Allergy Nurse - Bwh

GENERAL SUMMARY/OVERVIEW STATEMENT PRINCIPAL DUTIES AND RESPONSIBILITIES CLINICAL PRACTICE

A. Organization of Patient Care

• 1. Accountable for assessing, planning, implementing and evaluation a plan of care for a specific patient assignment.
• 2. Sets priorities when organizing care for patients with varying acuity which includes primary and associate patients.
• 3. Continuity is maintained through clear and concise communication (verbal and written).

• 1. Documentation is clear, complete, concise and in compliance with nursing documentation standards.
• 2. Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
• 3. Plan of care includes education for the patient and family, utilizing appropriate resources. Specifically, advising patient and family regarding allergen environmental control measures and use of metered dose inhalers, breath activated inhalers, breath activated inhalers, spacers, etc. Accurately communicates the physician's instructions to the patient. Follows office protocol and physician direction when calling prescriptions to pharmacies, as well as with all other practice procedures.
• 4. Plan of care reflects discharge planning utilizing appropriate resources and referrals including community resources. As ordered by the physician, discharge care includes blood tests, skin tests, pulmonary function test and reversal, EKG, immunotherapy and/or X-rays.
• 5. Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
• 6. Participates actively in the departmental and organization quality management and/or quality improvement programs. Is responsible for maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetual inventory, of samples for the department.
• 7. Provides a safe environment for patients, staff, family and visitors.
• 8. Administers medication safely according to established policies and procedures. Administers allergen immunotherapy/desensitization, allergy testing, oral challenge testing. Prepares, dilutes and mixes allergen extracts according to established policies and procedures. Takes vital signs and performs PFTs (pulmonary function tests).
• 9. Performs nursing procedures safely and efficiently.
• 10. Uses equipment safely and efficiently. Performs pre and post bronchodilator spirometry.
• 11. Demonstrates awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice.
• 12. Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medication and injections and other procedures that require a nursing license.
• 13. Triage patient telephone calls and accurately relays information to the appropriate physician.

• 1. Interacts with patients, families and colleagues in a professional manner.
• 2. Collaborates with other discipline(s).
• 3. Develops, utilizes and evaluates department‑specific standards of care.
• 4. Participates in the department‑based and organization quality assurance.
• 5. Participates in determining and implementing goals and objectives for the department.
• 6. Upholds the ANA code of ethics and acts as a role model to the other staff members.
• 7. Participates in determining goals and objectives in the periodic review and evaluation.
• 8. Serves on the departmental and organization committees, and disseminates information to peers.
• 9. Treats all patients with dignity, compassion and respect.

• 1. Assumes responsibility for personal and professional growth through identification of own learning needs.
• 2. Shares knowledge and experience with colleagues.
• 3. Participates in departmental and organization education programs.
• 4. Seeks and accepts guidance for additional learning needs.

• 1. Utilizes nursing research findings in clinical practice.
• 2. Contributes to nursing and/or medical research endeavors by supporting…