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Kodiak Area Native Association Ambulatory Float Registered Nurse in Kodiak, Alaska

The Ambulatory Float Pool Registered Nurse is an outpatient flexible position, working in team support, patient care administration and direct patient care capacity with a variety of day-to-day tasks and/or physical location.

Essential Duties and ResponsibilitiesOther duties may be assigned

  • Support the organizations mission and goals, quality standards, and patient-centered medical home (PCMH) philosophy.
  • Incorporate KANAs core values ofCourtesy, Caring, Respect, Sharing, and Pridein all activities and decisions. Uphold KANAs Code of Ethics by conducting professional activities with honesty, integrity, respect, fairness, and good faith in a manner that reflects positively upon the organization.
  • Work within a team-based model of care to support colleagues and patients with excellent customer service. Communicate effectively with colleagues and patients; appropriately manage orders from and proposing orders to providers; follow RN triage and case management protocols. Ensure patients concerns are appropriately addressed in a timely fashion. Accurate and timely documentation in EMR.
  • Respond to urgent or emergent medical situations based upon nursing standards, policies, procedures and protocols.
  • Participate in quality improvement protocols or projects as requested.
  • Ensure compliance with all health care regulations, including HIPAA, OSHA and quality measures according to AAAHC accreditation and HRSA clinical measures.

Provides coverage across the Nursing Department as needed.

  • The Float Pool RN will be asked to flex between the various RN duties at KANA based on patient and staff needs. Below are some of the duties that will be in the Float Pool RN rotation.

Triage Registered Nurse:

  • Prioritize and triage patients on the floor as needed and by telephone call, implementing triage policy protocols to facilitate care advice, coordination of care, coordination of recommendations with medical providers when needed, and elevation of situations to a higher level of care when necessary.
  • Independently addresspatient, family, provider, staff, and outside facility calls concerning a wide variety of topics with excellent customer service.
  • Perform triage assessment by phone and in the office, process provider orders in an accurate and timely fashion, propose orders to providers appropriately by protocol.
  • Collect information regarding the patients concerns, medical history and description of symptoms via the telephone using the nursing process. Use symptom-based protocols to systematically assess and address the patients needs. Care for patients in a timely manner.

Infection Control/Employee Health Registered Nurse:

  • During gaps in IC/EH RN coverage, the Float Pool RN will help with those duties. This will include attention to infection control prevention measures within KANA, infection prevention and surveillance programs, and infection mitigation efforts.
  • Participate in blood borne pathogen exposure assessment, treatment and follow up.
  • Participate in preventative screening programs (e.g. TB skin testing, influenza, hepatitis B, MMR, varicella and other appropriate immunizations) and surveillance programs designed to identify and monitor risks to the employees health.
  • Responsible for all pre-employment testing and vaccination processes, annual N95/TB/Influenza testing and/or vaccinations, and the management of potential blood exposures, employee illnesses and disease outbreaks.
  • Maintain a system for reporting possible incidents of communicable diseases and notify the Public Health Department and the State of Alaska Health Department and Social Services of any reportable diseases, adhering to all internal, local and state procedures.

Ambulatory Floor Registered Nurse:

  • Participate in all aspect of patients clinical encounters: prepare the exam room and equipment, welcome and escort patients, perform patient clini al intake, report to provider, assist provider with exams and screenings as requested, facilitate patient education and discharge. Maintain sterile supplies.
  • Work with providers, phone triage RNs, RN case managers, and SRS staff to ensure efficient patient flow and patient access to medical providers as needed. Continuously review patient schedule to ensure patients are greeted in a timely fashion.
  • Give medication, injections or treatments, and perform routine laboratory tests as ordered.
  • Contact patients to report labs and other diagnostic results as requested by providers. Process phone calls or portal communications from patients, routing as appropriate, and responding in a timely manner.
  • Request medical records from other health care facilities as needed.
  • Clean and stock rooms; disinfect exam room tables, treatment and lab surfaces daily; prepare and sterilize clinical instruments. Review expiration dates for sterilized equipment and re-sterilize equipment as needed to ensure a readily available supply.
  • Schedule qualified patients for appointments based on established protocol, identified need, and availability of appointments; follow up with patients/families who have not kept important appointments.
  • Monitor and maintain routine population health screenings located in the EHR and other patient registries as appropriate.
  • See patients in Nursing Clinic for injections, vital signs, other assessments appropriate for level of training and per-protocol care at the direction of the medical team.
  • Maintain flexibility and assist other floor staff as needed to keep clinic flow and patient care efficient; communicate with patient if they may need to wait for a provider.

Registered Nurse Case Manager:

  • Participate in daily team huddles, work with team members to ensure appropriate pre-visit preparation including culturally and linguistically appropriate services, planning for health maintenance measures due for each patient, preparing treatment rooms for clinical examinations and assisting providers with medical procedures and other patient care.
  • Manage patients acute needs as they arise and chronic needs for disease management and prevention.
  • Monitor schedule throughout day to ensure appropriate scheduling.
  • Serve as first point of contact for patients within their assigned medical provider's panel.
  • Coordinate prior/pre-authorizations, assisting with appointments, medication refills, and obtaining up-to-date medical records in EHR.
  • Review monthly statistics generated from reminder reports and EHR whenever possible to identify opportunities for improvement.
  • Plan, deliver, monitor and evaluate patient care activities to identify and implement Quality Improvement initiatives.
  • Arrange and track the progress of referrals, outcome of patient care to ensure proper follow-up, and evaluate patient care delivery.
  • Coordinate multi-disciplinary patient care conferences as needed.
  • Provide appropriate patient education, addressing both preventive and acute health care needs.

Immunization Nurse:

  • Maintenance of KANAs immunization program including: Order and receive vaccines through VacTrak; inventory upkeep of vaccines; administer immunizations per protocol; coordinate with patients, primary care teams, and villages on vaccine needs; track and record vaccine information as needed; correspond with patients due for immunization; ; and, provide staff support for vaccine questions.

Specialty Clinic RN:

Help coordinate specialty clinic, including facilitating

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