Overview
Performs direct patient care requiring specialized nursing skills; oversees the performance of other patient care activities.
Responsibilities
- Collects and documents data regarding physical, psychological, and educational needs of patients of all ages.
- Differentiates among emergent, urgent, and non-urgent patients.
- Evaluates patient telephone calls; follows up with instructions and documentation.
- Seeks supervisor and physician advice as needed.
- Establishes priorities in clinic setting and collaborates with Provider regarding plan of care.
- Delegates care to other members of the healthcare team.
- Offers input the plan of care; educates patient in plan of care.
- Screens telephone calls from patients and evaluates for referral. Coordinates and communicates plan of care with the patient and/or the family.
- Conducts pre-authorization for medication and ordered tests and completes appropriate forms. Schedules specialized procedures at the hospital; monitors need for follow-up.
- Arranges outside laboratory tests. Assists physicians by preparing patients and setting up equipment.
- Shares with nursing staff daily scheduling of patients with acute and/or urgent problems.
- Performs as a team nurse with providers and other staff.
- Reports ideas, concerns, and problems to Manager/Coordinator.
- Scanning and accurate indexing of records from outside sources in the patient electronic health record for provider signature.
- Reviews patient’s medical records from previous physician to incorporate pertinent information into patients completed chart.
- Provides and documents care within the standards of practice, policies and procedures.
- Administers and records immunizations, allergy shots and other parental injections; performs related duties.
- Performs or assists in specimen collection of waived lab tests; performs related follow up.
- Performs various screening tests; sets up equipment and assists with various procedures; assists in emergency situations with appropriate emergency supplies and procedures.
- Manages acute and/or episodic minor illnesses of patients by following doctor’s orders and documents treatment.
- Inserts and maintains continuous IV infusions; monitors progress (if applicable).
- Monitors the patient’s response to care; documents variances and revises plan of care to achieve desired outcomes.
- Involves patient’s family and multidisciplinary team; utilizes teaching skills.
- Makes phone calls to patient’s family to follow up and to communicate test results.
- Sets up referrals based on outcomes and doctor’s orders.
- Administers documents and evaluates medications.
- Explains procedures and answers questions from patients and their families; provides verbal, written and audiovisual materials; diet consultation; advice on wellness, exercise, preventative care and safety. Assesses patient’s ability to accept and understand instructions; maintains and orders educational materials.
- Demonstrates department specific competencies, including age specific competencies for all ages.
- Arranges for medication refills.
- Shares knowledge, nursing skills, experience, and patient education advice with physicians.
- Supports and maintains joint commission standard.
- Attends nursing in-service and continuing education programs.
- Assumes personal responsibility for quality patient care, environment of care, and professional development.
- Assists in coordinating and implementing policies in compliance with all regulatory standards.
- Reports ideas and concerns to supervisor concerning improved patient care, customer service and efficient clinical operations.
- Maintains clean, well-equipped exam room, and assists in inventory control.
- Attends meetings, in-services and continuing education classes; suggests topics and/or conducts nursing in-services.
- Assists with maintenance of patient medical records.
- Documents vitals, history, meds, procedures and instructions according to DMH policies and unit standards.
- Demonstrates care and knowledge in medication administration.
- Arranges for medication and medication refills.
- Performs other duties as assigned.
Qualifications
Must be a graduate from an approved program in professional nursing with current licensure in the State of Illinois. Previous office experience is desired.
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