Onsite Registered Nurse

JobSiteCare•Wilson, AR

4d•$105,000 - $120,000•Onsite

About The Position

The Site Registered Nurse (Site RN) provides on-site medical support at the Steel River construction project in Arkansas. The Site RN works under the remote supervision of the CMO or an on-call physician and practices to the full extent of RN licensure, including triage, assessment, first aid, emergency stabilization, wound care, and administration of medications and treatments authorized by the CMO or on-call physician.

Requirements

Active, unencumbered Registered Nurse (RN) license valid in Arkansas.
Current BLS (Basic Life Support) certification.
Minimum of 2 years of RN clinical experience, such as emergency, urgent care, EMS, or occupational health.
Ability to work independently as the senior on-site clinical resource for extended periods, with support available by phone or telehealth rather than in person.
Ability to use Microsoft Office applications such as Outlook, Word, and Teams.
Ability to use an Electronic Medical Record and Microsoft Teams on a company-provided laptop, and to accept voice guidance on a company-provided cell phone when required.
Reliable phone or telehealth connectivity for real-time consultation with the supervising physician or APP.
Analytical and triage skills appropriate to first response and emergency stabilization care.
Professionalism and strong communication skills for serving as the primary on-site clinical resource.
Understanding of the legal aspects of confidentiality and patient care.
Ability to meet the stated physical requirements, including lifting 25 lbs., walking over a mile per day, standing for over an hour at a time, and moving quickly over varied terrain to respond to emergencies.

Nice To Haves

ER or urgent care experience.
Occupational health nursing experience.
ACLS certification in addition to BLS.
Prior construction, industrial, or remote/field-site experience.
Wilderness medicine, remote-site medic, or austere-environment training.
OSHA 10/30 construction safety certification.

Responsibilities

Provide first-response assessment, first aid, and emergency stabilization for on-site injuries and illnesses under the supervising physician or Advanced Practice Provider.
Recognize and respond to heat-related illnesses, including cramps, syncope, exhaustion, and heat stroke, consistent with the site's heat-injury monitoring program.
Escalate cases to the supervising physician or APP by phone or telehealth according to standing-order criteria, and coordinate transport or EMS activation for cases beyond on-site capabilities.
Maintain accurate clinical documentation of visits, incidents, and communications with supervising providers.
Support return-to-work assessments and coordinate with employees' treating providers as directed by the Safety Office, without independently clearing employees for duty.
Participate in site safety orientation and drills, and periodically review and renew standing orders with the supervising physician.
Administer medications and treatments authorized under written standing orders, following the defined escalation and consultation pathway.
Complete site safety orientation, such as OSHA 10/30 when required by the general contractor, before working independently.
Comply with state and federal regulations and organizational confidentiality policies, including HIPAA, to protect patient health information.
Perform other duties and assist with special projects as assigned.