JOB DESCRIPTION

TITLE: Registered Nurse - Primary Care and Internal Medicine

REPORTS TO POSITION:Primary Care Clinical Supervisor

DEPARTMENT: Primary Care

DATE LAST REVIEWED: December 2021

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: St. Charles Medical Group encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care.

POSITION OVERVIEW: The Registered Nurse - Primary Care and Internal Medicineprovides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System and St. Charles Medical Group mission, philosophy, policies, and procedures. The Registered Nurseapplies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and others.

This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. The Registered Nurse is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of the patient. This position may provide direct nursing care to primary care patients, as a member of a primary care team, at one or more SCMG Primary Care clinics.

This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and disposition planning needs.

Reviews patient history, information and physical with patient/family and assures completion within appropriate timeframe.

Reviews diagnostics and laboratory data and reports abnormal results to the physician and other appropriate caregivers.

Completes assessment and reassessments according to patient need and care team plan of care.

With care team, formulates and implements a plan of care, including follow-up planning, utilizing assessment data and patient, family, and health team input. Ensures goals for patient are realistic, measurable, and developed in conjunction with the patient and family.

Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.

Delegates appropriately and provides nursing supervision in the provision of care to patients by other members of the care team as appropriate. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patient.

Evaluates the patient's and family's response to care and teaching and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with the care team members.

Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is timely and reflects objective and subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.

Provides care based on the best evidence available.

May participate in the education, role development, and orientation of other personnel as requested. May participate in precepting and mentoring of new staff.

This position may supervise staff and workflow as requested.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patients care,asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients, and guests

Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies.

Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.

Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds.

Supports the vision, mission, and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:

Required: As required by licensure.

Preferred: Bachelor of Science in Nursing.

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. AHA Basic Life Support for Healthcare Provider certification. Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements.

EXPERIENCE:

Required: Minimum one (1) year nursing experience.

Preferred: Ambulatory or outpatient nursing experience.

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP