PRN Registered Nurse (year-round)

STGi•Yellowstone National Park, WY
•Onsite

About The Position

STGi is seeking a year-round PRN Registered Nurse to provide services at medical clinics in Yellowstone National Park. The RN works at one of three clinics located at Old Faithful, Lake Village, or Mammoth Hot Springs. Lake Village and Old Faithful are seasonal facilities that open in stages during April and May and operate until mid- to late October, depending on the clinic. These clinics provide urgent and emergency care, occupational healthcare, and some primary care for Park residents and employees. Patients span a wide age range and present with diverse injuries and illnesses. Limited point-of-service laboratory and x-ray services are available at all three facilities. The RN conducts clinical assessments and triage, provides and documents patient care, administers medications and sedation, takes and interprets ECGs, and assists with patient transfers, including in outdoor environments. The role also includes basic radiological studies, clinic equipment upkeep, registration and payment-related tasks, patient service, and point-of-service laboratory testing. The position may involve emergency response or mass-casualty assistance for the National Park Service, though such events are described as extremely rare.

Responsibilities

  • Complete triage and initial data collection for incoming patients, including vital signs, history, physical examination, and review of records.
  • Assess patients’ physical and mental condition on an ongoing basis and track baseline status and deviations.
  • Document assessments and reassessments using provided documentation tools and use electronic health records as directed.
  • Prepare patient transfer notes and related paperwork, including current status, complications, and changes in response when needed.
  • Reassess and reprioritize care based on incoming patients, acuity, and environmental conditions.
  • Provide care for emergent, non-emergency, and psychosocial problems.
  • Administer medications by appropriate routes; take and interpret ECGs; and administer and maintain sedation.
  • Treat, lift, move, and secure patients for transport, and transfer patients from the remote clinic to medical facilities.
  • Operate and manipulate a patient gurney outdoors, including lifting, carrying, pushing, and pulling.
  • As needed, assist with rescue and emergency care, move patients from danger, secure them for transport, and examine and treat patients en route to hospitals or at disaster triage sites during a mass-casualty event.
  • Provide basic radiological studies and collaborate with an APC to take radiological films.
  • Maintain radiology processor and related equipment according to procedure, and report malfunctions or questions to the service company and/or Clinic Administrator.
  • Be willing to train in digital x-ray procedures and maintain the filing system according to HIPAA procedures.
  • Verify registration information, review insurance cards, and obtain registration information from patients or family members.
  • Discuss payment expectations with patients or family members and enter insurance and collections activity according to established guidelines.
  • Arrange acceptable patient payment arrangements when requested, using credit-card or personal-check verification services.
  • Interact courteously and helpfully with patients in person and by phone, attempting to resolve questions and referring issues to the Charge Nurse or Clinic Manager as appropriate.
  • Identify equipment needs or problems and ensure emergency-care equipment is available and working.
  • Perform point-of-service laboratory testing, including specimen shipping, in compliance with procedures, and maintain quality improvement as appropriate.
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