Clinical Nurse- Sheridan

About the role

The Clinical Nurse works as part of the care team and assists the Physicians, Advanced Nurse Practitioners and Physician Assistants in the provision of primary health care. Mainline Health Systems, Inc. involves the Clinical Nurse in continuous Quality Improvement practices and measures as set and in which the practice focus is based on a Patient Centered Medical Home model of care.

Responsibilities

• Prep electronic record each AM for patient’s appointment for the day.
• Make sure any previous labs, diagnostic imaging, or notes from referral appointments previously made, are available to provider.
• Pull paper charts for established patients if they have not been seen in clinic since EMR started. Review Share for needed documents.
• Triage patients to include:
  • Allergies
  • Vital signs—B/P, P,R,T, B/P on all patients 3 and older each visit.
  • Asthma patients: Peak flow should be performed.
  • Hysterectomy/Post-Menopausal for other females.
  • SaO2 for all patients.
  • Weight/Height/BMI on every patient.
  • For children aged 18 or less, current immunization record in chart, growth chart updated.
  • Check medication list each visit to ensure patient is taking prescribed medications as ordered.
  • Remind patient that all medications (including over the counter, eye drops, vitamins, supplements, etc) should be brought to the clinic each visit.
  • Document anxiety screening annually, PHQ2 every month, or PRN on every patient 12 years old and older.
  • Document PHQ9 and bipolar screenings on all patients with a positive PHQ2. Document positive screenings in chief complaints.
  • Document social history annually to include: alcohol smart form, PRAPARE form, recreational drug use, alcohol use, learning assessment, Dental home, Household environmental factors, caffeine, exercise, travel outside of the U.S, sexually active, herbal medications and OTC, advance directive.
  • Document the pap status in chief complaints on all female patients aged 23-64.
  • Document the mammogram status in chief complaints for all female patients aged 50-74.
  • Document the status of colon cancer screenings in chief complaints to include iFOBT cards and colonoscopies on all patients 50-75.
  • If ROI is obtained for mammogram, pap, and colonoscopy document in chief complaint.
  • Document the status of diabetic foot exam that is due annually in chief complaints.
  • Prepare patient for examination and set up room with needed supplies and/or equipment.
  • Assist provider with patient examination as needed.
  • Collect specimens, label specimens, and deliver them to the Laboratory.
  • Assure written consents are obtained and witnessed for clinic surgical procedures.
  • Assist clinic provider in performance of diagnostic and/or therapeutic procedures.
  • Administer medications as ordered by clinic provider and document in patient EMR.
  • Make referrals for out of clinic tests and to specialists as ordered by clinic provider.
  • Do required pre-certification for insurance.
  • Send completed Medicaid Referral Form for Medicaid patients.
  • Keep exam rooms clean and restocked.
  • Clean and disinfect surgical instruments immediately after use.
  • Fax or mail medical record requests to medical records.
  • Perform any additional assignments as designated by provider, Clinic Manager, Director of Operations, COO, CQO, or CEO.
• Maintain medical records including consultation reports, x-ray reports hospital admission and discharge forms, etc. Scan all reports in a timely manner so that EMR is current for each patient.
• Perform any additional assignments as designated by provider, Clinic Manager, Director of Operations, COO, CQO, or CEO.

Qualifications

• Current license as Licensed Practical Nurse or Registered Nurse in the State of Arkansas.
• Sufficient experience to carry out the duties of the position, including