Under general direction from Nurse Leader, Nurse Manager or designee assists providers during exams. Performs a variety of clinical tasks in support of patient care in out-patient clinics including a variety of technical, procedural and information systems tasks involving patient care functions affecting the comfort, care and safety of patients.
SUPERVISION AND DIRECTION EXERCISED:
May train and coordinate activities of peers or support staff.
MACHINES AND EQUIPMENT USED:
Standard office equipment including computer, calculator, telephone, facsimile. Uses electronic medical record system. May set up, operate and make adjustments to various medical machines and equipment, such as but not limited to: autoclave cleaning equipment, accu-easy, telemetry, dynamapp, pulse oximeter, blood other specimen collection materials, electrocardiograph equipment and a variety of surgical/specialty instrumentation.
1. Applies clinical knowledge while assisting the provider during exam. This requires anticipating provider needs and adapting to the complexity of the patient.
2. Attaches patient to diagnostic and medical equipment such as but not limited to dynamapp, pulse oximeter, EKG, cardiac monitor and pneumatic tourniquet.
3. During exam provides information, comfort and care to the patient by explaining next steps, systems and their status. Assures that supplies and equipment are readily available to ensure smooth operations and patient safety. Gives patient provider’s pre-printed instructions for discharge.
4. Anticipates and ensures the correct number and type of supplies are available in each exam room at all times. Assures equipment/supplies are available for provider based on individual provider preference.
5. Responsible for efficient room utilization and ensures patient wait time is minimized.
6. Escorts patients from the waiting area to exam areas. Obtains vital signs. Performs diagnostic testing and specimen collection per provider order. Accurately labels, logs and processes specimens according to protocol and follows all Laboratory policies at all times.
7. Enters patient data, patient condition and patient care given into electronic medical record system.
8. Maintains adequacy of clinical equipment and medical supply levels needed for patient care and related to patient safety which may require reordering, stocking, and cleaning. Conducts inventory of supplies, rotates inventory, monitors expiration dates, requisitions needed supplies from internal and external vendors, reconciles orders with delivery, tracks utilization for cost trending purposes. Makes recommendations regarding opportunities to decrease cost in use of equipment and supplies. Interacts and problem solves with purchasing department when products are on back order.
9. Implements standard infection prevention measures such as proper hand hygiene and contact/isolation precautions according to established protocols. Monitors infection prevention practices for breaches and suggests/initiates corrections.
10. With RN oversight, precepts new Ambulatory Technologist to the area providing detailed overview of requirements and assuring competence in all area of practices.
11. Performs administrative duties as assigned and may include scheduling and registration.
AS A SURGICAL PROCEDURE ASSISTANT:
1. Assists providers with patient processes. Prepares room and instrumentation for procedure. Provides standard, basic instruction to the patient regarding the procedure. Anticipates provider needs during the procedure, obtains additional instrumentation as needed, accurately prepares specimens for the lab and dresses wounds at wound site at the completion of the procedure.
2. Checks and calibrates equipment according to equipment protocol. Sets up sterile fields as required. Preps instrument tray for procedure. Sterilizes instruments.
3. Prepares specimens in appropriate preservative medium as ordered by provider and labels appropriately. Ensures accuracy for all requisitions and verifies all specimens are labeled and logged correctly.
4. Reviews discharge instructions with patient as prepared by provider.
High School diploma or equivalent plus three years of experience in a patient care setting or an equivalent combination of education and experience. Associates degree preferred. Knowledge of medical terminology, procedures and computer experience is preferred.