Classified Title: Clinical Nurse Role/Level/Range: ACRP/03/ME Salary: Commensurate with Experience Status: Casual Work Schedule/Hours: Varies Department name: 10002808-SOM DOM Gastroenterology Location: 04-MD:School of Medicine Campus Personnel area: School of Medicine
The Clinical Nurse will provide care to patients in the GI lab. Procedures include: Wireless capsule endoscopy, breath testing, Bravo studies and anorectal manometry. The clinical nurse will be responsible for making decisions regarding patient care; serve as a patient advocate; exercise independent, professional judgement and decision making on a consistent basis.
Specific Duties & Responsibilities
Transcribe/scan lab work from providers into EPIC. Ensure labs are routed to the correct lab per patient insurance
Ensure that all patient orders are up to date and notify provider to obtain new orders prior to scanning
Scan all provided orders into EPIC
Change provider for each patient to nurse to allow each encounter to be closed
Retrieve/print lab slips for order review
Document patient visit on progress notes, visit navigator, doc flowsheets, care teams and communication section of EPIC
Enter charges for each patient
Review physician intake form for appropriateness.
Assist with pre-authorization process
Enters notes and graphic readings for physician review
Ensures safe patient care using 2 patient identifiers
Assess and record vital signs; review and determine stability
Review patient’s chart screening for any contraindication to scheduled procedure.
IV insertion, medication reconstitution, premedication, GTT calculation required for infusion center. Administers medications according to protocol.
Performs GI lab studies including capsule endoscopy, breath testing and anorectal manometry according to departmental policy and procedures.
Ongoing monitoring and assessment of patients receiving infusion or undergoing a procedure
Notify provider immediately of any reaction or complication and assist with intervention according to protocol.
Review appropriate prep prior to procedures, assist in rescheduling if needed
Triage phone calls from patients, notify providers about patient issues, i.e. sick, appointment changes, etc.
Address patient questions and concerns in a warm and receptive manner
Handle dissatisfied customers, both patients and providers.
Communicate with referring providers regarding any issue that may require referral changes, etc
Communicate with referring providers regarding any changes in patient status
Communicate with the Clinic Supervisor, Ambulatory Services Manager, other nurses and staff regarding scheduling and patient needs
Follow up with no shows or sick patients. Communicate with providers as needed.
Update order sheet protocols as needed
Track and order supplies
Track and order emergency medications
Track and order infusion medications and supplies
Track and order tubing
Emergency check list
Order supplies like AED battery as needed
Emergency drug box; request replacement as needed
Ensure equipment in working order
Special knowledge, skills, and abilities:
Demonstrated problem solving skills required.
Demonstrated ability for self-direction and initiation required.
Demonstrated ability to function as a leader and team player required.
Extraordinary customer service skills required. Basic computer skills required.
Knowledge of Microsoft Office applications required
Knowledge of EPIC and ORMIS scheduling systems preferred; knowledge of IDX
Individual must be a registered nurse, licensed in the State of Maryland or state where practicing. Bachelor's degree in nursing or related discipline preferred. Current American Heart Association or American Red Cross CPR certification required. Must maintain current licensure and certification during duration of employment. Acceptable completion of the JHH or BMC credentialing process is required within two weeks of start date.
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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