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University of Wisconsin - Madison

Position Vacancy ID: 80293
Title: NURSE CLINICN 2

Working Title:Registered Nurse
FTE: 
Schedule - Range:11-40
Organization:SCHOOL OF MEDICINE AND PUBLIC HEALTH - FAMILY MEDICINE
Schedule
Comment:		As needed for vacation and sick leave coverage during normal clinic operational hours. Monday-Friday 8am-5pm (Tuesday and Thursday 8am-7pm)

Start and end times may vary to meet the operational needs of the clinic.

Job Summary:Triage all physician phone calls according to set protocols and document follow-up of patient calls, provide direct and indirect patient care, provide education and participate in educational development activities and participate in resident education. Duties are performed under general supervision and position reports to the Nursing Supervisor.

 

Goals and Worker Activities

A.60%Provision of professional nursing care: Telephone Triage.
1.Triage phone calls for all physicians according to set protocols.
2.Ensure primary physician reviews telephone consultation form within 24 hours of initial triage call.
3.Perform and document follow-up patient telephone calls within 36 hours of initial contact by phone, when applicable.
4.Enter information into the Electronic Medical Record (EMR).
5.Take overflow calls from the nurse's stations.
6.Process refills and outside referrals.
7.Evaluate walk-ins when requested by front desk staff.
8.Assess all late patients and fit them into the schedule as is appropriate.
   
B.35%Provision of professional nursing care: Patient Care.
1.Provide direct and indirect nursing care to patients in the clinic.
2.Evaluate daily schedule to determine available time for acute care problems and essential data on the patient chart for physicians.
3.Identify specific needs for nursing services, such as: a. Assist with special procedures (e.g., vasectomies, biopsies, flexible sigmoidoscopies) and have proper equipment available and ready for use. b. Initiate and administer nursing care and care objectives. c. Assess patient histories, concerns, problems, and health status with nursing and medical staff.
4.Assist physicians and patients with clinical procedures.
5.Provide patient education prior to patients leaving their clinical appointment.
6.Escort patient to exam room and prepare patient for exam.
7.Take and record vital signs, patient histories, and any pertinent information relating to this encounter.
8.Secure consents, witness signatures, and review charts for accuracy and completeness.
9.Prepare instruments for exams and surgical procedures; prepare patients and assist the physicians as needed.
10.Schedule patients, either at the clinic, hospital, or other offices for special visits or procedures, labwork, or x-rays.
11.Review and evaluate lab data and contact physicians and patients accordingly. Evaluate lab work prior to dispensing to PCP in order to trouble shoot and follow up with abnormal values in a timely fashion.
12.Schedule follow-up appointments for evening clinic patients and contact them accordingly.
13.Administer immunizations and medications. Review patient response to the pharmaceutical agent administered.
14.Document all encounters in the EMR.
15.Start MD patient lab result letters per the protocol for the MD's.
16.Follow clinic protocols for nursing care.
   
C.5%Resident education.
1.Assist patients and their families with understanding of and adjustment to inherent residency-related problems, including: a. graduation and entry of residents; b. limitation of clinic office time; c. provision of continuity of care in the absence of the primary physician (e.g., out-of-town rotations, electives or lack of availability due to rotation).
2.Educate residents regarding clinic policies, procedures, layout of building, location of supplies and equipment, services provided here and by the community, etc. Actively educate residents to the clinic policies and procedures (FPC I and FPC II and participate in orientation for residents scheduled at position nurses station).
3.Observe resident performance of specific procedures such as pelvic exams, immunizations, sterile technique, and report performance issues (good and bad) to lead nurse and faculty advisor.
4.Provide support for physicians by serving as a professional resource.
5.Participate with entire staff in multidisciplinary evaluations of residents.
6.Provide feedback to physician faculty and Clinic Manager regarding resident strengths, problems with patients and/or staff, etc.
7.Provide direct feedback to residents in areas such as staff issues, patient relations, performance observations, time management, and other areas that will help them with personal and professional development.
8.Identify need for physician faculty and/or Clinic Manager's intervention in specific problems.
   

Knowledge and Skills

  1. Current professional nursing theory, practice, and techniques.
  2. Current nursing practices in an outpatient setting.
  3. Assessment of patient needs and services.
  4. Medical recording and reporting techniques (SOAP).
  5. Current professional nursing of pharmaceutical products, Universal Precautions, medical, and emergency procedures.
  6. Basic pathophysiology of diseases managed in a primary care setting.
  7. Application of nursing techniques, e.g., suture removal, cast removal, ear irrigation.
  8. Assisting with diagnostic and treatment procedures, e.g., sigmoidoscopy.
  9. Patient teaching in self-breast examination, crutch-walking, birth-control, blood-pressure taking, and instruction in nutrition, prenatal care, infant care, and diabetes self-care.
  10. Patient examination procedure.
  11. General patient care and treatment procedures, common medical supplies, equipment, rules, regulations, and ethics.
  12. Making observations of general physical condition and needs of patients and when to confer with a physician about the emotional or physical condition of a patient.
  13. Principles of aseptic and sterile techniques and infection control techniques.
  14. Techniques of administration of common medications, including immunizations, inoculations and allergy injections, and knowledge of side effects of medications.
  15. State and federal drug control laws, rules and regulations.
  16. Emergency techniques and procedures.
  17. Ability to demonstrate priority setting and work in a complex environment.
  18. Ability to function with high degree of independence and collaborate with other health care providers.
  19. Strong interpersonal and communication skills.
  20. Hold current CPR certification.
  21. Commitment to service, quality, and departmental core values.

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