Clinic RN

Shenandoah Medical Center

Job Description

Provides and performs oversight, delegation, and coordination of total nursing care with other health care providers to meet holistic care needs of patients. Utilizes the nursing process and delegation skills to prioritize and oversee all patient care delivered during assigned shift while maintaining recognized nursing standards.

This position will be a part of the PCMH team when specified by the patients needs. Comprehensive care including care coordination and self-management building skills to promote better outcomes for patients will be provided. As part of the team, there will be an emphasis on disease prevention and wellness, as well as being included in the treatment of acute and chronic diseases. As part of the team, this position will help provide care management and support the patient/family/caregiver prior to treatment, during treatment and following treatment with transitional care and coordination across all elements of the broader health care system. This would include specialty care, hospitalization/ER, long-term care, home health care, community services and support, test tracking and follow-up, referral tracking and follow-up, and care coordination transitions from one health care facility to another facility or to home.


Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type which may include; Acute, Observation, ER, and SNF. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.

Collaborates with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patients care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves direct supervisor regarding patient care issues in a timely and appropriately manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the Care Plan team.

Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.

Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. P

romotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.

Performs other duties as assigned.

Completes patient and family education Follows emergency policies, procedures and protocols in an effective manner. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action.Appropriately reports condition changes to medical provider.


Education and/or Experience
Graduate of an accredited school of nursing Bachelors degree preferred. Previous RN experience preferred.

Certificates, Licensure, Registrations
Currently licensed as a Registered Nurse (RN) in the State of Iowa. Basic Life Support (BLS) required upon completion of orientation.