | |
Influence People | X | |
Memory | X | |
Patience | X | |
Problem Solving | X | |
Relate to Others | X | |
Working Environment |
Indoor | X | |
Outdoor | | X |
High Temperatures | | X |
Low Temperatures | | X |
Loud Noise | X | |
Fumes | X | |
Confined Areas | X | |
Radiation Area | x | |
Other Physical Demands:
Other Working Conditions:
- Exposure to infections and contagious diseases
- Hazardous anesthetic agents, body fluids and wastes, odorous chemicals and specimens.
- Frequent exposure to communicable diseases, potentially infectious body fluids, toxic substances, and medicinal preparations. Utilization of variety of medical equipment. Majority of time to be spent in the clinic office setting.
SUPERVISORY RESPONSIBILITIES: None
Disclaimer:
Elkhart Clinic does not discriminate based on race, color, religion, sex, sexual orientation, age, national origin, marital status, citizenship, physical or mental disability, or veteran status. The above job description is intended to describe the general nature and level of work being performed by people assigned to this job. The list is not intended to be an all-exhaustive list of responsibilities and duties required and may include other duties as assigned.