registered nurse, rn - Hillsboro, OR, USA, United States - Tuality Healthcare

Description

POSITION SUMMARY
Relocation Assistance available up to $15,000

Pay range:
$45.61/hr - $68.49/hr plus $6.00/hr

Position Summary

The Office Wound Care RN is responsible for ensuring the delivery of quality care to the patients in accordance with individual needs, provider orders and standards of care, as represented through the patient care policies.

Provides patient care and support to patients undergoing wound care.

Rooms patients, obtain vital signs, and obtain a health history.

Other duties include patient teaching, wound care interventions and dressings, assisting the provider with wound care procedures, case management, ordering wound care supplies, and coordinating care.

This position will adhere to standards of nursing practice for wound care and will maintain safety standards for all procedures.

Functions within the scope of practice as defined by the State of Oregon for RN practice.

Performs in a manner, which maintains the confidentiality and privacy of each patient, promotes positive health habits through appearance and attitude.

KEY RESPONSIBILITIES
Performed majority of the time

• Performs direct patient care including, transfers/positioning, focused hygiene, and obtaining vital signs.
• Performs wound care related tasks, including obtaining wound and leg measurements, taking wound photography, obtaining ankle brachial index, applying chemical cauterization, obtaining wound culture specimen, applying wound vac dressing or static wound dressing, applying layered compression wrap and elastic compression sleeve, applying total contact casting underlayers (and casting based on competency), removing total contact cast, and trimming nails.
• Assists the provider with office procedures.
• Gathers pertinent information from patient and others to establish relevant database about the patient and the patient's condition via phone triage, electronic messages, or in person visits.
• Determines changes in the patient's condition and stability based on clinical parameters, population data, and nursing knowledge and evidence.
• Effectively transfers knowledge to other members of the team to support the safety of their practice
• Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.
• Provides education and procedural instructions to patients and family members; effectively transfers information about disease, health, treatment plan and recovery to patients and family members.
• Documents nursing interventions, teaching and plan in the electronic record according to acceptable medical records guidelines for compliance and billing.
• Provides coordination of care with Home Health, SNF, etc. Communicates evaluation of patient's stability, progress, discharge plan and recommendation for continuity of the medical and nursing care to other members of the health care team, including accurate and timely documentation in the patient's electronic record.
• Develops goals, nursing care plan, or the plan of treatment based on assessment data to determine the patient's individualized priority goals and care activities in relation to scope of practice.
• Evaluates the effectiveness of the plan of care by evaluating the patient's response, outcomes, and changes in stability and makes recommendations for modifications to the plan of care.
• Initiates and manages negative pressure wound therapy.
• Follows infection control and transmission-based precaution procedures.
• Performs conservative sharp debridement with provider order if certified as a wound care specialist. Wound care certification shall serve as proof of initial competency.
• Schedules patients' follow-up appointments and facilitates outgoing referrals and scheduling for ordered tests.
• Responds to emergency situations and contacts emergency services as directed by a provider.
• Assists with prior authorizations and insurance verification process.
• Orders and stocks supplies; transports instruments and specimens; cleans exam rooms.

Performed occasionally but critical to successful performance of the job:

• Attends and participates in staff meetings, in-services and continuing education opportunities.

Decision making and budget responsibilities

• Decision impact limited to the employee and the patient.
• No budget responsibility

Assigned direct reports

• N/A

JOB SPECIFICATIONS

JOB SPECIFICATIONS

Education:
Required

• Associates Degree in Nursing.

Preferred

• Bachelor or Master of Science in Nursing.

Experience:
Required

• Minimum of two (2) years' experience with the type of vehicle being driven.

Preferred

• N/A

Licenses, Certifications and/or Registrations:
Required

• Current Oregon State RN license.
• Become Medic First Aid CPR instructor within 180 days from hire.
• Must have a valid Oregon driver's license.
• American Heart Association Healthcare Provider BLS preferred upon hire, and required within 90 days of hire. If not American Heart Association Healthcare Provider BLS certified upon hire, must have current BLS certification through another provider.

Preferred

• N/A

Job Related Skills, Abilities and Behaviors:
Required

• Bilingual in Spanish required; able to present and provide health literature to all age groups.
• Conducts nursing assessment of clients including physical examinations and/or interviews to obtain and document pertinent physical and social and or educational background to detect or identified problems.
• Provides intermittent skilled nursing services such as, blood pressures, vaccinations, finger sticks, teaching and evaluation.
• Develops follow up plans for clients requiring continuing assistance, serves as a referral agent and advocate.
• Coordinates client care activities and maintain communication with team members and other disciplines.
• Uses effective communication skills with customers of diverse ethnic and cultural backgrounds.
• Uses effective problem solving skills and works well independently.
• Knowledge of Medical insurance procedures and workers' compensation procedures.
• Makes home visits to clients to assess and assist with requests made.
• Demonstrates proficiency with a PC using Word, Excel, Power Point, Access and Lotus Notes.
• Flexibility in work schedule, ability to work weekends, evening programs and travel throughout the Willamette Valley.
• Assist the Clinical Nurse Manager in the assessment of Salud Clients and community health educational needs.
• Works with the Clinical Nurse Manager, the Health Educator and Community Health Department Coordinator and staff in developing educational programs in health related areas. Promotes wellness and prevention.
• Demonstrates effective organizational skills and ability to maintain accurate and timely records and reports.
• Demonstrates excellent customer service and telephone skills.
• Demonstrates proper appearance and personal conduct for the employee's particular job.
• Operates the following office equipment with proficiency: PC, copy machine, fax machine, telephone and calculator.
• Seeks opportunity for professional advancement to improve or gain new skills, knowledge or training.
• Provides care appropriate to the age of patients served neonate, infant, pediatric, adolescent, adult, and geriatric patients based on principles of growth and development and life stages.
• Demonstrate knowledge and awareness about cultural competencies: culture, ethnicity and beliefs.
• Demonstrates an awareness of safety measures.
• Recognizes own limitations and seeks guidance appropriately.
• Prioritizes and coordinates duties and resources effectively.
• Promotes accident prevention by using protective equipment, taking appropriate precautions to ensure personal safety and reporting potential hazards.
• Demonstrates self-directed learning through continuing education programs, reading and multi-media access.
• Focuses in the situation, issues or behavior not the person.
• Utilizes problem solving methods and tools.
• Maintain effective working relationships when dealing with medical providers serving Salud Clients, winery/vineyard management, workers and family members.
• Functions independently with minimal supervision.
• Adapts readily to change.
• Consistently utilizes problem-solving techniques to resolve complaints or concerns.
• Keeps an open communication with all members of the Salud Program, Community Education Department and Foundation.

Preferred

• N/A

Other:
Required

• Drives a company-owned vehicle as part of their job and is considered a Category A driver.
• Must have a satisfactory driving record which is defined as: o no more than one (1) accident and two (2) moving violations or

o two (2) accidents and one (1) violation or

o no accidents and three (3) violations on or off the job within the past 36 months, and

o no conviction for driving under the influence of intoxicants (DUII), license suspension, auto felony convictions or other serious violations within the past 36 months.

• Be at least 21 years old.
• This employee must complete a defensive driving course within the first 90 days of employment and annually thereafter.

Preferred

• N/A

#Tier4

Additional Posting Information

Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals.

Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law.

We further commit ourselves to continuing the practical application of this policy in our daily business conduct.