Clinic RN II

Sac and Fox Tribe of Iowa•Tama, IA

7d•Onsite

About The Position

This position involves working closely with clinical staff as a collaborative member of the health care team. The Clinic RN II is responsible for accurate patient assessments, monitoring patient health status, and responding to emergency situations. This role requires meticulous documentation in the patient's clinical record, maintaining knowledge of Electronic Health Records (EHR), and assisting with the implementation of medical treatment plans. Key responsibilities include administering medications, providing patient and family education, assisting with examinations and procedures, and coordinating Durable Medical Equipment (DME) and care transitions. The role also involves case management for patients with chronic conditions, maintaining clinic supplies and equipment, processing lab specimens, and adhering to infection control policies. Professional growth and patient confidentiality are emphasized.

Requirements

Associate of Science Degree in nursing required.
Must be a Registered Nurse in the State of Iowa with 4 years of professional nursing experience.
Require competency in IV therapy and central line management (PICC line management).
Must be CPR certified.
Must possess basic knowledge of wide variety of medical disorders, pharmaceuticals and ability to recognize and react to emergency situations.
Must possess the ability to work well with a diverse staff.
Great interpersonal and communication skills required.
Must be able to adapt to change in a fast-paced health care setting.
Electronic health record experience required.
Must be willing to obtain Advanced Cardiac Life Support certification within 12 months of hire date.
Must submit to and successfully complete background investigation.

Nice To Haves

Bachelor of Science in nursing preferred.
Prefer 5 years of ambulatory clinic experience.
Instructor preferred (CPR certification).
Preferred candidates must have experience in one or more of the following areas of nursing: Diabetes care, chronic disease management/home health, Mental Health/Behavioral Health and Substance abuse nursing, and/or Pediatric nursing care.
Instructor preferred (Advanced Cardiac Life Support certification).

Responsibilities

Monitor and perform accurate and appropriate assessments for all assigned adult and pediatric patients, identifying and collecting data concerning the health status and clinical picture of each patient.
Monitor, anticipate and respond to emergency situations. Initiate appropriate measures in emergency situations when the primary care provider is not immediately available.
Start IV if ordered by primary care provider.
Provide appropriate documentation of all observed patient information and patient care in the patient's clinical record.
Maintain knowledge of EHR.
Assist with implementation of the medical plan of treatment and administration of therapeutic measures as prescribed by the Physician/Provider such as medications, treatments, dressing changes, collection of specimens and catheterizations.
Assisting with implementing and evaluating individual patient care to include making referral appointments to outside providers.
Perform duties to meet meaningful use requirements.
Maintain knowledge of CMS requirements and best practices.
Administer medications to patients as assigned by Physicians/Providers, observe patients for reaction to drugs given and reports adverse reactions or condition changes and all medication errors immediately.
Assist in person or via phone with assessment, planning, providing, evaluating and documenting instructions and teaching to patients and families in preventive, curative and rehabilitative measures. (Telephone triage)
Assist physician/provider (including visiting providers) with examinations/procedures, adhering to clean/sterile techniques as needed.
Serve as the primary lead for the coordination of Durable Medical Equipment (DME), including assessment of needs, selection of appropriate equipment, and management of insurance authorizations.
Manage care transitions for patients returning home from hospitals, nursing facilities, or acute care settings.
Act as the liaison between discharge planners, providers, and community resources to ensure a seamless transition.
Coordinate the delivery, setup, and patient education regarding DME to ensure patients and caregivers understand proper use, safety and maintenance.
Conduct follow-up communications (phone or in-person) to troubleshoot DME issues, assess compliance, and ensure patient safety post-discharge.
Perform case management duties as assigned, including developing and implementing care plans for patients with chronic or complex conditions to improve outcomes.
Share responsibility for sustaining adequate supplies and equipment as well as general upkeep of the clinic and in preserving a safe environment.
Shares responsibility for cost-effective utilization of supplies and equipment.
Collect and label chemistry, microbiology and hematology lab specimens and process all labs in accordance with lab policies and procedure.
Maintain knowledge of and adheres to current Infection Control policies and standards of practice. (Standard precautions, Respiratory Precautions, Isolation requirements, etc.)
Maintain and promote professional growth for self and other staff to include staff/community training in first aid/CPR.
Maintain patient confidentiality and adhere to "Patient's Rights" policy.
Respect patient privacy and promote patient's total well-being.
Adhere to and promote professional, ethical and legal standards of nursing care and policy and procedures of the Tribal Clinic.
Other duties as delegated by Clinical Director and Clinic Nurse Manager.