Registered Nurse (RN) - GI Clinic (963)
Reports to: Practice Administrator/Manager
The Registered Nurse I functions as a primary liaison between patient and physician, via phone or in person. Under general supervision, the Registered Nurse implements the entire nursing process to include assessment, diagnosis, planning, implementation and evaluation for an assigned group of patients and provides quality patient care that is efficient, effective and evidence based. Collaborates with the clinician and staff in the delivery of patient care.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by Stanford Children’s Health guidelines including but not limited to PCARES, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with Stanford Children’s Health policies, licensure and health screenings.
- Independently, provides general education and nursing care to patients via telephone or in person. Responds to and resolves patient/family questions and needs.
- Triages and schedules patients as appropriate, ensuring appointment preferences are given to patients in emergency situations.
- Documents clinical information, including patient phone calls and maintains accurate and complete patient documentation according to medical profession standards. Accurately documents all patient encounter, phone triage, test results and office visits.
- Observes and/or records and reports patient’s condition and reaction to drugs and treatments to clinicians.
- Acts as a liaison, coordinates and integrates service for patients by continually collaborating with physician(s).
- Communicates the appropriate referral choice to community physicians
- Coordinates and integrates services within the clinic by continually collaborating with physician(s).
- Develops Facilitative relationships with office staff regarding both patient appointment scheduling and clinical information.
- Performs peer to peer review and obtains insurance prior authorization as needed.
- Processes requests for prescription refills according to established practice.
- Mentors new staff to ensure proper clinical training and processes is followed.
- Maintains patient confidentiality.
- Adheres to infection control/safety guidelines.
- Other duties as assigned based on location. Works on special projects as needed.
Back Office Duties:
- Prepares the necessary equipment and supplies for exam. Maintains inventory of supplies in examination rooms, replenishes as required. Maintains exam rooms for necessary supplies and materials. Ensures cleanliness.
- Prepares patient for examination or treatment and performs routine screening tests. Explains treatment procedures to patients. Instructs patients in collection of samples and tests.
- Reports patient’s concerns and symptoms, reactions, changes (appropriate to age) to the physician.
- Assists physicians with procedure set-ups, patient procedures and examinations.
- Administers prescribed medications and treatments in accordance with nursing standards. Administers allergy injections, immunizations, and other therapeutic injections according to correct dose and injection method.
- Collects and sends specimens to appropriate labs for testing per protocol.
- Education: Degree in Nursing from an accredited College or University.
- Experience: A minimum of 3 years of progressively responsible and directly related work experience. Experience in an electronic medical record (EMR), such as Epic preferred.
- License/Certification: CA Registered Nurse (RN). Current CPR certification.
- Knowledge, Skills, and Abilities
- Knowledge of professional nursing theory, regulations and practices to give and evaluate patient care.
- Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
- Knowledge of medical chart reporting and records.
- Knowledge of computer systems and software used in functional area
- Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care.
- Ability to educate patients and/or families as to the nature of disease and to provide instruction on proper care and treatment.
- Ability to perform standard clinical procedures according to established protocols.
- Ability to demonstrate customer service skills in interactions with all patients, families and staff, including high volume and stressful situations
- Ability to plan, organize, prioritize, work independently and meet deadlines
- Demonstrated ability to make adjustments in care planning in a rapidly changing environment.
- Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals.
- Demonstrated skills in written and verbal communication and listening.
- Ability to maintain quality control standards.
- Ability to perform work accurately and thoroughly.
- Ability to respond quickly to emergency situations.
Physical Requirements/Work Environment
- Combination of office and exam setting. Frequent exposure to communicable diseases, toxic substances, medicinal preparations and other conditions common to a medical practice.
- Ability to lift 25 pounds on a regular basis, push/pull, bend/twist, stoop, walking/standing/sitting, repetitive motion. Occasionally lifts and carries items weighing up to 50 pounds. Requires full range of body motion including handling an lifting patients, manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours .
- Risk of Exposure to Bloodborne Pathogens
- Tasks involve exposure to blood, body fluids or tissues. The potential for spills or splashes of blood, body fluids or tissues exists in job related tasks.