The Team Nurse assesses patient problems and needs; implements plans of care: and maintains clinical documentation. May advise patients on health maintenance and prevention or provide case management.
Experience and Skills:
Clinical Areas of Responsibility:
Work closely with Care team and providers to enhance patient experience, understanding, and involvement in their health care.
Phone and walk-in triage and advice for adult/geriatric, young adult, pediatric, infants and pregnant/nursing mothers per protocol.
Rx refill by protocol
Educate and discuss with patients the significance of abnormal lab results relative to chronic disease and/or Public Health tracked illnesses based on approved educational materials.
Patient education for medications, procedures and processes, wellness, and disease management based on approved educational materials.
Immediate response for urgent triage and codes within the facility and over the phone.
Nurse visits 20+/week including but not limited to: Wound care, B12, Coumadin, Testosterone injections, Insulin and glucometer teaching, Depo, ear lavage, BP checks, suture removal, medication reconciliation, patient education for chronic disease per protocol.
Medication adjustments per protocol
Direct case management for uncontrolled chronic disease with Provider direction.
Indirect case management (MA backup) including but not limited to normal tracking, recalls, missed well child checks, missed breast care follow up, and New patient intakes.
Coordination of care for complex medical patients with internal and external colleagues.
Back up for MA's for non-appointment work
Guidance for MA's doing non-appointment work
Training/education of staff on procedures and protocols for best practice according to PHC policy.
Assist with procedures.
Assist and lead staff trainings
Assist team manager to facilitate policy implementation and adherence by staff.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Principles, procedures, methods and techniques of nursing and health care.
Modern practices and principles of method disease counseling.
A variety of community resources.
Basic management practices and principles.
Principles and procedures of medical record keeping.
Universal precautions and infection control practices.
Pertinent Federal, State and local laws, codes, and regulations regarding health care.
Provide administrative and nursing orientation to staff.
Assess and evaluates patients': responses to service provided, treatment, and medication.
Demonstrate leadership skills and a desire to continually enhance nursing practice and performance.
Maintain confidentiality of patients.
Prepare clear and concise reports.
Respond to requests and inquiries from the general public.
Work independently in the absence of supervision, utilizing prioritization and delegation techniques for time optimization.
Communicate clearly and concisely, both orally and in writing.
Apply basic time management and patient care coordination skills to effectively provide nursing services.
Establish and maintain effective working relationships with those contacted in the course of work, including service representatives and the general public.
Plan and organize multiple work tasks, problem-solve and analyze information toward sound decisions.
Three years of increasingly responsible nursing experience including one year experience in community nursing.
Equivalent to an RN or higher degree from an accredited school of nursing. Current appropriate California licensure. Bachelors and/or Masters degree is a plus.
Licenses and Certifications
Possession of an appropriate, valid California Registered Nursing License.
Possession of, or ability to obtain, an appropriate, valid California driver's license.
Possession of, or ability to obtain, an appropriate, valid C.P.R certificate.
Possession of, or ability to obtain, an appropriate, valid ACLS certificates.
Bilingual in English and Spanish, both written and verbal preferred.
Ability to add, subtract, multiply, and divide all units of measure, using whole numbers, common fractions, and decimals.
Ability to recognize problems, collect data, and establish facts.
Electronic Medical Records.
Microsoft Office, Outlook, Word, and Excel.
Use of a web browser.
Type 60+ words/min,
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit ergonomically correctly; use hands to finger, handle or feel, ability to talk and/or hear. The employee is required to stand; walk: reach with hands and arms: climb or balance and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 15 pounds and occasionally lift and/or move up to 35 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus. Repetitive motion with word processing and data entry. Heavy phone use.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.
Petaluma Health Center