RN - Allergy

McKenzie Health•Watford City, ND

84d•Onsite

About The Position

The Clinic Nurse (RN) in the Rural Health Clinic and Allergy Clinic provides care to patients in a fast-paced medical clinic. The nurse monitors patient health, provides treatments, administers medications, educates patients on health maintenance and disease prevention, and works closely with medical staff to support quality patient care. The role also supervises the daily activities of CMA III/CNA staff. The position includes allergy testing and immunotherapy, biologic medication management, and participation in supervised medication and food challenges, as directed by providers and within organizational policies, competencies, and scope of practice. The nurse monitors patients for reactions, documents care and outcomes, communicates concerns to providers, and educates patients and caregivers. The role also includes preparedness for anaphylaxis and other emergencies, maintaining emergency supplies and equipment, and providing emergency interventions as indicated. General clinic duties include supporting patient flow and clinic operations, maintaining confidential records, assisting with billing and insurance processes, coordinating nursing and clinic services, providing skilled nursing care and treatments, and supporting continuity of care with patients, families, staff, and community agencies. The nurse also provides health guidance to individuals and families and performs other duties as assigned. The employer may assign, reassign, or eliminate duties and responsibilities as necessary.

Requirements

Graduation from an accredited school of nursing with at least an associate degree in nursing.
Active, unencumbered Registered Nurse license with the North Dakota Board of Nursing.
Basic Life Support certification required.
Knowledge of professional nursing principles, techniques, basic sciences, and community health and welfare resources.
Ability to apply professional nursing principles, techniques, and basic sciences in homes, clinics, and the community.
Ability to follow written and oral instructions and exercise judgment in applying nursing care.
Ability to work cooperatively with people and maintain an objective attitude.
Ability to exercise tact and initiative.
Excellent written and verbal communication skills.
Ability to sit for prolonged periods and work on a computer; stand, bend, and reach for prolonged periods; and lift up to 70 pounds at times.

Nice To Haves

At least one year of experience in a clinic setting; new graduates are welcome.
Advanced Cardiovascular Life Support certification.

Responsibilities

Perform or assist with allergy testing according to provider orders, organizational policy, competency, and scope of practice.
Prepare patients and supplies for testing; monitor patients during and after testing; measure, document, and report results; and provide pre- and post-testing instructions.
Administer subcutaneous allergen immunotherapy according to provider orders and established protocols.
Verify the patient, allergen extract, vial, concentration, dose, and schedule before immunotherapy administration.
Review patients for illness, medication changes, previous reactions, and other factors that may affect immunotherapy administration.
Observe patients after injections, assess and document reactions, follow dose-adjustment protocols, and communicate significant reactions or concerns to providers.
Educate patients about immunotherapy schedules, expected reactions, and symptoms requiring immediate medical attention; maintain immunotherapy documentation and tracking.
Administer injectable biologic medications and coordinate initiation and ongoing administration of biologic therapies.
Educate patients about biologic medication administration, effects, potential adverse reactions, and schedules; monitor patients when required and teach self-administration when applicable.
Track biologic medication schedules and coordinate with pharmacies, specialty pharmacies, insurance companies, and prior authorization staff as needed.
Assist with or participate in supervised oral food challenges, medication challenges, and graded medication administration according to provider direction and protocols.
Prepare challenge medications, foods, supplies, and emergency equipment; assess patients before challenges; administer ordered doses; and monitor and document patient responses.
Communicate changes in patient condition during challenges to providers and provide patient education and discharge instructions afterward.
Recognize anaphylaxis and other serious allergic reactions and initiate emergency response procedures according to policy and provider direction.
Administer emergency medications within RN scope of practice and established orders or protocols; maintain emergency medications and equipment; and participate in emergency preparedness education and competency validation.
Educate patients and caregivers about severe allergic reactions and proper use of epinephrine auto-injectors.
Assist with patient flow and clinic operations; maintain accurate, confidential patient records; and support billing and insurance processes as required.
Implement emergency protocols and provide life-saving interventions as needed.
Participate in analyzing and planning coordinated nursing services in an assigned area.
Provide skilled nursing care, prescribed medications, and other treatments to patients requiring professional nursing services.
Interpret care plans and demonstrate appropriate procedures to licensed vocational nurses, nursing aides, and other staff.
Coordinate clinic services in the interest of patients and support continuity of patient and family care by sharing information and cooperating with community health and welfare agencies.
Guide families on accident prevention, communicable disease control, nutrition, child growth and development, and physical and emotional fitness.
Help individuals and families accept and adjust positively to physical, mental, and social limitations.
Oversee the daily activities of CMA III/CNA staff.
Perform other duties assigned to the work area or specialty.

Benefits

Top competitive compensation package
Fully comprehensive benefit package
100% retirement match up to 6% (403b)
Flexible spending with employer deposit
Service awards and recognition programs
Tuition assistance/reimbursement for qualified employees
Employer-provided training programs such as SANE, TNCC, NRP, STABLE, NIHSS, ACLS, and PALS
Sign-on bonus
Options for student loan repayment, relocation, and temporary housing assistance
Certain branded clothing provided
Child care subsidy program
Free gym membership at Connie Wold Fitness Center
Paid community orientation