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The Primary Care Nurse (PCN) provides high quality, comprehensive, professional nursing primary nursing care to individuals and families throughout the lifespan. As part of a clinical team, the PCN works at the top of his or her licensure to enhance the safety, effectiveness, and efficiency of care through both the performance of professional nursing responsibilities and the delegation of technical and clerical functions as appropriate to medical assistants. Provides patients with both general and focused health education regarding preventive, chronic, and episodic health care issues. Assumes responsibility, in collaboration with primary care providers to coordinate care, support transitions between levels of care, and counsel, educate, and support patients in improving health status. Applies principles of advanced access, planned care and the chronic care model, and rapid cycle performance improvement using the PDSA approach.
RESPONSIBILITIES
Support primary care of patients under planned care model, including pre-visit planning, daily huddles, and execution of nurse-led and nurse-assisted visits.
Collaborates with PCP to identify needs for preventive care, evidence based chronic disease care, and care coordination.
Provides general and specific health care education during patient visits and by telephone.
Works with patients to identify and monitor self-management goals.
Collaborates and coordinates care with other community based providers.
Follows up on emergency room visits and hospital discharges.
Assists providers with exams, treatments, and procedures as needed.
Ensures safe, accurate, clinically appropriate collection, storage, and processing of all biologic specimens.
Administers medications, including immunizations, at the order of prescribing provider and under standing orders.
Adheres to company protocols regarding documentation of medication, route, dosage, and information provided to patient.
Monitors patient response to medication based on specific medication administered; detects, reports, and responds to any adverse reaction. Reconciles medications. Provides patient education as appropriate to the administered medication.
Performs wide range of nursing activities as needed and after initial prescription by primary care provider such as wound care, catheterization, etc.
Accurately documents all aspects of patient care in the medical chart on a timely basis.
Schedules tests and referrals for specialty care on order of provider.
Maintains strict infection control standards in accord with company protocols and universal precautions TJC, OSHA and CLIA standards.
Acts as a resource person for medical assistants regarding patient preparation, needs and procedures needed.
Monitors and ensures follow up of all abnormal pap smear results, STDs, lead screens and other tests and screens performed.
Oversees the maintenance of supplies and equipment, ordering supplies as necessary.
Maintains compliance with agency mandatory annual training (Patient Safety, Abuse, Age Based Competencies, EOC, Abuse trainings, etc.)
Expert use of electronic health record to ensure timely, safe, confidential storage and retrieval of patient information.
Participates in Project ECHO complex care management to continually advance knowledge and skills in care management and care coordination.
Presents nursing information and insight into patient care with other members of the care team at Integrated Care Team meetings.
Required Skills and Education
Registered nurse, in good standing.
BSN
ASN
Preferred Skills
Bilingual
Electronic health record experience
Required Licenses/Certifications
Current CT Nursing License
Requires as a condition of employment current American Red Cross CPR for the Professional Rescuer and AED (CPR/FPR/AED) certification. The only acceptable alternative is current American Heart Association BLS/AED for Healthcare Providers certification.
JOB ID: 183026
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Jeffrey Elwood