Registered Nurse- Urgent Care Job Opening

Registered Nurse- Urgent Care

Barton Urgent Care and Family Practice

Stateline, Nevada
$27.00 - $38.00 an hour
Category: Nurse Practitioner

Purpose Statement
Consistently Exceptional Care

Barton Health is a not-for-profit, equal opportunity employer and does not discriminate on the basis of sex, age, religion, creed, national origin, race or handicap in its relationship with patients, visitors or employees.

Mission
Barton Health is dedicated to the delivery of safe, high quality health care to community members and visitors. We are committed to compassionate, personalized, comprehensive and responsive treatment of all of our patients and other guests.

Nicotine Free Statement: To further our mission in providing quality, compassionate care to everyone, effective January 1, 2017, Barton Health will no longer hire individuals who use or test positive for nicotine. Barton Health promotes a healthy and safe environment for all Associates, Physicians, Volunteers, Patients, and Vistors. Therefore, all individuals whose pre-employment drug test results are positive for nicotine will have their job offer rescinded, and they will be disqualified from applying for employment for 6 months (180) days from the date of the health screening.

Job Function: Nursing

Employment Type: Full-Time

Hours per Pay Period .75 (60 hours p/pp)

Job Shift: Day

Weekend/Holiday Rotation: Yes

***This position is 30 hours per week, the schedule is Sunday-Tuesday***

Summary of Position:

The Urgent Care (UC)/Occupational Health Services (OHS) RN provides diversified duties both within and in support of the UC/OHS department. The RN provides professional nursing care, within UC and OHS, utilizing established policies and procedures, ensuring safe and effective care. RN will work with UC/OHS providers and workers compensation administrators to provide the best possible outcome for the injured or ill person. The RN assesses, plans, implements and evaluates care in collaboration with the physicians and practitioners. The RN provides leadership and supervision to all clinical staff. The RN coordinates department activities, ensuring safety of patients and staff and ensures that adequate medical supplies, medication and vaccinations are ordered and are on the premises. Services are provided based on the ages of the population served, newborn through geriatric (65 years or older), in collaboration with the care team.

Qualifications

Education :

  • Must be a graduate from an accredited school of nursing with a current Nevada and California Registered Nurse license.

Experience :

  • At least two years of nursing work experience.
  • Emergency room nursing work experience is preferred.

Knowledge/Skills/Abilities :

  • Duties require intensive knowledge of a highly specialized field or broad knowledge of major hospital functions or activities.
  • Extensive knowledge of epidemiological principles, infectious / communicable diseases, health assessment, health management, and adult immunizations.
  • Highly effective written and verbal communications skills.
  • Excellent interpersonal skills.
  • Proficient computer skills as required to document, communicate and enter information into the electronic medical records system.
  • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred.

Certifications/Licensure :

  • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date.
  • Current ACLS certification prior to hire or must enroll and complete the first available Barton University course
  • Clean driving record with valid state issued driver’s license. Will use own vehicle to travel to off-site locations; need proof of car insurance and registration.

Physical Demands

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 frequently required to walk, stand, sit, and talk or hear.
  • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
  • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
  • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
  • Lifts, positions, pushes and/or transfer patients.
  • The employee must occasionally lift and/or move up to 50 pounds.

Working Conditions

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.

  • Routine Hospital/Healthcare & Office/Administrative conditions.
  • Contact with patients and guests under a wide variety of circumstances.
  • Regularly exposed to the risk of bloodborne diseases.
  • Exposure to infections and contagious disease.
  • Exposed to hazardous anesthetic agents, body fluids and waste.
  • Subject to hazards of flammable and explosive gases.
  • Subject to varying and unpredictable situations, including the handling of emergency or crisis situations.
  • Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands.
  • Occasional travel to various health system locations.

Essential Functions

  • Provides consistently exceptional care at all times.
  • Under the direction of the medical provider, perform diversified duties both within and in support of UC and OHS. Assists physicians/practitioners in providing medical care, performing procedures including participation in codes.
  • Assists physicians with examinations, procedures and other processes related to direct patient care. Keeps patient/family informed. Focuses on customer service needs.
  • Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to identify each patient’s age-specific needs.
  • Meets with injured/ill patients as required or needed involving:
  • Triage of the individual’s injury/illness.
  • Facilitate processing and treatment of involving employee working through and in cooperation with all designated treating facilities.
  • Work in cooperation with the applicable emergency treating physician.
  • Establish plans of care and rehabilitation for the injured/ill patient to return to work.
  • Instruct individuals in carrying out physician discharge instructions and the related activities including (for injured patients) the placing of calls to various client companies regarding injured employees pertaining to injury itself; plan of care; estimated lost work time, etc.
  • Prepare written reports regarding injured workers and fax/mail/deliver to applicable area client company representative.
  • Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented in appropriate medical record system.
  • Provides supportive and compassionate leadership to clinical staff.
  • Responds to staff requests in a timely manner.
  • Ensures accurate and timely communication.
  • Is supportive of staff when dealing with conflicts involving other disciplines and services.
  • Approach is non-judgmental and professional.
  • Coordinates clinical activities of the department, ensuring safety of patients and staff.
  • Models professional communication with other disciplines and departments. Ensures the competency of clinical staff. Oversees training and ensures clinical staff competencies, ensures safe clinical staffing levels. Supervises, trains and evaluates work performance of all clinical personnel.
  • Assesses pain level on all patients upon initial contact and reassesses according to standards
  • Evaluates location, severity, intensity and quality of pain.
  • Uses the approved pain scale for measurement
  • Reevaluates pain level in response to intervention/ treatment
  • Assesses psychosocial needs of patients, expressing interest in their progress and comfort.
  • Provides telephone advice completing telephone triage and callbacks, assign tasks, related reports and follow through of physician instructions in a timely manner.
  • Confirms medication administration is safe, accurate and timely.
  • Follows all safety precautions related to patient ID, order confirmation, calculations and double-checking dose accuracy if applicable.
  • Follows procedure when removing stock meds.
  • Signs and ensures all narcotic waste is witnessed.
  • Documents all medication intervention to include rationale.
  • Reports all Adverse Drug Events (ADE), Adverse Drug Reaction (ADR) and medication errors, according to policy.
  • Ensures vaccination administration is recorded in appropriate state reporting system.
  • Performs nursing care essential to the assessment, promotion, maintenance and restoration of patient’s health and wellness.
  • Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors.
  • Ensures daily quality controls such as, but not limited to: Clintek, Autoclave, POC, lab controls, hemoglobin equipment, refrigerator temperature, crash cart, narcotics and waters temperature.
  • When appropriate: Effectively educates patients, families on:
  • Medication use and safety
  • Nutrition interventions
  • Safe use of medical equipment
  • Skin and wound care management
  • Management of pain
  • Rehabilitation techniques
  • Use of other resources
  • Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions.
  • Develops and updates policies and procedures; able to access documents and adheres to all policy and procedures that guide the delivery of care.
  • Under direction, proposes, develops and presents a variety of health education programs to the local area general public and/or area client companies.
  • Performs diversified duties regarding pre-placement physical examinations. Coordinate all applicable testing with technicians. Make recommendations to applicable individual physicians regarding individual employee pre-placement physical examination results.
  • Reviews employee Disability Evaluations for various client companies involving:
  • Review of the patients’ history,
  • Compile all pertinent medical data on the employee’s injury,
  • Review functional capacity evaluations,
  • Document and submit reports of these evaluations to various client companies with a summary of findings.
  • Networks with client company representatives to provide resources information on all aspects of the OHS program. Interacts with client company injured employees to ensure the employee has been provided the highest quality of service while a client. Assesses the educational needs of company representatives and propose programs to meet those needs.
  • Visits client company on a regular basis to keep current on the specific job tasks the employees are doing, provide periodic feedback beyond the patient reports of trends or just company status. Drives to client companies, or other departments to administer vaccination, perform screenings, and other duties as assigned.
  • Act as resource to all physicians who may interact with the injured employee to ensure appropriate knowledge of the work site and TAW/TWA (temporary alternative work/temporary work assignment) status of the client company.
  • Participates with the rehab team to provide company philosophy, availability of resources for anticipated employee needs and monitor the length of treatment to ensure the early identification of chronic cases.
  • Collaborates with clinical peers to evaluate current practices and ensures that the most efficient avenue is being pursued to accomplish the job.
  • Promotes wellness concept to all clients and to participate in health and wellness fairs.
  • Responds to the needs of the department by performing other duties, as necessary.

Purpose Statement
Consistently Exceptional Care

Mission
Barton Health is dedicated to the delivery of safe, high quality health care to community members and visitors. We are committed to compassionate, personalized, comprehensive and responsive treatment of all of our patients and other guests.

Values/Standards

Barton Health commits to integrity, collaboration and excellence through the practice of our four Service Standards:

  • Safety
  • Respect
  • Image
  • Efficiency

Barton Health is a not-for-profit, equal opportunity employer and does not discriminate on the basis of sex, age, religion, creed, national origin, race or handicap in its relationship with patients, visitors or employees.