Rn Outpatient, Adult Outpatient (Aot)

Clinical Responsibilities

• Provide emergency care as needed (CPR, MindSet, PRN medications), according to the Accordia Health Policy and Procedures
• Effectively demonstrates the application of nursing competencies
• Participate in general and medical staff meetings as required
• Administer injections or treatments and performs routine laboratory tests.
• Accurately assign triage categories.
• Respond to patients’ request for medication refills
• Interfaces with the multi-disciplinary team and actively and cooperatively participates in development of the interdisciplinary treatment plan
• Provide support for medical assistants to assure conformance with established standards and procedural requirements.
• Assists with the completion of the assessment process for patients
• Provide education regarding patient’s disease process.
• Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, pain management and assessment of changes.
• Administer medical and psychiatric screenings as needed (PHQ-2, UNCOPE, etc.)
• Adhere to professional code of ethics
• Administer medications, observing the Seven Rights of medication administration
• Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.
• Monitor patients for potential side effects of medications and reports findings to the physician.
• Educate the community and patients on health issues to increase health literacy
• Identify and address psychosocial, cultural, ethnic and religious/spiritual needs of patients and family.
• Complete nurse workup portion in NextGen
• Provide medication education for the patient and family, including uses and potential side effects.
• Monitor laboratory results and reports all abnormal findings to the physician
• Communicate effectively with the physician regarding the patient’s physical and mental condition
• Perform ancillary testing and tasks as ordered by presiding physician (i.e. PFT, EKG, injections, audiograms, etc.)
• May conduct infection control for staff and patients when indicated
• Perform related duties as assigned
• Demonstrate the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation

Supervision and Consultation

• Actively work to enhance clinical skills
• Accept and employs suggestions for improvement
• Seek clinical supervision and consultation needs

Clinical Record Keeping

• Documents in a timely fashion per Accordia Health policy
• Documents in a clear, concise manner, types of patient problems, treatment goals and services provided
• Documentation shows that forms, notes, logs, and other applicable written information are completed promptly, accurately and updated when appropriate
• Document legibly

Courteous and respectful attitudes towards patients, visitors, and co-workers

• Respects patient’s privacy and confidentiality
• Assist patients and visitors as needed
• Treats patients with care, dignity and respect
• Promote a professional atmosphere

Administrative and Other related duties as Assigned

• Maintains current State license and requirements for renewals (i.e. CEU’s), and attends to required in-services and workshops
• Completes assigned tasks in a timely manner
• Actively participate in Performance Improvement activities
• Access appropriate community resources according to patient needs
• Follow Accordia Health Policy & Procedures
• Actively participate in Accordia Health committees as required

Physical Requirements of the Job

• There is frequent standing while getting files, paperwork, and handing out medication.
• Any other duties as assigned by supervisor
• Fine manipulation for writing, handling paperwork, and dispensing medications to patients.
• Lifting various ranges from the floor to overhead with weights up to 1-5 pounds frequently.
• Squatting and/or lunging frequently to stock supplies and retrieve needed material from file cabinets and book shelves.
• Pushing and/or pulling force up to 1-5 pounds force, horizontally, to open file cabinets and place binders on book shelves.
• Sitting is frequent by nature and up to 5-10 minutes; however, extended sitting could be up to 1.5 to 3 hours for documentation.

Current Registered Nurse licensure in the state of Alabama. Must possess Basic Life Support (BLS) certification.

Knowledge in adult/geriatric and child/adolescent specialty, outlined below, to be attained within (6) six months of employment

• Understanding of behavioral, psychological, physical health and social effects of psychoactive drugs, including alcohol and tobacco on the patient and their significant others.
• Knowledge of medical terminology especially those terms associated with adult psychiatric care and/or substance abuse
• Knowledge of psychiatric disorders in the adult population.
• Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.
• Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patients served.
• Demonstration of safe medication administration practices including IM
• Knowledge of behavior management, crisis intervention and, interventions common to acute psychotic as well as to non-violent crisis intervention practice.
• Basic knowledge of appropriate educational methods.
• Knowledge of general nursing care.

Knowledge of effects and treatment of physical/sexual/emotional abuse and neglect issues