Summary: Responsible for performing and/or enabling the efficient flow of patients and assisting in the provision of quality health services. Performs health care acts that require knowledge, judgment and skill and are performed under the supervision of the physician or midlevel healthcare provider.
Duties and Responsibilities include the following. Other duties may be assigned.
- Prepares patients to be seen by the physician. Performs routine health care data collection (i.e. blood pressures, vital signs, weight, oxygen saturation) as needed and documents in electronic medical record (EMR)*
Uses EMR appropriately including messaging, scheduling appointments, review of labs/notes and history documentation*
Document height, weight, head circumference, vision screening, developmental screen, risk assessment, and other history components needed for patient care in EMR.*
Documents chief complaint, medication list, social history, family history, medical history and surgical history in EMR *
Documents all nursing observations/procedures/services in EMR*
Assist medical provider with procedures, as needed, such as gynecological exams, pap smears, EKG’s, nebulizer treatments, and minor surgical procedures.*
Performs lab procedures, if necessary. Cleans and maintains equipment; includes the use of the autoclave for sterilization.*
Escorts patients to appropriate areas (room, lab, cashier desk, etc.).*
Performs procedures as ordered by the physician. This includes use of audiometer, ear irrigation, bladder catheterization, removal of sutures or staples and EKGs.*
Administers medications/immunizations as ordered by physicians to include by mouth, intramuscular and subcutaneous*
Utilizes other electronic records (Meditech, CARES). Enters all childhood vaccines administered into the DHEC CARES Immunization program*
Starts IV fluids as directed by medical provider.*
Flushes IV line with saline. Only RNs may push medications. LPNs cannot push any medication. *
Implements nursing interventions and tasks including monitoring of IV fluids *
Provides basic teaching for health promotion and maintenance*
Assists in the evaluation of responses to interventions (LPNs only)*
Independently evaluates and interprets data, response to treatment and implements appropriate reporting or immediate referral to medical provider (RNs only)*
Provides for the maintenance of safe and effective nursing care rendered either directly or indirectly*
Utilizes active communication to problem solve and develop strong leadership skills. This is especially important with interdepartmental communication and dealing with hostile patients.*
Assists with tracking patients to ensure all receive quality care and follow-up for all medical problems according to protocol. (This includes childhood immunizations, hypertension, anemia, diabetes, abnormal pap smears, abnormal mammograms etc.)*
Takes phone calls from patients, pharmacists and other doctors and documents appropriately in EMR. Reports urgent calls to medical provider for appropriate management.*
Takes messages for the triage RN. LPNs do not triage. Only RNs may triage. Triaging is the screening and classification of ill or injured patients to determine their medical needs. LPNs may not perform that part of the triage process which includes independent evaluation, interpretation of data, treatment priorities or level of care. It is the responsibility of the RN or medical provider to determine priority of care.*
Performs that part of the triage process which is delegated by the RN and includes observation and data collection (LPNs only).*
Calls in medication refills per Medication Refill Protocol and documents refills in EMR in Nurses Notes and Prescription area*
Responsible for stocking exam rooms with paper and supplies daily. Also checks room after every patient use and prepares for next patient. This includes cleaning surfaces with appropriate disinfectant when soiled and at the end of every session.*
At the end of each session, turns off lights, etc. in the exam rooms and prepares rooms for the next day*
Keeps nurse station stocked with appropriate forms and equipment.*
During times of staff shortage, must be willing to fill in as needed. This includes other departments and travel to other sites.*
Maintains confidentiality of all client information.*
Maintains the security of sample medications and keeps closet door closed and locked at end of work day.*
Reviews provider work schedule and verifies schedule in EMR. Notifies Assistant to the Medical Director if discrepancies are found then schedule can be corrected. Coordinates rescheduling of patients.*
Completes prior authorization for patient’s and the insurance companies.
RNs may supervise LPNs and Medical Assistants. LPN’s may only supervise MA’s. These supervisory responsibilities should only be placed into effect when the Medical Director and/or the Director of Clinical Support Staff deems necessary. It should not be an expectation that each suite or each site has individual supervisors based on credentials.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Graduate of an approved school/training program for registered nurses or licensed practical nurses. Prior experience in an ambulatory health care setting, such as emergency rooms or emergency clinics is preferable.
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Certificates and Licenses:
Valid SC license for RN or LPN required
CPR certification required
Knowledge, Skills and Other Abilities:
Basic nursing knowledge to include but not limited to preparing patients for physician visit, childhood and adult immunization requirements and routine protocols.
Ability to administer injections and perform laboratory tests
Ability to remove staple or sutures as authorized by the SC Board of Nursing Scope of Practice
Ability to develop and maintain personable yet professional relationship with patients and staff is required.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel objects, tools, or controls. The employee is frequently required to stand, sit, reach with hands and arms, and talk or hear. The employee is occasionally required to walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Potential for rare exposure of blood borne disease (category II) and chemical hazards (category B)