Registered Nurse

Description

Interpret and carry out physician/clinician orders, assess patient needs, exercise nursing judgment in patient care, provide leadership and assistance in health services, and participate as an active, integral member of the health care team. The staff nurse must display initiative and follow-through on duties with relatively little guidance; retain all confidentiality practices in patient-related matters; be able to assist in identifying the changing needs of the health center;

support the team concept of health center staff; provide patient-centered care; and maintain a professional working relationship with clinicians, co-workers, and patients.

• Prepare and maintain confidential patient medical records including processing and filing charts.
• Maintain accurate documentation and records of patient registration, medical records, lab tests, treatment, etc.
• Respond to telephone calls, electronic medical record tasks, and questions related to patient care concerns requiring nursing judgment.
• Competently utilize the electronic patient information system and practice management software.
• Assist patients in completing required forms.
• Provide non-biased pregnancy options and contraception information.
• Maintain updated knowledge and provide accurate information to patients seeking information about family planning services, abortion services, birth control methods, and other patient care services provided by the organization.
• Obtain and review complete patient medical histories.
• Provide appropriate and accurate patient education to patients, including medication education for prescribed and administered/dispensed medications.
• Administer/dispense prescribed oral/vaginal/buccal/injectable medications and supplies, ensuring proper labeling of all prescribed medication and proper documentation.
• Support patients physically and emotionally during examinations, treatments, and procedures.
• Participate in patient follow-up regarding abnormal test results, referrals, appointments, etc.
• Assist Centralized Follow Up regarding abnormal test result notification, follow up after referrals, follow up after medication abortion, refill requests, patient questions/concerns, and patient education as needed.
• Complete and document routine lab tests and nursing evaluations including, but not limited to measuring and documenting client height, weight, vital signs, pain, level of consciousness, bleeding evaluations.
• Maintain cleanliness and inventory of the lab areas, recovery room, and exam areas.
• Perform invasive procedures as prescribed (i.e. injections, TB testing, and venipuncture).
• Consult with clinician/physician regarding patient care/concerns as needed.
• Perform limited pelvic ultrasounds for purposes of measuring gestational size, locating pregnancy and placenta, evaluating pregnancy number, and intraprocedural guidance as needed.
• Begin and monitor intravenous flow of medication(s) and/or IV fluids.
• Conduct and document nursing assessments prior to, during and after the administration of minimal or moderate (conscious) sedation.
• Prior to administering moderate (conscious) sedation, ensure that all safety measures are in place, including back-up personnel skilled and trained in airway management and resuscitation and the presence of reversal agents and emergency medications/equipment should complications occur.
• Administer medications ordered by a provider lawfully authorized to prescribe for the purpose of induction of minimal or moderate sedation for short-term surgical procedures.
• Anticipate and recognize potential complications of minimal and moderate sedation medication and respond appropriately instituting emergency protocols/procedures as needed.
• Recognize emergency situations, assist in emergencies as needed, and institute emergency procedures and protocols when indicated.
• Monitor vital signs, bleeding, level of consciousness, and pain during recovery until patient is stable and meets discharge criteria.
• Triage calls from patients and staff per PPMW protocol.
• Participate in after-hours emergency call triage nursing per PPMW protocol. Document and follow up on after-hours calls as dictated per protocol.
• Participate…