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Required Skills

Essential Functions and Job Duties

• Collects and documents data regarding physical, psychological, and educational needs of patients of all ages.

• Differentiates among emergent, urgent, and non-urgent patients.

• Identifies signs or symptoms, which indicate a significant variance.
• Reports variances to Provider.
• Establishes priorities in clinic setting and collaborates with Provider regarding plan of care.
• Offers input to plan of care.
• Educates patient in plan of care; coordinates and communicates plan of care with the patient and/or patient’s family.

• Screens telephone calls from patients and evaluates for referral.
• Conducts pre-authorization for medication and ordered tests; completes appropriate forms. Schedules specialized procedures at the hospital; monitors need for follow-up.
• Arranges outside laboratory tests.
• Assists physicians by preparing patients and setting up equipment.

• Shares with nursing staff daily scheduling of patients with acute and/or urgent problems.
• Performs as a team nurse with Providers.
• Reports ideas, concerns, and problems to Manager/Coordinator.
• Scans and accurately indexes patient records from outside sources in the electronic health record for Provider signature.
• Reviews patient medical records from previous physician to incorporate pertinent information into patient’s completed chart.
• Under the supervision of a Physician, provides and documents care according to established standards of practice, policies, and procedures, and follows Physician orders.
• Prepares equipment for diagnosis and treatment; prepares patients.
• Performs blood draws test (where applicable), treatments, and screenings, and assists with examinations and minor surgery; sets up and assists with procedures; cleans and sterilizes instruments and equipment as needed.
• Administers medications and immunizations according to established guidelines.
• Runs laboratory controls, keeps lab logs and maintains OSHA log book.
• Assists in inventory of clinical supplies; checks expiration dates; maintains clean, well-equipped exam rooms, laboratory and procedure room.
• Assumes personal responsibility for quality patient care, environment of care, and professional development.

• Assists in coordinating and implementing policies in compliance with all regulatory standards.
• Reports ideas and concerns to supervisor concerning improved patient care, customer service, and efficient clinical operations.
• Maintains clean, well-equipped exam room and assists in inventory control.
• Attends meetings, in-services, and continuing education classes; suggests topics and/or conducts nursing in-services.
• Assists with maintenance of patient medical records.

• Demonstrates department specific competencies, including age specific competencies for all ages.

• Arranges for medication refills.
• Shares knowledge, nursing skills, experience, and patient education advice with physicians.

• Supports and maintains joint commission standard. 
• Attends nursing in-service and continuing education programs.
• Documents vitals, history, meds, procedures and instructions according to DMH policies and unit standards. 
• Demonstrates care and knowledge in medication administration.
• Arranges for medication and medication refills. 
• Performs other duties as assigned.

Required Skills

Essential Functions and Job Duties

• Collects and documents data regarding physical, psychological, and educational needs of patients of all ages.

• Differentiates among emergent, urgent, and non-urgent patients.

• Identifies signs or symptoms, which indicate a significant variance.
• Reports variances to Provider.
• Establishes priorities in clinic setting and collaborates with Provider regarding plan of care.
• Offers input to plan of care.
• Educates patient in plan of care; coordinates and communicates plan of care with the patient and/or patient’s family.

• Screens telephone calls from patients and evaluates for referral.
• Conducts pre-authorization for medication and ordered tests; completes appropriate forms. Schedules specialized procedures at the hospital; monitors need for follow-up.
• Arranges outside laboratory tests.
• Assists physicians by preparing patients and setting up equipment.

• Shares with nursing staff daily scheduling of patients with acute and/or urgent problems.
• Performs as a team nurse with Providers.
• Reports ideas, concerns, and problems to Manager/Coordinator.
• Scans and accurately indexes patient records from outside sources in the electronic health record for Provider signature.
• Reviews patient medical records from previous physician to incorporate pertinent information into patient’s completed chart.
• Under the supervision of a Physician, provides and documents care according to established standards of practice, policies, and procedures, and follows Physician orders.
• Prepares equipment for diagnosis and treatment; prepares patients.
• Performs blood draws test (where applicable), treatments, and screenings, and assists with examinations and minor surgery; sets up and assists with procedures; cleans and sterilizes instruments and equipment as needed.
• Administers medications and immunizations according to established guidelines.
• Runs laboratory controls, keeps lab logs and maintains OSHA log book.
• Assists in inventory of clinical supplies; checks expiration dates; maintains clean, well-equipped exam rooms, laboratory and procedure room.
• Assumes personal responsibility for quality patient care, environment of care, and professional development.

• Assists in coordinating and implementing policies in compliance with all regulatory standards.
• Reports ideas and concerns to supervisor concerning improved patient care, customer service, and efficient clinical operations.
• Maintains clean, well-equipped exam room and assists in inventory control.
• Attends meetings, in-services, and continuing education classes; suggests topics and/or conducts nursing in-services.
• Assists with maintenance of patient medical records.

• Demonstrates department specific competencies, including age specific competencies for all ages.

• Arranges for medication refills.
• Shares knowledge, nursing skills, experience, and patient education advice with physicians.

• Supports and maintains joint commission standard. 
• Attends nursing in-service and continuing education programs.
• Documents vitals, history, meds, procedures and instructions according to DMH policies and unit standards. 
• Demonstrates care and knowledge in medication administration.
• Arranges for medication and medication refills. 
• Performs other duties as assigned.

Required Skills

• Collects patient data within the clinical standards; reports significant variances to registered nurse.
• Establishes workload priorities and offer input into plan of care; encourages patient participation in plan of care.
• Provides and documents care within standards of practice, policies and procedures and protocols consistent with the patient plan of care under supervisor of an RN.
• Identifies expected outcomes individualized to patient needs under RN guidance.
• Demonstrates competency in all required areas, including department-specific, age-specific, medication administration, and use of equipment.
• Assumes responsibility for professional development by:
• Maintaining ongoing continuing education,
• Contributing to professional development of peers, and
• Participating in CQI.
• Performs other duties as assigned.

Required Skills

1. Assists healthcare providers with the patient care process in person, and over the telephone. Practices within scope and current standards of care. Responsible for customer satisfaction.

1. Provides direct patient care that may include working with patients of all ages, in person and over the phone, completing tasks involving the use of assessment, planning, intervention and evaluation skills, and administration of prescribed medications and treatments. All patient care is provided under the direct supervision of the physician and/or mid-level provider.

1. Documents according to scope and current standard of care.

1. Accountable for achieving quality standards. Assists in various aspects of patient flow process including, but not limited to performing front office reception and billing office duties, securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, and cleaning/disinfecting exam/treatment area after use, performing various laboratory duties.

1. Responsible for several tasks related to the paper flow through office. This aspect may include, but is not limited to, working with incoming mail and faxed correspondence, assisting in scanning correspondence and paper medical records and conducting quality assurance.   

1. Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider. 

1. Complies with all clinic policies and procedures including, but not limited to blood borne pathogens, chemical safety, laboratory, administrative, and corporate compliance. Applies the Minimum Necessary Standard when accessing protected health information. 

1. Assists in the clinic financial performance in ways which may include, depending on setting: careful use of resources including supplies, equipment, and time; assisting in the collection of upfront copays; ensuring that patients present for check-out; noting when contact or insurance information does not appear current or correct; following policy related to bad debt situations. Obtains appropriate insurance referrals and pre-certifications. 

1. Demonstrates support for and participates in accomplishing team goals and objectives.

1. Performs other related work as required or requested.

*For questions, please email Rapps.Nick@mhsil.com*

Required Skills

1. Nursing Care

• Data Collection:
• Observes, records and reports objective and subjective patient data.
• Demonstrates ability to detect signs and symptoms of deviation from normal health status.
• Informs RN of abnormal or changing data and of patient/family responses to interventions.

• Planning:
• Provides information to assist the RN in developing the nursing plan of care.

• Intervention:
• Completely performs tasks/procedures as appropriately delegated (see Table 1).
• Uses equipment safely.
• Takes appropriate action in life-threatening situations/emergencies.
• Accurately administers medications by appropriately delegated routes.
• Utilizes appropriate infection control safety measures.
• Acts to prevent harm or injury to patient, self and others.
• Documents and communicates to RN nursing interventions and patient responses.
• Seeks supervision prior to initiating new or unfamiliar nursing activities and/or with a change in patient condition.

• Evaluation:
• Observes, records and reports patient responses to nursing interventions and other relevant data to the RN.
• Assists the RN to evaluate and modify the plan of care.

• Patient/Family Education:
• Assists the RN to identify, implement and evaluate age appropriate teaching interventions.
• Reinforces teaching initiated by other members of the healthcare team.

• Communication:
• Informs RN of abnormal and/or changing data and patient/family response to interventions.
• Develops and maintains interviewing skills required for data collection.

1. Quality and Safety

• Communicates and documents potential risk issues to appropriate personnel.
• Participates in continuous quality improvement.
• Participates in review and revision of policies, procedures, and standards of care.
• Complies with all safety policies.

1. Accountability

• Advocates for patients and families.
• Appropriately follows the chain of command. .
• Participates in community organizations
• Identifies annual goals for own professional development.
• Provides constructive feedback to strengthen the Division of Nursing and the colleague’s department/unit.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

Nursing Care:

A. Data Collection
1. Observes, records and reports objective and subjective patient data.
2. Demonstrates ability to detect signs and symptoms of deviation from normal health status.
3. Informs RN of abnormal or changing data and of patient/family responses to interventions.

B. Planning:
1. Assists the registered nurse in developing the nursing plan of care.

C. Intervention:
1. Competently performs tasks/procedures as appropriately delegated.
2. Uses equipment safely.
3. Takes appropriate action in life-threatening situations/emergencies.

C. Interventions continued:
1.  Accurately administers medications by appropriately delegated routes.
2. Utilizes appropriate infection control and safety measures.
3. Acts to prevent harm or injury to patient, self and others.
4. Documents and communicates to RN nursing interventions and patient responses.
5. Seeks supervision prior to initiating new or unfamiliar nursing activities and/or with a change in patient condition.

D. Evaluation:
1. Observes, records and reports patient responses to nursing interventions and other relevant data to the RN.
2. Assists the registered nurse to evaluate and modify the plan of care.

E. Patient/Family Education:
1. Assists the registered nurse to identify, implement and evaluate age appropriate teaching interventions.
2. Reinforces teaching initiated by other members of the healthcare team.

F. Communication:
1. Informs RN of abnormal and/or changing data and patient/family response to interventions.
2. Develops and maintains interviewing skills required for data collection.

Required Skills

• Provides direct care to patients under the direction of a Registered Nurse or Licensed Physician.
• Assists in executing physician orders as directed.
• Documents care given in computerized medical record according to policies and procedures.
• Evaluates patient progress toward attainment of goals, revising plan of care when indicated.
• Builds teamwork while delivering care to patients.
• Maintains open, effective communication with other members of the patient care team re: patient status and all aspects of care.
• Documents patient care according to policies and procedures.
• Assists in assuring all equipment and supplies are present in adequate volumes and working order.
• Precepts new nursing employees and/or nursing students.
• Identifies & resolves safety risks.
• Participates in continuous quality improvement, periodic review of policies, procedures and pre-printed physicians orders.
• Assists in identifying and resolving patient care problems or process related issues on the unit and between departments.
• Assists with educational activities for other staff on the nursing unit.
• Performs other related work as required or requested.

Tasks which may be delegated to LPNs:

• Peripheral IV start, dressing change, normal saline flush & D/C.
• IV pump set up.
• Hanging IV fluids without medications or additives.
• Administration of PO, IM, SubQ, Intradermal, Rectal, Sublingual medications according to policies & procedures.
• Administration of IV piggyback antibiotics via peripheral IV sites according to policies & procedures.

Tasks which may not be delegated to LPNs:

• Dictated physician orders.
• Blood administration.
• Central line flush, med administration or removal.
• Administration of drugs during a code situation.
• Administration of IV medications other than piggyback antibiotics (push medications, chemotherapy, titrated drips).
• Blood draws from arterial or central lines.