Overview The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment to providing the highest quality of patient care by being an integral part of the clinical team. The Registered Nurse Provides general nursing care to patients in the physician’s office by performing their duties to the full level of their licensure in accordance with NYS guidelines as outlined below. Job Details Duties and Responsibilities: Clinical: Participates in and provides clinical care to patients through interview and observation, evaluation and assessment, intervention, planning and written documentation. Greets and welcomes patients. Uses two (2) identifiers for patient identification (name and date of birth). Escorts patients to exam rooms. Directs patient flow for maximum efficiency. Provide exceptional service and/or care to all patients, customers and team members. Plans, directs and evaluates total nursing care. Work alongside and offer assistance to medical assistants (MAs) and licensed practical nurses (LPNs) Explains procedures and treatments to patient to gain cooperation, understanding, and reduce apprehension. Accurately and promptly implements physician’s orders. Maintains the standards of accurate and complete recording and reporting. Administers prescribed medications and treatments in accordance with approved nursing techniques. Prepares equipment and aids physician during treatment and examination of patient. Maintains awareness of comfort and safety needs of patient. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's condition and reaction to drugs, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of patient. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol. Initiates a patient education plan according to the individualized needs of the patient, as prescribed by physician and/or policy including patient and family instruction. Participates in in-service training for personnel. Performs laboratory test procedures within established criteria. Including but not limited to: Performing Quality controls as per NYS guidelines. Maintaining logs with accurate documentation. Follow NY state guidelines for CLIA waived testing. Adheres to safety and scientifically accepted infection control practices and standards. Including but not limited to: Follows handwashing protocols. Practices aseptic techniques. Utilizes protective barriers. Utilizes personal protective equipment, e.g. gloves, lab coats. Maintains proper disposal of hazardous materials. Demonstrates knowledge of role in emergency disaster. Adheres to OSHA Blood Born Pathogen Standard.. May rotate among various clinical services as needed. May assist the physician during diagnostic and therapeutic procedures to promote optimal patient outcomes by team collaboration and as well as pre/ post procedural care. Participates in department quality improvement activities. Supports and enforces infection-control policies and procedures. Communicates effectively with others for continuity of care. Performs diagnostic studies as ordered by a physician. Perform other duties as required, including job responsibilities for MAs and LPNs. Triage all patients for basic vital signs, chief complaints and purpose of visit and reviews charts for recent visits, chronic problems, recent and outstanding laboratory studies, and other information that would facilitate prompt and complete care. Provides telephone triage for patients requesting information or advice and assisting with and encouraging appointments when appropriate. Obtains additional data from patient/significant other, EKG/lab/ diagnostic test results and other historical data. Reports findings to provider, recognizing abnormal findings or changes in condition. Evaluates patient responses in relation to established goals and contributes to the revision of the plan of care. Assists with creating provider and practice level quality performance reports. Coordinates a wide range of self-management support and education to foster patient engagement and activation. Delivers interventions based on standard orders and established written protocols to improve the health of the patient population. Works collaboratively with members of the healthcare team to develop tools and interventions designed to achieve optimal patient outcomes. Prepares, administers and documents medications and vaccines. Collects, prepares and processes laboratory specimens for on-site and remote-site testing. Tracks and enters results in medical record. Performs quality control for waived testing and log maintenance. Performs, prepares for and assists with in-office procedures and diagnostic testing. Assists with the scheduling of procedures, referrals and specialty services and testing as needed. Maintains and uses principles of aseptic techniques and infection control when performing clinical duties and tasks. Participates in team meetings/huddles to foster communication and provide feedback to providers, patients, families, pharmacies, vendors, etc. Aids in the orientation of new staff. Participates in staff meetings and huddles as appropriate. Participates in Hedis, GPRO, and other quality programs as needed Enters provider orders into the electronic record for provider review and signature Preforms AWV Patient counseling and instruction on health maintenance goals Practice Operations- In close partnership with health care team, assures smooth and efficient patient flow and clinical operation. Works with healthcare team to assure smooth and efficient patient flow and clinical operation. Works to create and maintain excellence in patient/family satisfaction, relationships and engagement. Responds to care questions or complaints for timely resolve. Provides documentation on unresolved issues voiced by patients and refers to appropriate party for resolution. Operates clinical equipment according to manufacturer’s instructions including safety and quality control checks. Checks care areas for malfunctioning equipment and general maintenance problems on a regular basis. Reports findings to appropriate person or arranges for repairs, as required. Ensures that blood/body fluids, biohazard materials, needle containers and potentially infectious waste are appropriately disposed and removed from the clinical area according to infection control guidelines. Orders, stocks, and maintains exam rooms, special order items and supply storage areas using par levels of supplies, medications, linens, forms and equipment. Monitors expiration dates and takes action accordingly. Recognizes usage trends affecting unit supplies and makes recommendations for adjustments. Other duties, as assigned. Contributes to and consistently applies Catholic Health policies, procedures, and benefits to all customers and/or employees without discrimination. Employee conducts himself/herself in conformity with the HIPAA Compliance Program and applicable institutional policies and procedures for patient privacy. In addition, employee conducts himself/herself in conformity with the Catholic Health Security policies and procedures. Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. Position Requirements and Qualifications Education: Diploma/Degree from an accredited RN program, Bachelor’s degree preferred Licensure / Certification: Current NYS RN license BCLS training and current certification required from: American Heart Association or American Red Cross ACLS current certification where required Skills: Excellent verbal and written communication skills to enhance age-specific patient care, team collaboration and analytical problem solving. Excellent interpersonal and customer service skills. Excellent organizational skills and attention to detail with ability to multitask and follow-through. Excellent time management skills with a proven ability to meet deadlines. Strong analytical and problem-solving skills. Ability to function well in a high-paced and at times stressful environment. Proficient with Microsoft Office Suite or related software. Ability to work with an Electronic Health Record, Practice Management and Scheduling systems. Experience: Minimum of two years’ experience as RN in a physician practice or ambulatory environment or previous related experience. Physical Requirements: Must be able to function effectively in a busy outpatient clinical setting. Office and exam room environment may include exposure to communicable diseases, biohazards or toxic substances. Daily activities may include standing, walking, and sitting, bending and lifting items up to 30 lbs. Reasonable accommodation will be made to enable individuals with disabilities to perform the essential physical demands. Salary Range USD $42.70 - USD $65.73 /Hr. This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies, and experience and position location. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits. At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.