Registered Nurse (RN) Family Practice (279)

Employment Type

: Full-Time

Industry

: Healthcare - Nursing



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CLINICAL NURSE – FAMILY PRACTICE

SITE OF SERVICE:

  • Nellis AFB, Las Vegas, NV.
  • HCWs shall receive notification two weeks prior to the reassignment to another location with a 40-mile commuting radius of their assigned MTF.
  • POSITION QUALIFICATION/REQUIREMENTS:

  • Degree/Education: Bachelors of Science in Nursing. Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
  • Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).
  • Experience: The nurse shall have at least 24 months of experience within the last 48 months in a primary care clinic setting. Knowledge of computer operations and proficiency in use of basic word processing, data entry and automated medical records. Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. Knowledge of the administrative requirements for proper documentation of patient conditions including disease progress, acknowledgement of teaching, and follow up care. Knowledge of disease management and population health principles. Knowledge of preventive health schedules, procedures, processes and education methods. Knowledge of a wide range of medical disorders/conditions and disease processes across the lifespan, as appropriate. Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of moderate difficulty and experience in assessing pediatric, adolescent, adults, obstetrics, and geriatric patients, as appropriate. Utilizes the nursing process as a basis for professional practice. 6 Years of experience in the family practice clinical nurse.
  • Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse as required.
  • Certification:Must have a current BLS, hands-on certification through AHA
  • U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
  • Able to read, write, and speak English well enough to effectively communicate.
  • Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.
  • SPECIFIC DUTIES:

  • Strongly preferred working knowledge of the military health care system including TRICARE health benefits.
  • Ability to synthesize data from a variety of sources and make appropriate clinical decisions.
  • Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
  • Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility.
  • Provides care within ethical and legal boundaries.
  • Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
  • Assesses patient needs telephonically.
  • Ability to recognize adverse signs and symptoms and quickly react in emergency situations.
  • Ability to effectively communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
  • Effectively uses appropriate communication format in addressing professional issues.
  • Excellent oral communication skills for patient/family education and telephone triage of patients.
  • Telephone and in-person assessment/evaluation includes the determination of optimal time and location for patient management (ER, clinic, homecare) and follow-up care as required. Prescribes and communicates treatment plans and patient teaching in accordance with established protocols.
  • Collects and assesses significant patient history information and performs all necessary patient teaching.
  • Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity, including telephone contacts, in accordance with requirements.
  • Makes referral appointments and arranges specialty care as appropriate.
  • Skill in setting up, operating and monitoring specialized medical equipment such as cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, and other clinic specific equipment.
  • Performs/assists with procedures such as bladder catheterizations, administration of oxygen, visual acuity tests, EKGs, irrigation of eyes and ears, tympanograms, splinting, phlebotomy and other clinic specific procedures, in accordance with established protocols.
  • Ensures for proper documentation of procedures and treatments.
  • Ensures all equipment is properly cleaned and stored at the end of each work shift.
  • Ensures preventive maintenance and routine cleaning are performed as directed.
  • Ensures medication/supplies are replenished.
  • Participates in the orientation and training of newly assigned personnel, as appropriate.
  • May be required to work various shifts or augment clinical nursing support during the absence of other team nurses due to illness, leave or deployment,
  • Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.
  • Coordinate patient care in collaboration with a wide array of healthcare professionals.
  • Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
  • Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
  • Perform physical exam and health histories.
  • Provide health promotions, counseling, and education.
  • Administer medications, wound care, and numerous other personalized interventions.
  • Direct and supervise care provide by other healthcare professionals.
  • Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
  • Recognize adverse signs and symptoms and quickly react in emergency situations.
  • Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
  • Make referral appointments and arrange specialty care as appropriate.
  • Perform nursing services identified in the TO.
  • Conduct research in support of improved practice and patient outcomes.
  • Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case management (CM) standards of care.
  • Provide nursing expertise about the CM process, including assessment, planning, implementation, coordination, and monitoring. Identify opportunities for CM and identify and integrate local CM processes.
  • Develop and implement local strategies using inpatient, outpatient, onsite and telephonic CM
  • Develop and implement tools to support case management, such as those used for patient identification and patient assessment, clinical practice guidelines, algorithms, CM software, and databases for community resources.
  • Integrate CM and utilization management (UM) and integrating nursing case management with social work case management.
  • Maintain liaison with appropriate community agencies and organizations.
  • Accurately collect and document patient care data.
  • Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the goal of optimal wellness.
  • Establish mechanisms to ensure proper implementation of patient treatment plan and follow-up post discharge in ambulatory and community health care settings.
  • Provide appropriate health care instruction to patient and/or caregivers based on identified learning needs.
  • GENERAL DUTIES:

  • Maintain a level of productivity comparable with that of other individuals performing similar services.
  • Participate in peer review and performance improvement activities.
  • Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.
  • Function with an awareness and application of safety procedures.
  • Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.
  • Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
  • Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.
  • Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
  • Maintain an awareness of responsibility and accountability for own professional practice.
  • Participate in continuing education to meet own professional growth.
  • Attend and/or comply with all annual training classes required by the Command, to include but not limited to online annual training provided by the MTF: disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.
  • Actively participate in the command’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.
  • Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting government employe­es (e.g., hospital corpsmen, students, etc.).
  • Attend and participate in various meetings as directed.
  • Perform timely, accurate, and concise documentation of patient care.
  • Operate and manipulate automated systems such as CHCS, AHLTA, Essentris, MHS Genesis and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commander. Maintain DOD email account as directed. The HCW shall be responsive to all email and voicemail communications.
  • Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.
  • Maintain documentation of all treatment provided in accordance with clinic directives, and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.
  • HOURS:

  • Monday-Friday, between 0700 – 1800.
  • Not to exceed 40 hours a week.
  • May require overage hours to provide effective patient care and avoid patient abandonment.
  • Requested leave will be projected 180 days in advance
  • SPECIAL REQUIREMENTS/SKILLS

    Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

    Luke & Associates does not discriminate on the basis of race, sex, color, religion, national origin, age, disability or veteran status in provision of services or employment opportunities and benefits.

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

    Links:

    To learn more about Luke & Associates, please visit our website at:

    http://www.lukeassoc.com/about-luke

    #INDLP3

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