Registered Nurse (RN) - Med Surg
Triad Adult & Pediatric Medicine
High Point, NC

Lead Registered Nurse

Position Summary: Is a key member of the Triad Adult and Pediatric Medicine, Inc. (TAPM) Clinic Management Team (CMT). This position works with the Nursing Director, Practice Administrator and Lead Provider to provide administrative leadership to the site/office clinical team. Under administrative review, provides preliminary leadership in the overall administrative direction and coordination for policies, procedures, and programs at the clinical site. Jointly accountable with other members of the clinic management team for the management of clinical and financial resources in order to achieve patient outcome, as well as to promote professional development and coordination of the TAPM clinical staff. Provides first-line leadership, supervision, and coordination for nursing and clinical services at a specific TAPM site; serves as an administrative and clinical resource to clinical staff; assists with effective management practice of all staff and material resources in order to achieve the highest quality patient care; provides direct nursing services in the clinical setting and in specialty clinics as assigned. This position is 80% clinical and 20% administration. The Lead Nurse will cover the clinical portion based on the needs of the site. Example: Cover provider clinic, triage, and/or clinical responsibilities listed below. Job Responsibilities: Front Line Supervisory Responsibilities: * Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities. * Manages the Team Directed Care and Chronic Clinic, as required. * Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care. * Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs. * Assigns daily duties to site specific nursing staff. * Serves as a member of the clinic management team (CMT). * Works in direct clinic care the majority of the time. Will have assigned administrative time. * Ensures the orientation and training of new staff. * Supervises site nursing staff * Conducts competency and performance evaluations * Monitors on a regular basis the competency of new nursing staff. * Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices. * Ensures nursing duties in preventative and disease management protocols are fully implemented. * Float to other clinic sites upon request to meet staffing and coverage needs. * Triage Role - Performs all Triage Nurse Functions Administrative/Financial/Budgetary Responsibilities: * Assists in management of salaried expendables at or below budgeted expenses. * Assesses/requisitions needed supplies and equipment. * Participates in formulating/implementing variance analysis and corporate action plans. * Manages inventory of clinical supplies and monitors daily par levels. * Oversees ordering of supplies for clinic, including immunizations and medications. * Ensures OSHA, Bloodborne Pathogen and other regulations are adhered to and that accidents are reported to Human Resources for follow-up. * Responsible jointly with members of the clinical management team to ensure annual trainings are conducted to maintain staff awareness of safety issues in conjunction with Human Resources. Human Resources Responsibilities: * Participates in the interview, selection, and orientation process for new personnel. * Identifies and refers all employee counseling issues to appropriate resources. * Monitors/reports absenteeism, tardiness, etc.; refers to Practice Administrator. * Identifies, assists, and participates with on-going employee training needs. Participates/promotes in weekly ongoing Quality Improvement monitoring, educational updates, in-services, staff, and other meetings pertaining to position. * Assists with the formulation, evaluation, and revision of nursing policies, procedures, and routines. * Participates in Quality Assurance development/maintenance for related clinics. Clinical Responsibilities: * Performs nursing intervention skills according to nursing policies and procedures including but not limited to: venipuncture, wound care, debridement, sterile and non-sterile dressings, ear irrigations, administration of medications and immunizations, catherizations, specimen collections, etc.: completes all necessary documentation, as required. * Administers medications and injections in compliance with state law and clinic guidelines. * Triages patient calls and patient "walk-ins" to office: assesses priority of low-to-high risk patients on a "must see" basis of whether to be seen immediately, make a future appointment, or send home with care management advice to patient/parent. * Assists medical staff during examinations, treatments, and minor surgery. * Participates in the case management and multidisciplinary plan of care of Team Directed Clinic patients. * Reviews records; documents no shows or cancelled appointments: performs follow-ups per protocol, and determines appropriate follow-up care. * Instructs/informs patient/parent for preparation of ordered tests/treatments; makes certain all consent forms for procedures/tests are signed * Obtains, reviews, records, and maintains patient laboratory and x-ray data. * Retrieves patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by medical staff. * Ensures patient chart completion prior to their assigned visits: charts major complaints, vital signs, measurements, and reasons for visit: prepares patient for examination per TAPM protocol. * Ensures referral requests and other paperwork initiated by medical staff is complete and accurate. * Oversees the requisition, organization, and maintenance of inventory for examination rooms and nurse's station, as needed. * Disposes of all disposable, contaminated, and used items into designated waste containers. * Oversees the cleaning and stocking of examination rooms, labs, and stations, as needed. * Completes patient charge form and ensures charges are recorded and returned to front office, and ensures patient follow-up appointments. * Ensures referral requests and other paperwork initiated by medical staff is complete and accurate. * Disposes of all disposable, contaminated, and used items into designated waste containers. * Promotes team, system, and organizational goals; maintains patient confidentiality. * Abides by all company policies, procedures, and protocols regarding safety/health rules and regulations. * Adapts to various situations and adjusts to shifting priorities. * Performs other duties as assigned. * Floats to other clinic sites upon request to meet staffing and coverage needs. Behavioral Competencies: * Direct supervision of a site specific department staff involving responsibility for results in terms of costs, methods, and personnel, but supervision of others is limited to less than ten persons. * Possess self-confidence, self-control and character to deal with situations well and positively. * Desires to help others and focuses on meeting the needs of the patient and family. Ensures quality is delivered always. * Has a personal pledge to high standards of efficiency, correctness, dependability, and to delivering outstanding customer service. Committed to advancing to higher levels of skill by continuing education, applied standards, and performance benchmarks. * Connects well with others. Actively listens to the questions and concerns of others, understands others on an interpersonal level; responds to others in a timely and appropriate manner. * Embraces the need for change; adapts to changing circumstances, sets change in motion when necessary. * Shows respect to others and works well with a wide range of people. Sincerely intends to work cooperatively with others; wants to be part of a team. Strives to work together, as opposed to working separately or competitively. Strives to work well with others and deals with differences positively, even when personalities may clash or when team members are different from one another. * Sees beyond the immediate situation and thinks critically about the larger scope. Identifies patterns or connections between situations for systems solutions. Preparation and training: Job duties require registered nurse (BSN preferred) with a minimum of three (3) years' experience in a similar capacity. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina RN License, CPR certification, Venipuncture certification, IV Certification, and a NC driver's license for occasional travel. Experience: With the above skills, education, and at least one year of previous clinical experience, it would take approximately 1-3 years to become proficient with the policies, procedures, and protocol utilized by Triad Adult and Pediatric Medicine. Analytical Ability: Diversified duties involving an intensive knowledge of a technical or specialized field within the organization, requiring the use of a wide range of procedures. Must apply nursing principles of rational systems to solve practical problems. Independent Judgment: Under general supervision, whereby standard practice enables the employee to proceed alone on regular duties, referring questionable cases to supervisor or others. Responsibility of Equipment or Process: Limited - makes minor adjustments to equipment; testing and measuring devices; however, equipment is not "sensitive" and damages are unlikely under normal use and care. Testing/measuring equipment includes: crash cart, oxygen tanks, glucometer, strep test kit, scales, thermometer, pulse oximeter, nebulizer, hemoglobin machine, dinamapp, tape measure, Accuchecks, Hemmocues, Snellen charts, IV starts, and other equipment and devices as assigned. Material or Product: Errors with the incorrect storage of certain medications could go undetected and could result in some or total loss of medication, which would be costly to TAPM, as well as affect patient goodwill/care (if error is not caught). Misuse of biohazard materials could mean OSHA fines and/or penalties. Safety of Others: Safety of others depends entirely on the correct action of employee on job being rated. Errors, such as incorrectly administered medications, injections, and/or other treatments, should they occur, could result in serious or fatal repercussions for the patient. Working Conditions: Patient care setting where working conditions can be stressful and fast-paced. Must be able to work and deal effectively with changing situations, varying workloads, interruptions, etc. Frequently exposed to communicable diseases, biohazard substances, medicinal preparations, and other conditions conducive to a clinical environment. Mental Attention or Visual Demand: Continuous mental and visual attention and manual dexterity when attending to patient care and medical record keeping; usually repetitive work or diversified operations requiring constant alertness or activity. Must have acute visual perception for patient care and record keeping requirements and be able to distinguish colors. Must be able to communicate via telephone and other automation vehicles. Normal or corrected vision is needed in order to visualize computer screens, medical record forms, and equipment screens. Normal or corrected hearing is required for hearing blood pressures, monitor alarms, and building alarms, etc. Physical Demand: Position requires frequent standing/walking for extended periods of time. Must able to touch/ feel, and grip/grasp equipment/tools, and testing devices. Position also requires stooping, bending, stretching, reaching, and twisting. Must lift/carry young children weighing approximately 25-40 pounds, four or more times per hour, and occasionally push/pull occupied wheelchairs weighing approximately 15-60 pounds. Scope of Supervision: Supervises clinical support staff, which usually consists of site RNs, LPNs, CMAs, RMA's, CPTs (Certified Phlebotomist Technician), under the direction of the Nursing Director with collaboration of the Medical Director. Hazards: If precautionary measures are not adhered to, this position could be susceptible to contact with infectious/communicable diseases, biohazard waste materials, needle pricks, etc. Safety: Triad Adult & Pediatric require that all employee work in a safe manner with regards to themselves and their co-workers. Any unsafe acts or condition are to be reported immediately. Quality Improvement Must understand and help enforce the meaning of quality improvement:" The combined and unceasing efforts of everyone-healthcare professionals, patients, and their families, researchers, payers, planners and educators-to make the change that will lead to better patient outcomes, better system performance and better professional development."(Batalden, 2007). Committed to promoting TAPM as a medical home and incorporating the core components of a Patient Centered Medical Home into your position on a daily basis. * Patient Centered * Comprehensive care * Team-based * Coordinated * Accessible * Focusing on Quality and Safety * ------- Loan Repayment Opportunities As a Federally Qualified Health Center (FQHC), Triad Adult and Pediatric Medicine, Inc. has access to resources to assist with the repayment of federal loans if the recipient practices within one of the following disciplines: * Family Medicine Physician (MD or DO) * Family Nurse Practitioner (FNP) * Pediatric Nurse Practitioner (PNP) * Physician Assistant (PA) * Pediatrician (MD or DO) * LCSWs * Nurses National Health Service Corp program at http://nhsc.hrsa.gov/loanrepayment/