Registered Nurse Lead Ambulatory

Advocate Health and Hospitals Corporation•Franklin, WI

1d•Onsite

About The Position

This is a full-time Registered Nurse Lead Ambulatory position in the AAH Franklin - Internal Medicine department. The role involves overseeing the day-to-day provision of patient care, including staffing, workflow, equipment, and supplies. The nurse lead will assist in evaluating and adjusting care services, act as a clinical and department resource, and may provide work direction to other staff. The position focuses on promoting and implementing care management and quality initiatives, establishing quality standards, and monitoring care delivery. The nurse lead will also ensure compliance with policies, procedures, and regulatory guidelines, and uphold safety and infection control standards. Direct patient care responsibilities include using the nursing process, recognizing and responding to changes in patient status, prioritizing care, providing triage and consultation, preparing patients for exams, performing laboratory procedures, and administering medications. Advanced clinical tasks and assisting physicians with procedures are also part of the role. Patient education and follow-up on test requests, refills, and referrals are essential. The position requires the ability to provide age-appropriate care based on growth and development principles.

Requirements

Registered Nurse license issued by the state in which the team member practices
Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required.
Bachelor's Degree in Nursing.
Typically requires 5 years of experience in nursing that includes experiences in precepting, and acting as a nursing resource.
Excellent communication (written and verbal) and interpersonal skills; ability to develop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians.
Demonstrated ability to effectively make critical, independent decisions.
Excellent organization, prioritization and problem solving skills.
Demonstrated leadership skills including delegation, organization, prioritization and building team rapport.
Proficient computer skills including keyboarding, navigation within a windows operating system, use of electronic mail and electronic medical records systems.
Must sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb, and reach above shoulders throughout the workday.
Must be able to lift up to 50 lbs from floor to waist.
Must be able to lift up to 20 lbs over the head.
Must be able to carry up to 40 lbs a reasonable distance.
Must be able to push/pull with 30 lbs of force.
Must be able to perform a sliding transfer of 150 lbs with a second person present.
Will be exposed to the following hazards on a frequent basis: mechanical, electrical, chemical, blood and body fluids.
Will be required to wear protective clothing and equipment as needed.
Must have functional speech, vision, hearing, and touch with ability to use fine-hand manipulation skills.
Operates all equipment necessary to perform the job.

Responsibilities

Oversees the day-to-day provision of patient care including staffing, work flow, equipment and supplies.
Assists supervisor in evaluating and adjusting care and services provided by clinical and clinical support staff.
Acts as an expert clinical and department resource.
May provide work direction to other staff and/or assist with patient care flow and the provision of services.
Works to promote and implement care management and quality initiatives.
Assists in establishing quality standards for department.
Monitors and evaluates care delivery provided and takes action to correct problems appropriately.
Maintains current knowledge of applicable policies, procedures and regulatory, compliance and scope of practice guidelines; assists in ensuring staff compliance.
Promotes and upholds safety and infection control standards for patients, visitors and staff.
Uses the nursing process to provide ongoing care (assess, plan, intervention, and evaluation).
Recognizes and responds to changes in a patient's status and need for care.
Determines priorities of patient care based on essential patient needs.
Provides triage and consultation to patient, family, and/or significant others according to protocol and organization guidelines.
Prepares and rooms the patient for exam by obtaining vital signs and documenting/updating pertinent health information (i.e. chief complaint, allergies, medications).
Performs laboratory procedures (i.e. strep test, wound culture, specimen collection, etc.) using principles of aseptic technique and standard precautions / infection control guidelines.
Performs advanced clinical tasks or skills such as removal of sutures and staples, catheterization, audiograms, laboratory procedures (throat/nose culture, drug screen, phlebotomy - butterfly, venous access, heel stick), spirometry, Holter monitor application, casting, complex wound care, fetal heart tone monitoring, Hickman/port-a-cath/PIC line, central line care, conscious sedation, anti-coagulation clinic operation, etc., with demonstrated competency and under clinical supervision.
Assists the physician/provider with procedures and surgeries such as pelvic exams, allergy scratch testing, EMG, cautery, colposcopy, etc.
Administers medications, under physician/provider orders, including: immunizations, antibiotics, narcotic pain medications, vitamins, topical agents, insulin, blood thinners, and allergy antigens.
Initiates, maintains and discontinues IV therapy; performs mixing of medications according to protocols.
Assesses and provides basic to complex patient education and counseling on the performance of tasks, skills, treatment and self-care integrating health promotion and preventive aspects of care.
Follows through with necessary procedure or test requests, prescription refills, new appointment times and referrals to other facilities or services.
Refers questions to physician/provider and relays information back to patient as directed.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.