Registered Nurse - On-Call

Virginia Garcia Memorial Health Center Hillsboro, OR, US

At Virginia Garcia Memorial Health Center, we honor all members of our community and acknowledge the dignity of each person we serve. Our purpose is to provide high quality, comprehensive primary health care to the communities of Washington and Yamhill counties with a special emphasis on migrant and seasonal farm workers and a view to removing barriers to health care. We strive to provide an environment that welcomes and values the people we employ and serve.

If you are unsure whether you meet all the required qualifications for this role but are interested and passionate about this potential position, we encourage you to apply.

Job Summary: The Registered Nurse (RN) provides holistic patient care service as a member of the primary care team. The RN performs routine clinical tasks necessary for efficient patient care and assists other patient care providers as needed.

Essential Duties and Responsibilities:
•    Assess patient needs through problem-oriented history, including past medical history, current problems and vital signs.
•    Identify patients with significant health risks, including patients at risk due to hereditary factors, lifestyle, diet, substance abuse, social/cultural/environmental factors, and/or inadequate understanding of their disease process or treatment plan.
•    Perform patient education involving explanation to the patient of diagnosis, treatment plan (including use of medications and their effects and side effects), infection control (if indicated), and preventative techniques to lower patient risk of future disease or accident.
•    Assess patient needs through telephone interviews – advise patients over the phone and identify patients with urgent care needs.
•    Triage patients who arrive without appointments, including assessment and evaluation for need of medical care based on their medical history, present complaint, vital signs, and physical assessment (after physician consult if necessary).
•    Dispense medication under M.D. supervision and administration of oral, I.M. and I.V. medication as ordered by M.D., FNP, and CNW.
•    Case manage high-risk patients.
•    Facilitate patient/family group education sessions.
•    Coordinate patient flow and triage patients in the absence of the provider when provider is out or unavailable.
•    Update on-call providers daily on changing needs of complex, high maintenance or high-risk patients.
•    Maintain infection control within the clinic.
•    Perform laboratory procedures when necessary.
•    Perform other duties as assigned.
•    Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

HIPAA Requirements:
The RN will use PHI to answer patient questions about their medical problems or plan of care, to triage and schedule appointments for urgent medical problems, to relay information from the health care providers to the patient and to provider nursing visits at patients homes. Applying the minimum necessary rules of HIPAA, the designated record sets to which this employee will have access include: scheduling, demographics, and view only patient account information in the practice management system, and the complete medical record, including confidential sections.

Knowledge, Skills and Abilities Required:
•    Proficiency in English and Spanish, both written and spoken language preferred.
•    Commitment to providing quality health care to all.
•    Demonstrated commitment to working with patients and staff from a wide range of ethnic, economic, cultural and social backgrounds.

Education and Experience Required:
• Current Oregon RN License.

Behavioral Competencies:
Accountability
•    Role model VG’s mission, vision, and shared values
Customer-Focus
•    Listen to the voice of the customer and strive to delight them by exceeding their expectations
Teamwork
•    If someone needs help, help them
Initiative
•    Be innovative, apply fresh ideas, and continuously improve how you do your work
Confidentiality
•    Maintain strict confidentiality and respect the privacy of others
Ethical
Demonstrate integrity, honesty, and stewardship in all encounters at work
Respect
•    Demonstrate consideration and appreciation for co-workers and patients
Communication
•    Demonstrate the ability to convey thoughts and ideas as well as understand perspective of others

Physical Requirements:
Percentage of time spent
•    Standing: 10%
•    Walking: 25%
•    Sitting: 60%
•    Lifting/Carrying: 5%
•    Physically demanding tasks: Must be able to occasionally lift/carry up to 30 lbs. – supplies

Working Environment/Physical Hazards:
• Work in well-lighted, ventilated environment
• Exposure to blood borne pathogens and to potentially hazardous chemicals

Equipment Used:
Office Equipment
•    Computer
•    Telephone, fax, copier, scanner
Medical Equipment
•    Autoclave
•    Fetal Monitor
•    EKG
•    Pulse Oximeter
•    Audiometer
•    Nebulizer
•    02 tank
•    Glucometer

Immunization:
Staff members must meet immunization requirements as stated in VGMHC’s immunization policy and state and federal guidelines.

Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC’s Mission.

VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes fairness in placement, promotion, transfer, rate of pay, and termination.

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