Ambulatory Specialty RN Clinic

CommonSpirit Health•Seattle, WA

About The Position

As a Clinic Registered Nurse, you will provide professional, compassionate nursing care to clinic patients and work collaboratively with the patient care team. The role includes assessments, triage, diagnostic testing, clinical procedures, patient education, medication administration, care coordination, and documentation. You will help patients understand care instructions, results, and follow-up information, and support them through complex, urgent, or emergent situations within your training, licensure, established protocols, and standards of practice. The RN prepares patients for practitioner visits, supports providers during complex nursing care, responds to patient and family questions, manages patient flow, and maintains exam rooms, instruments, supplies, and related equipment. The position also involves telephone triage, electronic medical record documentation, point-of-care testing, specimen collection, and administration and tracking of medications in accordance with orders and established policies.

Requirements

Graduation from an accredited school of nursing, required upon hire.
Registered Nurse license for Washington State, required upon hire.
Basic Life Support (CPR), required upon hire.

Nice To Haves

One year of RN work experience in a clinic setting, or two years of acute care RN work experience.

Responsibilities

Deliver professional nursing care to clinic patients and perform diagnostic tests and clinical procedures within training, scope of licensure, and established procedures.
Independently triage nursing situations using standing orders and protocols, and address complex, urgent, or emergent situations escalated by clinic staff.
Perform patient assessment and care tests, including EKG, spirometry, vision and hearing screening, peak flow, and color blindness testing.
Assess wounds and provide complex wound care and dressing changes, including placement or changing of wound vacs; remove sutures or staples after provider wound assessment.
Insert or remove tubes, drains, and urinary catheters, including removal of PICC lines; apply splints and braces.
Instruct patients in sample collection and testing, and ensure patients or families understand follow-up and referral information.
Inform patients of laboratory results, call prescriptions in to pharmacies, and return practitioners’ phone messages.
Answer patient and family questions; provide health education and guidance; explain or interpret results, findings, and diagnoses within standards of practice.
Provide direct assistance to providers in complex nursing care situations.
Administer medications under written provider orders; track and log medication use, inventory controlled substances, and administer approved medications through specified routes, including IV fluids and medications, blood products, and medications instilled into the bladder via catheter.
Administer drops, topical medications, and nebulizer treatments.
Assist with point-of-care and laboratory testing according to established protocols; obtain samples, perform venipuncture, conduct specified waived point-of-care tests, and document results.
Record ambient, refrigerator, and freezer temperatures and humidity for medication storage, and follow protocols when readings fall outside standard ranges.
Document procedures and interactions in the electronic medical record; enter, pend, and sign orders as appropriate.
Respond to and triage patient telephone calls using approved protocols and document calls to required standards.
Take provider verbal orders in person or by phone and ensure they are signed off according to established procedures.
Prepare patients for practitioner visits; room patients and record vital signs and other relevant information; chaperone and document exams while maintaining privacy and comfort.
Collect patient information in person and by telephone; screen, communicate, and respond appropriately to patient needs.
Assist patients with mobility as needed and manage patient flow to allow time for patient and family education.
Organize, clean, maintain, and restock exam rooms; prepare, clean, and sterilize instruments; maintain related equipment.
Anticipate providers’ needs for medications, supplies, and equipment during patient exams.