Company: DeKalb Health
Posted on: May 3, 2021
The Staff Nurse assumes responsibility for nursing duties at
Amoskeag Health. S/he triages all telephone calls and walk-in
patients with medical questions/concerns. This position is also
cross-trained with the Team Nurse position and Perinatal Care
Nurse, and will rotate through that job on a regular recurring
basis to keep skills current (see Secondary Duties).
RESPONSIBILITIES & AUTHORITIES:
Assess patient's need for treatment or advice via telephone call or
personal encounter (walk-in). Consults with provider whenever
necessary in order to advise patient of most appropriate action;
reinforce provider plan of care.
Determine, based on patient need, if patient needs to be seen by a
provider and how quickly. Promote continuity of care within limits
of staffing availability. Schedule urgent appointments
Respond to patient calls within a timely manner. Document all
calls/visits; maintain accurate notes on telephone message and
attach to progress note in patient's chart. All documentation in a
patient's medical record must be complete. If care is not
documented it is not valid.
SECONDARY (Cross training):
Meet with providers on a regular basis and work jointly to
establish expectations for how team issues will be managed, such as
scheduling, forms and refill issues.
Integrate health teaching into daily clinical routines, including
appropriate information on health maintenance and disease
management, for all ages, during each patient encounter.
In case of patient referral to another facility, coordinate care
with appropriate staff at the other facility (Mental Health Center,
Emergency Department, VNA, etc)
Prepare prescription refills (via pharmacy line; patient
calls/visits) and necessary vouchers, when indicated. Chart all
refills and updates as needed.
Maintain Nurse Visit schedule: responsible for attending to
scheduled nurse visits and documenting care in Logician. Visit
reasons may include Depo-Provera, B-12 or other injections,
Medication Review, PT/INR dose changes, on-site assessment of
acutely ill patients, weights for babies with failure to thrive,
repeat BP checks, immunizations, NSTs or other reasons.
Assist with non-scheduled nursing needs during/throughout the
shift. These requests vary from assistance with ECGs, meeting with
patients who have walked in for a free pregnancy test, starting a
patient on an NST machine, stabilizing an acutely ill patient until
the ambulance arrives, administering a nebulizer treatment,
starting an IV (if trained to do so).
Work cooperatively with team-mates to monitor the schedule and keep
the flow of patients moving. From time to time this may require
assisting the MA with immunizations or rooming patients. Vice
versa, this may mean the MAs may need to assist the nurse with call
volume or other needs.
Assist with the processing of various patient paperwork. The nurse
should prepare as many components as possible before handing off to
the provider. Samples of patient paperwork are disability forms,
handicap sticker requests, authorizations for wheelchairs and other
assistive devices, letters to return to work, PE and Immune report
requests. This list is not all inclusive.
All nurses are responsible to maintain their office space and to
clean up after themselves if they have used an exam room, any
medical equipment or instruments. Nurses will assist in pulling out
full sharps dispensers and will replace those and other stock as
Opening and Closing duties, Lunch coverage: There are duties
responsible to the particular nurse who is covering at various
times during the day. The specific duties are listed in our
protocols. Each nurse is responsible for specific duties based on
the shift they are working that day.
Continually update personal, clinical and professional knowledge
and skills through formal and informal educational experience.
Comply with state continuing education laws.
Become aware of and currently updated regarding community resources
that would assist our patients.
Actively participate in policy/protocol development for the
Attend and participates in MCHC meetings as directed. If absent,
responsible for reading minutes of meetings and signing the
Attend mandatory safety-related, infection control in-services as
designated by the Senior Management Team.
Maintain licensure for RN/LPN status by ongoing professional
education; maintain professional development.
Sensitivity to cultural diversity of population being served.
Maintain patient age-related competence.
Other responsibilities as assigned by supervisor.
Must be able to tolerate latex exposure from vaccine vials as well
as tolerate perfumed oils, and other perfumed products .
Keywords: DeKalb Health, Manchester , Nurse, Other , Manchester, New Hampshire
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