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Collaborates with Medical Directors, PCPs, and other allied health personnel regarding medical needs of patients. Reports pertinent medical information to PCPs and Medical Directors upon discovery.
Maintains organized and updated list of scheduled and PRN medications for each patient receiving medications at the facility. Obtains prescribing information from the parent, doctor, or pharmacy. Completes daily documentation of medications, including dosage, frequency, and route of medications given on the Medication Administration Record (MAR). Monitors patients for drug reactions and documents any on the Drug Reaction Log. Notifies guardians when medications need to be refilled.
Examines patients in need of medical attention and responds accordingly, making sound nursing decisions based on facts and experience. Notifies parents of situation requiring medical attention either by telephone or letter. If necessary, contacts the PCP or Medical Director for recommendations. Documents illness or injury requiring medical attention. Follows-up with patient and/or family and documents follow-up action taken.
Gathers medical information, including immunization records, medical consents, prescribed medications, and allergies on all new patients enrolled to facility. Mails completed Release of Information forms to request any additional information needed from doctors, hospitals, or other facilities. Informs staff of medical concerns as appropriate.
Ensures that each patient is assessed by the Medical Director prior to enrollment and every six months thereafter. Completes appropriate information on the Physician Assessment form, such as the date of birth, PCP, reason for visit, diagnosis, etc. Assists Medical Director during assessment and follows through with orders.
Advocates for referrals to outside specialists and other allied health personnel as needed. Notifies parents or guardians of referrals and any appointments made.
Obtains discharge summaries for patients who have been absent from the clinic due to hospitalization.
Determines appropriate plan of action and instructs involved employees as to what documentation should be completed and how a parent or guardian should be notified when informed of accidents or incidents. Maintains completed Incident Report forms in numerical order.
Completes the Child Abuse Report form for all cases of suspected physical or sexual abuse when a physical examination is needed and takes pictures of injuries, if applicable. The nurse will label all pictures, place them in sealed envelopes, and maintain them in his/her office filed numerically in a locked cabinet or file. Child Abuse Report forms will be turned in to the Clinic Director who will review and sign them and maintain them in a locked cabinet or file in his or her office
Follows through on orders received from nutritionist, including notifying treatment room staff, parents, and PCPs, etc.
Maintains documentation of immunizations for each patient enrolled in facility. Ensures immunizations remain current during enrollment by notifying parents or guardians when they are due.
Maintains updated list of allergies for each patient in the facility. Informs therapists and treatment room staff any time new allergies are added.
Reviews all medical records received and distributes to appropriate personnel. Interprets clinical data to identify patient risk, both actual and potential. Initiates appropriate action and reports to team members.
Notifies appropriate personnel when medical equipment needs to be ordered (syringes, serum, gloves, etc) and stocks equipment when delivered.
Schedules CPR training as needed. Maintains documentation of employee CPR certification.
Administers flu shots to employees.
Maintains first aid kits and oxygen tanks.
Maintains daily temperature checks on the refrigerator containing medications.
Assures that medical documentation is complete and in compliance with regulatory agencies and standards as established by the clinic.
Promotes continuity, consistency, and expediency of care to patients and families.
Serves as resource for clinic staff in areas of primary health care, infection control, disease processes, and emergency procedures. Performs staff in-services as needed.
Maintains Medical Policies and Procedures Manual in a current status at all times. Assists in efforts of marketing and patient recruitment.
Completes relevant and approved continuing professional education each year as required to maintain professional licensure.
Is familiar with the company s policies and procedures and guidelines, as well as those requirements set forth by regulatory agencies, including CHMS, AR Child Care Licensing, and the AR Health Department.
May perform other direct patient care responsibilities as assigned.
May perform other related and non-related duties as assigned and agreed upon by both parties.
Time Management-Uses time effectively by planning and prioritizing tasks as well as setting goals in order to accomplish assignments on schedule.
Analyzes and Solves Problems Approaches problems from an analytical perspective, gathering information from multiple sources performing analyses, and drawing appropriate conclusions. Proactively diagnoses by identifying root causes and choosing optimal solutions.
Embraces Diversity Leverages the capabilities and perspectives of all individuals, holding self and others accountable for developing and maintaining an environment that enables full participation and development of all backgrounds, cultures, styles, and views.
Communicates with Purpose Gains support for ideas through effective spoken/written communication. Uses active listening to ensure understanding and is able to recognize important information in written materials. Provides clear instructions in accordance with company guidelines.
Maintains Cooperative Relationships Treats others with respect and encourages cooperation at all levels of the company. Works to resolve conflicts while ensuring needs are met. Interacts effectively with all Employees, families, patients, referral sources, and all external agencies.
Demonstrates Integrity Maintains in one s work through implementing, upholding, and enforcing ethical standards and compliance with local, state, and federal laws and company policies.
Promotes Strong Work Ethic Stays focused and works effectively under stress. Holds self and others accountable for completing tasks accurately and efficiently. Shows enthusiasm towards work and teaches Employees to do the same. Maintains high standards for self and others.
Encourages Customer Focus Makes Customer service a priority by instructing others to provide excellent service to internal and external customers. Demonstrates how to appropriately interact with customers, even in difficult situations, and how to effectively meet their needs.
Decision Making- Ability to make correct decisions or choose the best course of actions when a decision needs to be made, including doing so in a safe manner, preventing accidents, injuries, and theft.
Attendance - Ability to be punctual to work, including adhering to time limits while on break or lunch. Employee must also follow company policy in respect to sick leave, vacation time off, giving a prompt notice of absence due to an illness, and following company policy and regulatory standards in regards to leaves of absences (i. e. FMLA, Personal Leave, etc).
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