Temporary - Triage Registered Nurse - Full Time
2 months ago
Job Type
Full-time
Description
We are looking for a Registered Nurse to work in our Community Health Center in Southeastern Utah. Our clinic is a dynamic place to work, practice, and grow. We have 4 primary care health centers and deliver integrated services including behavioral health, Pharmacy, Dental, specialty referrals, chronic disease management, health education, and much, much more.
Filling 1 Positions
- Location: Montezuma Creek, Utah
- Full-time Benefits start at: PTO leave, Vacation leave, 14 paid Holidays, 100% Medical/prescription insurance ($0 premium, $0 deductible, $0 copays) for employees and dependents, Life insurance, Retirement plan, wellness benefits. Optional coverage for dental, and short/long term disability.
- Temporary Position: July 2024 - March 2025
- Interview patient to determine medical problem/condition
- Address patient telephone inquiries by evaluating and responding to the patient's problems and questions.
- Observe patient(s) and report adverse reactions of medication or treatment to provider.
- Obtain patient's vital signs, pain level and weight.
- Screen patient for depression, changes in tobacco use, caffeine use, diet, health literacy level, preferred method of learning, and medication allergies.
- Collect samples, such as urine, blood, and sputum, from patients for testing and follow-up needs with patient.
- Dress wounds, apply hot or cold compresses as ordered.
- Assemble and use urinary catheters and oxygen supplies
- Order diagnostic procedures and labs as directed by primary care provider with verbal order read back
- Maintain Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certification at all times
- Attend mandatory monthly meetings
- Locate and attend meetings, online webinars, conferences and training that emphasize your role/responsibilities
- Locate articles and stay up to date on latest evidence based practice regarding your role/responsibilities
- Complete yearly competencies as assigned by supervisor
- Educate patients about immunizations verbally, and give written Vaccine Information Sheet (VIS)
- Educate patient about healthcare system, what to expect, how to prepare, and be self-empowered
- Educate patient about medication side-effects, disease, comorbidities, family planning and wellness
- Ensure patient understands information and instructions given by provider and inform provider if patient needs further teaching or clarification
- Maintain proper hand-hygiene
- Use personal protective equipment (PPE) according to Center for Disease Control & Prevention (CDC) recommendations
- Perform low-level disinfection of medical equipment, devices and supplies
- Properly sterilize equipment and supplies.
- Maintain supplies, including stocking and ordering new supplies
- Properly dispose of expired or damaged supplies, medical equipment and devices.
- Administer medications as prescribed, orally, subcutaneous, intramuscular injection, intravascular, or intraosseous and document time and amount on patient's chart.
- Update patients on their immunization schedule according to CDC recommendations
- Remove all expired medication/injectable and products in crash cart and place order with administrator or pharmacist for replacement
- Write prescriptions at providers request with verbal read-back of order
- Assist patient with scheduling appointments
- Follow up with patients who miss appointments.
- Follow up with patients on lab results, including the scheduling of any additional tests.
- Write referrals with verbal read back of order for patients through insurance and other physician offices and follow-up.
- Confirm medical records are available in patient chart before follow-up appointments
- Ensure that a delegated task is non-complex and personnel is adequately trained for the task before delegating a task
- Ensure that personnel has effectively demonstrated a delegated task as learned
- Ensure that personnel can perform a delegated task safely and patient is safe for personnel to carry out the task
- Ensure appropriate supervision is available during implementation of a delegated task
- Evaluate effectiveness of nursing plan of care from delegation and modify plan as needed
- Assign as necessary to other Registered Nurses (RNs) or Licensed Practical Nurse (LPNs), delegate to unlicensed assistive personnel [UAP (including medical assistants)] and Certified Nursing Assistants (CNAs)
- Complete highest priority/urgent tasks whenever possible during triage of patients
- Identify first level (highest priority/urgency) patient problems that may threaten patient's immediate survival or safety and respond appropriately
- Identify second level concerns and schedule with provider's walk-in slots, giving preference to patient primary care provider or team if available within timely manner
- Identify third level patient concerns and schedule patient with primary care providers next available appointment slot or within reasonable time frame according to patient care need
- Know the needs and priorities of each patient and reassess patient according to patient priority level as necessary
- Perform nursing assessment and identify pertinent information to verbalize to provider.
- Review and implement primary care provider orders
- Participate in ongoing education and training
- Educate patient regarding their healthcare and the healthcare system for patient/family to effectively care for patient
- Reduce the risk of infections
- Safely administer medications
- Perform nursing evaluation and follow-up with patient for continued comprehensive care
- Assign and delegate tasks appropriately when necessary and accept assignments when necessary according to Utah Nurse Practice Act
- Prioritize client care and schedule patient as a Triage nurse
Experience, Training, and Qualifications needed to perform the job:
- Associate, Bachelor's, or Master's degree from an accredited college or university
- Registered Nurse license within state of Utah
- Must be able to safely lift, push and pull fifty (50) pounds or more above waist
- Ideally 3 years experience minimum.
- Computer skills required to input data, experience with Microsoft office is preferred.
- Must have an excellent work history and customer service mindset.
The immunizations/vaccinations include but not limited to following:
- MMR (Measles Rubeola, Mumps, Rubella): Documentation of two MMR vaccines (OR) Documentation of MMR titers.
- Complete Hepatitis B vaccine series (3 doses), documented proof of titers indicating immunity, or a declination that may be signed upon arrival.
- Proof of up-to-date PPD skin testing, if previously negative (OR) Proof of positive PPD skin test with the most recent chest x-ray and treatment history.
- Tetanus, diphtheria, and pertussis (Tdap).
- Varicella titers, history of varicella or varicella immunization series.
- Influenza vaccine for the current year.
- COVID-19 vaccine
- Any other vaccinations as requested.
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