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Nurse-RN On Call (9627)

Location:Vancouver, WA
Salary Range:DOE
Exempt/Non-Exempt:Non-Exempt
Benefits:Not benefit eligible
Employment Type:On Call
Department:Orthopedics-SC
Description:We are looking for an experienced RN to provide excellent patient care.

This is an on-call position which does not have a regular schedule or guaranteed hours, and requires ability to be flexible in regard to required days and hours of availability.

On call positions are designed to cover for vacations, sick calls, holidays, leaves of absence, and other staffing shortages.
Duties:Assures the delivery of quality health care by utilizing nursing process, assisting the physician and facilitating integration of resources. Acts as patient advocate to a broad range of people with varied ethnic, religious, and socio-economic backgrounds. Applies nursing skill to assist population to maintain health and treat illness. Models professional behavior through positive interactions with all members of the health care team. (Actual duties may vary within specialty departments).

I. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Patient Care
• Coordinate care for high acuity patients (case management), based on physician’s orders, community resources and patient preference.
• Triage and prioritize patient needs based on nursing assessment, availability of resources and patient preference.
• Obtain all pertinent new patient information and diagnostics prior to consult (H&P Medication Labs films)
• Possess working knowledge of community resources to assist patients in meeting health care needs.
• Perform, assist, and delegate procedures and injections as ordered by physician.
• Perform procedures pertinent to specialty where assigned. (May include treadmills, PFT, holters, IV therapy, surgical assisting, EKGs, injections, and others).
• Perform nurse visits.
• Evaluate needs of walk-in patient within 10 minutes of known arrival.
• Provide and direct patient education, advice, and procedures as appropriate.
• Assist patient in obtaining necessary appointments and testing to meet his/her needs.

Communication
• Process phone calls in a timely manner.
• Triage voice mail messages to meet needs of acutely ill patients first.
• Answer voice mail in same day received, unless message is left after 4:30 PM.
• Return all voice mail left after 4:30 PM within the first two hours of the next working day.
• Delegate work from voice mail appropriately to Medical Assistants and Patient Service Representatives.
• Facilitate communications between provider and community-based health care programs (nursing homes, Home Health, Hospice, hospital).
• Instruct health care assistants in procedures and care as necessary.
• Complete Patient Communication Forms (documentation of patient intervention and communication accurately.

Patient Education
• Educate patients and families in health care issues and needs.
• Identify educational opportunities for patients and provide for need, or arrange formal classes.
• Possess knowledge of opportunities for patient education in the community.

Leadership
• Acts as a mentor, role model and resources for co-workers.
• Coordinate the flow of each day.
• Review number of providers and appointment availability.
• Delegate responsibility to meet needs of the day.
• Reassign staff as needed based on daily schedule.
• Conduct daily AM team meeting to communicate, coordinate flow, and problem solve.
• Coordinate cross-site visits.
• Assess patient needs. If no appointment is available at same site, communicate with nursing staff at other sites until patient needs are met.
• Work with Patient Services Representatives to assure accuracy of appointment type and billing information.
• Assure quality checks for Lab testing (such as Beta Strep controls, cleaning schedules, narcotic checks, code cart checks) are completed in a timely manner.

Documentation
• Document relevant information about patients in EMR. Ensure entries are objective, factual, time specific, accurate, correctly spelled using generally accepted medical abbreviations and terminology.
• File chart documents according to medical records guidelines.
• Ensure entries in chart are appropriately written in black ink, initialed, and dated.
• Complete Patient Communication form accurately and legibly (documentation of intervention and communication).
This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
Qualifications:IV. EDUCATION AND SKILLS
• Graduate of accredited school of nursing.
• Current Washington State RN license.
• Excellent written and oral communication skills.
• Ability to interact effectively with patients and physicians in pressure situations while maintaining tact and diplomacy.
• Ability to work independently while functioning as a team member.
• Ability to organize and prioritize workflow independently.
• Ability to direct others in urgent and emergency situations.
• Previous experience in an outpatient medical setting may be helpful.
• Previous experience with computer software is helpful but not necessary.
• Current Healthcare worker CPR certification.


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