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Registered Nurse III

  • DaVita Medical Group
  • Los Angeles, CA, USA
  • Oct 12, 2017
ID: 8347955 VIEWS: 5 Full time Health Care

Job Description

OVERVIEW OF POSITION:

Responsible for providing professional nursing care by assessing, planning,implementing and evaluating the care of patients under the supervision of aclinician or Registered Nurse. Delegates tasks as needed to professionals and para-professionalteammates. Coordinates activities and works closely with clinicians andteammates to maintain efficient department functions and ensures successfuloperation of the department. Responsible for performing operational duties asrequired under the supervision of the site administrator or designee.

ESSENTIAL FUNCTIONS:

* Consistently exhibits behavior and communication skills that demonstrate DaVita Medical Group (DMG) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
* Closely monitors patient safety at all times; i.e. does not leave patient on an exam table unattended and participates in DMG fall prevention program.
* Complies with DMG sharps safety program at all times, i.e. only using devices with safety features and employing safe work practices.
* Works as a Registered Nurse primarily in the Urgent Care Center (UCC), Ambulatory Surgery Center (ASC) or specialty department.
* Performs specialized procedures within the scope of practice of a Registered Nurse.
* Assumes the Charge Nurse role as needed. Additional leadership duties include Nurse Educator and/or Telephone Advice Nurse.
* Performs various simple to complex patient test and procedures within the scope of practice of a Registered Nurse.
* Performs comprehensive patient assessment and triaging.
* Performs telephone screening and advice patients with or without directions from a clinician.
* Participates in verifying medications and vaccine doses for non-licensed teammates.
* Obtains, interprets, records and reports vital signs (temperature, pulse, respiration and blood pressure), height, weight, and other pertinent patient information to clinician.
* Prepares patient for examination and other procedures.
* Develops an appropriate nursing care plan.
* Implements a plan of care by performing nursing interventions and assisting with procedures.
* Administers medication and other therapeutic modalities within the scope of practice of a Registered Nurse.
* Performs patient and family teaching.
* Maintains clinical standards outlined in the clinical operations policies and procedures manual. Identifies deficiencies and recommends changes.
* Documents and maintains records of medical and nursing procedures.
* Coordinates with clinicians and ancillary departments to plan daily work assignments according to teammate's abilities, clinician and patient schedules, patient flow and procedures.
* Ensures adequate levels of supplies ordered are maintained.
* Ensures that all equipment is maintained.
* Performs telephone screening and advice patients with or without directions from a clinician.
* Directs patients to appropriate levels of care and authorizes outside services.
* Notifies pharmacies of new prescriptions and authorizations of refills as ordered by clinician.
* Participates in educational programs to enhance nursing knowledge.
* Adheres to Standard Precautions at all times.
* Adheres to safety policies and procedures at all times.
* Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
* Anticipates the needs of the Primary Care Physician (PCP) and carries out orders.
* Checks Electronic Health Records (EHR) for patients' arrival status and escorts patients from waiting area to exam rooms.
* Transports dirty equipment and performs appropriate cleaning, disinfecting and autoclaving and cold sterilization and maintains autoclave, cidex and A-test logs as needed.
* Maintains monthly expiration logs for medications and sample medications (refrigerated and non-refrigerated).
* Maintains yearly expiration logs for Preventative Maintenance (PM) and as needed.
* Performs EKG reconciliation and ensures confirmed EKG's are seen by clinician.
* Instructs patient on lab, radiology, and other procedure / testing preparations.
* Participates in visit closure with patient and clinician by explaining next steps for lab, X-ray, referrals, Durable Medical Equipment (DME), etc.
* Escorts patients to ancillary services when needed.
* Facilitates the transfer of pertinent patient information between site and referred Specialists, Hospitals, Urgent Care Centers, Ancillary Testing Facilities, etc.
* Forwards all pre-op information to hospital surgeon.
* Maintains referral tickler file / log as appropriate.
* Schedules appointments.
* Registers new patients and refers them to the Eligibility department as needed.
* Enters "No shows" into IDX, and performs "No Show" follow up process.
* Works bump list.
* Maintains immunization records and updates EHR (including California Immunization Registry (CAIR)).
* Assists with the completion of appropriate forms (DMV, disability, etc.).
* Updates patient demographic information in IDX.
* Performs patient record audits.
* Answers, directs, and follows up on incoming calls.
* Calls patients as requested by clinician.
* Distributes incoming correspondence (faxes, consult notes, test results, etc.).
* Assists with Quality Metrics, Comprehensive Health Assessment Programs (CHAPS) formally HCC research, telephone call procedures, and patient follow up procedures.
* Participates in Quality Improvement projects.
* Participates in preparing department for internal and external site audits (facility site reviews) from SCAN, DHS, etc.
* Interacts with the Patient Support Center, Eligibility department and Pharmacy Support Center.
* Participates in teammates / clinician "huddles".
* Participates regularly in site teammates and department meetings.
* Covers other teammates as needed.
* May assists with site marketing activities (i.e. health fairs, senior Olympics, flu clinics and other events).
* Conducts pre and post-operative teaching for the patient, taking into account all psychological, physiological and religious aspects.
* Works in collaboration with a clinician to prepare, monitor and discharge patients after a procedure.
* Cleans and stocks exam and procedure/surgery rooms.
* Serves as a relief for the teammates.
* Assists with all departments specific functions within the RN scope of practice.
* Verifies that the informed consents for procedures have been signed, dated and witnessed.
* Prepares labels, collects and transports various specimens to appropriate destinations.
* Frequently monitors overdue orders and follows approved process to address the orders.
* Assists with Meaningful Use (MU) initiative by encouraging patients to sign up for Follow My Health (FMH), obtaining patient's email addresses, updating smoking status, and other initiatives.
* Assists clinicians with medication reconciliation per guidelines.
* Uses approved standing orders to perform, order test and update referrals.
* Assists with entering referrals in electronic health records EHR for clinician to authorize.
* Enters medical billing charges for services rendered in EHR.
* Provides direct patient care as needed.
* Participates in verifying medications and vaccine doses for non-licensed teammates.
* Mentors and trains teammates in collaboration with the Site Administrator, lead clinician and people services department.
* Attends in all mandatory Clinical Teammate Orientation (CTO) (both instructor led and online courses), Annual Clinical Updates, and Skills validation including those that could be held after working hours including the weekend.
* Participates in facilitation of annual skills validation for Medical Assistants take place during evening hours and or weekends (selected Saturdays only).
* Ensures all Patient Intervention Reports (PIR) have been reviewed and actions taken.
* Assists clinician and licensed nursing teammates in responding to patient emergency situations as per Emergency Response Protocols.
* Attend trainings that are related with the specific department that you are assigned to ensure we are update in our safety practices i.e. Urology Department: (BCG) Usage and Handling drugs. Upcoming and new drugs introduce to the company.
* Ability to assume Charge Nurse role duties (as assigned by Nursing management):
* Serves as the "floor leader" and supervises the patient flow as well as the daily nursing activities in the UCC or ASC department.
* Coordinates with clinicians and teammates to plan daily work assignments according to teammates abilities, patient flow and procedures.
* Coordinates break schedules and responsible for handling sick calls.
* Ensures that all abnormal reports are communicated to clinicians.
* Ensures appropriate steps for narcotic count and reconciliation.
* Ensures bio-hazardous materials are disposed of in accordance to regulatory guidelines.
* Ensures all daily quality control tests and logs are maintained.
* Assists nursing supervisor by ensuring compliance for certifications, competencies and compliance measures.
* Assists nursing supervisor with annual evaluations of teammates and competency validation.
* Participates in quality improvement projects including Comprehensive Health Assessments (CHAPS) formally HCC and P4P.
* Serves as CIS specialist.
* Assists in orientation of new teammates, TSU and registry teammates.
* Supports and participates in companywide initiatives (i.e..... click apply for full job details

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