Clinic Nurse - LPN/RN

Hot Springs Health
Clinic Nurse - RN 
Job Description
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DEPARTMENT:    Hot Springs Health Clinics
SUPERVISOR:    Clinic Nurse Manager
EMPLOYEE NAME:                        
APPROVED BY:    Director Clinic Operations                      DATE: March 2025
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GENERAL: 

In accordance with the Hot Springs Health Personnel Policy and Procedure Manual and the requirements of our accrediting bodies, the employee will: support the mission of “Partnering with our community for quality health and healing”, our five core values “Ownership, Always better than yesterday, Service first, Integrity, and Stewardship of our resources (OASIS).  Our behavior creates our OASIS – a place where we can find safety, sustenance, and a pleasant change from the usual and the vision “to be the provider and employer of choice in our region, providing quality care and excelling as a teaching hospital in Wyoming.”

The established priorities of Quality, Service, Finance, People, and Growth, will be utilized in decision making. Furthermore, the employee will demonstrate the ability to manage time, maintain a safe and clean environment; practice confidentiality; treat all persons with respect and professional courtesy; accept change; accept and provide constructive feedback; work as a team player and adhere to the infection control, fire and safety, disaster and hazardous waste policies.  The employee must also demonstrate the competencies for their position, and adhere to policies and procedures of their department. The employee will participate in quality improvement activities.

BEHAVIORAL REQUIREMENTS:

The following is a list of minimally required behaviors to assist the employee in partnering with our community:

Ownership
Accepts responsibility for actions, attitudes and health.  Doing things right the first time, every time for excellent results.  Accepts ownership of mistakes and takes constructive action to avoid repeating mistakes.  Works with empowerment to the highest potential both as an individual and as part of the team. Unsatisfied with the status quo or just being “good.”  

Always Better Than Yesterday
Performs at the highest level, always learning and looking for ways to improve, with an unwavering focus on safety.  Celebrates and encourages the contributions of one another.  

Constructively challenges the status quo by being flexible, adaptable and embracing change as a key element of our future success. Contributes to an environment that encourages creative thinking.  Shares ideas and opinions, and supports opportunities to learn and grow.

Service First
Doing our best every day to anticipate and exceed the expectations of patients, providers and co-workers. Understands excellence is the result of team effort.  Creates legendary experiences.

Integrity
Does the right things.  Consistently open, honest, trustworthy and ethical.  Demonstrates respect for patients, their families, staff, providers and the community.  

Stewardship of Our Resources
Strives to care wisely for our human, financial and natural resources.  Strengthens HSH as a partner in the community.
     
POSITION STATUS: This position is a Non-Exempt position. Generally expected to work 5 days a week.  
    
ESSENTIAL DUTIES AND RESPONSIBILITIES: 

1.    Prepares patient for the physical examination, accurately updates required sections of patient medical record, measures and records vital signs
2.    Screens calls, assesses and triages patients for the providers.
3.    Keeps patient rooms adequately stocked.
4.    Administers treatments, prescribed medication and procedures.  
5.    Helps patients in obtaining assistance for medication. 
6.    Performs blood draws and maintenance of internal venous access devices. 
7.    Records daily temperature log and download the data weekly for the Wyoming Immunization Program.
8.    Completes Prior Authorization requests for medications, as needed.  Refill patient medications per clinic standing order.
9.    Obtains written consent from patients for procedures and minor surgeries and assists in surgery, cleaning, setting up and applying dressings.  
10.    Cleans and prepares all used surgical instruments for sterilization, as needed.
11.    Obtains results of diagnostic tests or procedures and forwards to appropriate practitioners.
12.    Uses all laboratory equipment; including but not limited to, microscope, centrifuge, etc.
13.    Assists with physical examinations, well child and prenatal care. 
14.    Knowledgeable in medical asepsis and the OSHA standards for in-clinic procedures
15.    Cleans and prepares exam rooms for patients and breaks down at the end of the day.
16.    Collects and prepares laboratory specimens or performs basic laboratory tests on the premises and disposes of contaminated supplies.
17.    Completes nursing team expectations list as posted for routine tasks
18.    Monitors samples for expiration dates. Rotates stock as samples received. Distributes medication samples to patient per provider order and properly documents.
19.    Completes daily narcotic count per policy. 
20.    Assists with completing nursing daily work queues
21.    Performs NST, if certified
22.    Administers IV push medications
23.    Performs Medicare Annual Wellness Visits
24.    Other duties as assigned
The above duties are intended to describe the key aspects of the work performed by individual(s) assigned to this position. They are not to be construed as an exhaustive listing of requirements relative to the position. Therefore, the employee may be required to perform other duties as assigned.

SUPERVISORY RESPONSIBILITIES:

Directly supervises one to three employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing and training employees; planning, assigning, and directing work; appraising performance; addressing complaints and resolving problems.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE

The Clinic Nurse, RN shall be:
1.    Graduate of an accredited nursing program.
2.    Unencumbered Registered Nurse in the State of Wyoming
3.      Must possess communication skills to relate to the public in person
4.    Demonstrate good organizational and leadership abilities
5.    Basic computer skills necessary 

LANGUAGE SKILLS:

Ability to read, analyze, and interpret common appropriate journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write policies and procedures that conform to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors.

MATHEMATICAL SKILLS:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and is knowledgeable in metric and apothecary.   

REASONING ABILITY:

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Ability to modify care based on the developmental / functional age of the patient as well as that of the patient's ethnic background.

CERTIFICATES, LICENSES, REGISTRATIONS:

    BLS required
    ACLS preferred

OTHER SKILLS AND ABILITIES:

Ability to act as a patient advocate.  Ability to interact with patients, families, visitors and co-workers.  Ability to interact assertively and tactfully when dealing with conflict and in group solving activities.  Ability to demonstrate a professional, open minded approach in identifying problems and resolving problems/conflicts.

AGE SPECIFIC: 

Must be able to provide care according to the developmental level and or chronological patient served.  This includes, but is not limited to, identifying the needs and abilities of each patient, and demonstrating an understanding of how a patient’s chronological and developmental age influences his/her need for adaptations related to his/her abilities.  Also, an understanding of how a patient’s age impacts his/her ability to deal with and adapt to the care needed/provided is required.  General census of neonatal to geriatric patients.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds.  Specific vision abilities required by this position include close vision, distance, vision, color vision, peripheral vision, and depth perception.  This position also requires walking or standing to a significant degree.  This position also requires reaching, handling, fingering, feeling, talking, and hearing, stooping, bending, crouching, and working with equipment.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee is subject to inside and possibly outside weather conditions. The employee is also subject to exposure to blood and body fluids, proximity to moving mechanical parts, electrical shock, exposure to burns and radiant energy, exposure to toxic chemicals and biological agents.