Job Summary:
Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values. Additionally, the registered nurse is responsible for the delivery of patient care using the nursing processes of assessing, planning, implementing and evaluating care. Also directs and guides patient care activities of ancillary staff while maintaining standards of professional nursing. Cooperates and communicates well with all health team members to maintain the highest quality patient care. Helps to ensure compliance with regulatory standards applicable to the Wound Care and Infusion Center.
Key Responsibilities and Essential Functions
· Assesses problems/conditions requiring visit and accurately documents in medical records. |
· Greets and screens patient for appropriate information, preparing for examination by provider. |
· Assists provider in examination, treatment and referral of patient, preparing necessary paperwork, equipment, etc. |
· Initiates testing ordered by provider, to include completion of paperwork and scheduling of appointments. |
· Gives injections to patients of all ages. |
· Assists with patient education. |
· Maintains medical record entries and provides oversight of medical record content. |
· Assists in referral management and tracking. |
· Calls prescription information as necessary and under direction of provider. |
· Maintains appropriate level of medical supplies and drugs, to include inventorying and ordering. |
· Develops and maintains a useful documentation system for care that complies with legal, TJC and quality management requirements. |
· Maintains files with referral slips and authorizations and makes appointments for consults while adhering to office scheduling policies. |
· Schedules tests and referrals. |
· Reconciliation of tests and labs ordered. |
· Conducts nursing assessments on all patients: psychosocial, mobility, barriers to learning, nutrition and pain. |
· Performs CLIA waived test/quality controls for tests ordered in the office. |
· Performs venipunctures/finger, heel sticks for lab tests ordered. |
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