RN Anticoagulation

UnitedHealth Group•Eugene, OR

2d•$34 - $61

About The Position

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Optum’s Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. Role Description: To improve the anticoagulation patient’s outcome by providing safe and therapeutic anticoagulation administration and education for better understanding and compliance. To decrease adverse events such as stroke or bleeding. To optimize the administration cost associated with maintaining patients on Coumadin. This individual also works to develop, interpret, implement and document a plan of care for each patient. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Requirements

Graduate of an accredited school of nursing
Current Oregon RN license
Current healthcare level BLS/CPR certification
4+ years of professional nursing experience

Nice To Haves

Bachelor’s degree in Nursing (BSN)
RN Anticoagulation experience
Experience working in an electronic medical record system

Responsibilities

Elicit critical patient information about anticoagulation status and factors potentially affecting anticoagulation status. Analyze patient information and laboratory data
Select and follow appropriate Warfarin dosing protocol, upon orders from the ACC Supervising MD. Recognize unusual responses to Warfarin dose regulation and contact attending ACC Supervising MD or PCP
Triage patient problems during clinic visit and over the telephone. Recognize patient circumstances and lab data which require referral and communications to ACC Supervising MD or PCP. Assume responsibility for arranging patient follow up on identified problems
Educate patients and families about Warfarin risks, benefits and precautions. Engage patient in appropriate self-care activities concerning anticoagulation use
Record all prothrombin time results, anticoagulation dose, return visits and telephone interactions in clinic chart. Send copy of results to PCP in timely manner or at intervals requested by PCP. Document all prothrombin time results and resultant Warfarin dosage using EMR. Send copy of results to PCP in timely manner or at intervals requested by PCP
Determine frequency of patient visits based on patient information and lab test results
Initiate contact with appropriate home health agencies to arrange patient care at the approval of attending ACC Supervising MD or PCP. Analyze home care situations for potential risks to an anti-coagulated patient
Watch for and recognize musculoskeletal hematomas and injuries; notify attending ACC Supervising MD, PCP or emergency room as appropriate. Watch for and recognize symptoms of GI or GU bleeding and initiates appropriate referrals, based on perceived urgency. Watch for and recognize thrombosis or embolus and contacts PCP, attending ACC Supervising MD or emergency room, as needed
Participate in professional development efforts to ensure currency in health care practices and trends
Maintain strictest confidentiality
Attend meetings as required
Perform other duties as assigned