Clinic Registered Nurse Lead

Sheridan Memorial Hospital•Sheridan, WY

About The Position

The Clinic Registered Nurse Lead provides nursing care to an assigned patient population and helps coordinate the clinic nursing team. Daily work includes rooming patients; reviewing histories and assessing health status; developing and implementing nursing processes; providing patient callbacks and education; evaluating, planning, implementing, and documenting care; performing tests and administering medications within the scope of practice; and participating in performance improvement and continuous quality improvement activities. The role may also assist with office procedures, inventory and supply management, exam-room and equipment organization, scheduling, patient reception, and office coordination. The nurse lead coordinates patient care in a multidisciplinary practice, communicates with patients, families, providers, and other departments, and supports patient safety, age-appropriate care, pain management, education, infection control, and accurate electronic medical record documentation. Lead duties include assisting the Clinic Manager with nursing observation and oversight, coordinating and validating team training, providing feedback on disciplinary concerns, arranging team schedules to cover direct and indirect care, delegating tasks in collaboration with the Clinic Manager, and reporting at regular clinic huddles or designating a team member to do so. The position supports Big Horn Surgical and its patients by coordinating and scheduling vascular, gastrointestinal, radiology, general surgical, and other procedures; educating and assessing patients; assisting surgeons with office procedures; and communicating assessments and concerns to providers. Responsibilities also include specified vascular testing, endoscopy preparation and scheduling, feeding-tube care, postoperative assessment, wound and drain care, and preliminary cleaning and preparation of surgical instruments for Central Sterile. The role requires professional, respectful representation of the clinic and its surgeons and a commitment to patient dignity and patient-centered care.

Requirements

Associate degree in nursing.
Current Wyoming Registered Nurse license without restrictions.
Basic Life Support (BLS) certification.
Ability to communicate in English verbally and in writing.
Sound computer knowledge and proficiency.
Delegation, prioritization, and organizational skills.
Ability to coordinate care and work effectively with multidisciplinary teams.
Pre-employment drug and alcohol screening is required.

Nice To Haves

At least two years of nursing experience is preferred.
Within one year, obtain certification confirming engagement in Physiological Testing: Techniques & Interpretation.

Responsibilities

Room patients, review patient histories, assess health status, and collect and analyze patient data.
Evaluate, plan, implement, and document nursing care for an assigned patient population.
Perform testing and administer medications within the nursing scope of practice, following medication safety principles.
Provide age-appropriate care, head-to-toe assessments and reassessments, pain assessment and management, and patient and family education.
Maintain patient safety and follow infection-control, blood-borne pathogen, tuberculosis, and hazardous-waste practices.
Communicate and coordinate with patients, families, physicians, interdisciplinary team members, other departments, and administration.
Use the Electronic Medical Record to gather data and enter accurate information for reporting and quality measurement.
Coordinate and supervise patient care as needed in a complex, multidisciplinary clinic practice.
Assist physicians with procedures and perform treatments and services requiring technical and manual skills.
Support programs to improve coding and reimbursement for office-specific procedures.
Assist surgeons with hospital and clinic issues, represent the clinics in resolving problems, and participate on committees as appropriate.
Manage inventory responsibly and order department-specific supplies.
Help identify referring physicians and develop and preserve referral relationships.
Assist the Clinic Manager with observation and oversight of team nursing skills.
Coordinate and validate nursing team training and provide feedback regarding team disciplinary concerns.
Coordinate nursing team schedules to cover providers' direct-care and related indirect-care workloads.
Delegate or assign team members to other clinic tasks in collaboration with the Clinic Manager.
Report for the team at regular clinic huddles or designate another team member to do so.
Represent Big Horn Surgical professionally and respectfully in the community and among patients, coworkers, and interdisciplinary teams.
Demonstrate clean, aseptic, and sterile techniques appropriately and maintain knowledge of anesthetic agents, surgical nursing care, and medications relevant to surgical patients.
Educate patients about processes and procedures, provide available education materials, and allow patients to ask questions.
Perform non-invasive vascular testing using the Unetixs Vascular MultiLab II Unit and obtain the specified physiological testing certification within one year.
Schedule vascular procedures in the operating room and Interventional Radiology Lab, complete paperwork, notify involved team members, and maintain communication.
Interview, assess, and schedule appropriate patients for endoscopic procedures; identify patients who need physician evaluation before scheduling.
Complete Easy Access forms and gather supporting documentation for providers; order appropriate bowel preparation and educate patients about endoscopy and bowel cleansing.
Assess and care for patients with feeding tubes, including flushing and changing tubes, and notify providers and document assessments.
Schedule radiology and general surgical procedures as ordered by providers or surgeons.
Assess patients by telephone or in person after surgery, notify the provider or on-call provider, and document findings.
Prepare patients for office procedures and assist surgeons according to their preferences.
Pre-clean used surgical instruments, soak them in appropriate disinfectant while using PPE, and prepare them for Central Sterile pickup.
Assess wound drainage and drains, explain drainage types, care for Jackson Pratt and Penrose drains, communicate findings and orders with providers, document care, and replace saturated dressings with appropriate disposal.
Demonstrate basic knowledge of the portable ultrasound machine.
Perform other duties as assigned or needed to meet department or organizational needs.