Company: Choctaw Global Staffing
Location: Suffolk Naval
Contract Number: NE Navy

Description

Registered Nurse
Tricare Prime Clinic (TPC) Suffolk, VA
 
RNs shall provide services in support of Naval Medical Center, Portsmouth, VA. The primary site of services shall be located at Tricare Prime Clinic (TPC) Suffolk, VA.
 
Qualifications

Possess a Baccalaureate Degree in Nursing, a Graduate Diploma in Nursing, or an Associate Degree in Nursing, from an accredited agency such as the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE).

Possess and maintain a current unrestricted license to practice as a registered nurse in any one (1) of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

Possess a minimum of 1 year experience as an RN working in an outpatient acute care (hospital based) or ambulatory care setting within the last two years.

 

Hours

TPC Suffolk is open 0700 through 1900, Monday through Sunday, including all Federal Holidays except Group B holidays, which the clinic is open 0900-1700. (Group B Holidays - New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day.)

Shifts will typically be 3, 9 or 12 hours in length.

Services shall nirmally be required per week as follows: TPC Suffolk- 200·hours, Monday through Sunday between the hours of 0700 and 1900. The clinic is open on all Federal Holidays.

 

Duties

Assist in defining patient population in the Medical Home Port ( MHP) Team requiring professional nursing intervention and use evidenced based clinical practice guidelines to evaulate and provide nursing care for selected patients.

Work directly with selected patients and families to direct, plan, corrdinate, implement and evaulate a plan of care to meet needs. Collaborate with other health care disciplines to provide total quality patient care. Communication avenues may include, but not all inclusive of asynchronous messaging to improve communication, telephone consultations and other non-traditional means.

Function as care coordinator to assure all aspects of patient care needs are met, to inculde assesment, intervention and follow-up in screening of patient/patient problems.

Initiate and maintain pertinent patient and family medical history on patients, recording observations and stated symptoms for use by the Medical Home Port Team. Observe and record pertinent vital signs, determine and order laboratory procedures on patients that may be required by the provider to diagnose and treat the patient, per command and department policies. Orient new patients and their families to clinic policies as required.

Take appropriate action such as practitioner referral and evaluation, health care advice, initiation of medical protocols or referrals based on medical staff protocols.

Proactively coordinate the screening of their enrolled patients to identify patients needing preventative services and education based on their specific health care needs including, but not limited to: health and wellness topics, medical conditions and medical procedures. (Examples include mammograms, AlC, etc.)

Ensure review of emergency treatment records (ETR) and follows up with patient, per command and department policies.

Track HEDIS measures, laboratory/radiology results and notify patients per command/department policies. Check patient identification, physician's orders, and transfer infonnation as applicable. Requisition and arrange for ordered diagnostic and therapeutic services as directed.

Administer immunizations, allergy treatments,oral parenteral and IV medications.

Activiely participate in MPH Team huddles, Proactively assist team's identification of diagnostice procedures required during schedule scrub. Assist with identification of patient education needs and review plan with team members for coordination of educational needs.

Provide techincal direction to LPNs, medical assistants and Hospital Corps personnel.

Administer specific medications at designated times as ordered.

Observe patients and report pertinent data on condition and medication or treatment.

Prepare and administer IVs, and monitor their proper function.

Demonstrate proficiency according to operating manuals when using patient care electrical equipment.

Chart nursing observations and ensure record is complete with all procedures and tests results recorded. Maintain required clinic records, patient charts, forms, logs, records, registeres, and collect required statistics.

Performs nursing techniques for the comfort and wellbeing of patients.

Prepare equipment and assists physicians with treatment procedures.

Recongnize emergencies and respond with appropriate protocol, e.g. resuscitation, oxygen, emergency drugs, cardiac massage, application ofr medical equipment, as established by the medical staff.

Explain procedures and treatments to patients and significant others to allay apprehension and gain cooperation and support.

Assist in instructing LPNs, nursing assistants, and ancillary personnel; and ensure proper and complete discharge of physician's orders on patient care and treatment.

Requisition unti supplies, equipment linens, medications, drugs, etc. as directed. Maintain emergency supply cart and ensure that equipment is clean and in good working order prior to sue. Report discrepancies to the head of nursing or supervisor.

Partiticpate in the inspection and maintenance of all emergency equipment and supplies in assigned clinical areas.

Participate in the peer review and training of staff and maintenance of the MHP Team.

Perform a full range of RN duties in accordance with assignment under the task order, including: triage; patient assessment and monitoring; use of patient monitoring and treatment equipment; appropriate nursing care, procedures, and treatments; execution of physicians' orders within the guidelines of standard nursing practice; documentation of patient care and observations; and patient education and emotional support.

Assess each patient and perform triage duties as assigned.

Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.

Evaluate effectiveness of self-care given by all health team members, and contribution of systems, environment, and instrumentation in progressing patient toward outcomes.

Provide treatment and discharge instructions upon patient release.

Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, psychological, and cognitive status.

Provide a safe and clean environment for each patient.

Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.

Assist in planning, provide clinical guidance and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.

Demonstrate sound knowledge base and action in the care and decision making for designated patient populations.

Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.

Participate actively in staff development for unit and Directorate personnel and evaluation of personnel.

Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.

Implement care in a knowledgeable, skillful, consistent, and continuous manner.

Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.

Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.

Safely administer prescribed medications to include intravenous drips and intravenous push drugs.

Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.

Perform documentation (manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.

Participate actively in multifaceted staff development activities at the unit, Director, and command level, such as teaching formal and informal classes, acting as a role model, educator and mentor to new paraprofessional personnel with the goal of helping them successfully complete competency based skills list and weekly goal setting, assisting in the Command's Basic Cardiac Life Support classes and promoting staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.

Demonstrate self-directed learning.

Participate in development and attainment of unit and Nursing Directorate goals. 

Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately. 

Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action. 

Practice effective problem identification and resolution skills as a method of sound decision making. Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures. 

Provide individual, group, and family/significant other counseling and health teaching in relation to the patient's condition and his/her ability for self-care. Provide for accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.

Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.

Provide input into competency assessments of newly assigned unit personnel.

Collaborate in the review of clinic standing operating procedures. 

If directed, perform phone triage based on accepted protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries. 

Provide training and/or technical guidance as applicable to supporting Government employees (i.e. hospital corpsmen, technicians, students) assigned during the performance of clinical procedures. Such guidance and interaction will adhere to Government and professional clinical standards and accepted clinical protocols.





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