RN- Regional Float

Location

Fairbanks, AK, US

Organization Name

Health Services

Job Summary

Job Summary: The Regional Float RN is an essential member of the primary care team including our sub-regional clinics, bringing a high level of knowledge and skills to RN practice in the key domains of preventative care, chronic illness management, care management emergent care, and transitions of care. The Regional float RN works both independently and in collaboration with primary care medical providers, sub-regional providers and support staff to deliver services that enhance access to care and overall quality of care for patients. The Regional float RN assists patients and families in achieving optimal states of health and wellness by providing patient education, monitoring of patient condition, and assessing the patient family/response to the health concern and treatment. The Regional float RN allows for greater access to care by providing direct services per clinic protocols and standing medical orders to assess and treat minor complaints such as dysuria, sore throat, STIs, and wound care as well as advancing medication titration in chronic illnesses such as insulin titration or adjusting antihypertensive dosages. By providing access to these, routine services the Regional float RN helps to optimize patients’ visits with their primary medical provider while providing timely and excellent care to our patients. The Regional float RNs primary goal is to go where an RN is needed. This includes but is not limited to travel to the sub-regional clinics in villages such as Tok, Galena and Nenana, also will include cross training to other specialty care areas at CAIHC in Fairbanks.

Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy.

Essential Functions

Essential Functions: This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbents. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties.

Representative Duties: Under the general supervision of the Lead RN, job incumbent will:

1. Provides comprehensive and focused nursing assessments for care team patients in collaboration with medical staff. Reviews and updates patient's medical and behavioral health complaints, conducts baseline assessments for primary care provider visits (vital signs, height and weight, auscultation of heart and lung sounds, etc.) Performs routine screenings and point of care testing. Collects and handles laboratory specimens. Prepares and submits orders for lab and x-ray studies or evaluations requiring outside referral. Documents all objective and subjective findings in client's medical record.

2. Assists medical providers and medical assistants by providing RN level care such as IV infusions and administration of controlled or high-risk medications.

3. Maintains a schedule of dedicated travel to TCC sub-regional village clinics in Galena, Nenana, and Tok. Provides coverage for RN staff in these locations for schedule or emergency personal leave and general staffing shortages. May also for training in order remain current with the areas RN practice at CAIHC.

4. Provides support to the care team Lead RN for management of team and clinic staffing schedules. Floats to other practice areas as needed to ensure adequate staffing.

5. Notifies patients of abnormal test results, provides necessary patient education and communicate instructions or directions from primary care providers. Schedules and coordinates follow-up testing, nurse visits, or medical provider visits.

6. Receives and triages patients’ medical complaints by telephone or other means following established protocols to evaluate patients’ needs and to facilitate their appropriate disposition (ER, Urgent Care, Primary Care) to address their concerns and ensure patient safety.

7. Actively participates in quality improvement initiatives at the level of individual practice, the care team, clinic, and organization. Makes or contributes to data driven decisions that will improve and ensure the quality of care delivered to beneficiaries of TCC services.

Other Responsibilities:

1. Performs other duties and responsibilities as assigned. Tanana Chiefs Conference expects that all nurses will maintain the ability to perform basic clinical patient care skills. Clinical skills competencies will be demonstrated annually per the requirements of individual roles and as needed in support of general patient care services.

Minimum Qualifications

Minimum Qualifications:

1. Current Alaska Registered Nurse License. Bachelors of Science in Nursing preferred.

2. One year of experience in urgent, emergency, or ICU care is required.

3. Three years’ experience, five years preferred.

4. BLS required. ACLS and PALS within two months of starting.

5. Experience in delivering rural and community-based primary care and public health services. Experience serving Alaska Native/American Indian communities preferred.

6. Valid Driver’s license.

7. Must pass background check pursuant to federal Indian Child Protection and Family Violence Prevention Act requirements and State of Alaska background check.

Knowledge, Skills and Abilities:

1. Ability to perform physical and psychosocial patient assessments, identify and execute appropriate nursing interventions, prioritize tasks, and identify and resolve problems effectively and efficiently.

2. Excellent verbal and written communication skills and organizational skills for managing workflow and maintaining customer satisfaction.

3. Ability to work well both independently and on an interdisciplinary team, and the ability to maintain patient confidentiality.

Supervision: This position does not supervise staff but may be temporarily assigned to cover the managerial and supervisory responsibilities of other positions.

Supervision

Physical demands: Lifting patients or equipment. Exposure to a variety of infectious and communicable diseases. Traveling from site to site (includes travel in small aircraft), standing, and stooping for extended periods. Exposure to a variety of working environments, including rural village communities. Ability and willingness to drive to TCC communities on the road system, often in winter, with the possibility of inclement weather and hazardous road conditions.

Summation