Registered Nurse, Ambulatory Care

The duties include but are not limited to the following:

• Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
• Ensure compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the MTF.
• Perform physical exam and health histories.
• Provide health promotions, counseling, and education.
• Administer medications, wound care, and numerous other personalized interventions.
• Direct and supervise care provided by other healthcare professionals.
• Accountable for making patient care assignments based on the scope of practice and skill level of assigned personnel.
• Recognize adverse signs and symptoms and quickly react in emergency situations.
• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.
• Make referral appointments and arrange specialty care as appropriate.
• Perform nursing services identified in the TO.
• Conduct research in support of improved practice and patient outcomes.
• Provision of Patient Care
• Provide comprehensive nursing care for all ages and families utilizing evidenced-based clinical practice guidelines and engages patients actively in their health care.
• Demonstrate clinical expertise in the execution of the nursing process and clinically directs staff in its application.
• May administer routine intravenous fluids and/or medications.
• Monitor and/or administer diagnostic and therapeutic agents.
• Initiate and maintain medical history on patients, recording observations and stated symptoms for use by the Medical Home Port Team. Observe and record pertinent vital signs, determine and order laboratory procedures on patients that may be required by the provider to diagnose and treat the patient, per command and department policies.
• Perform triage through the screening of patient problems.
• Take appropriate action such as practitioner referral and evaluation, health care advice, initiation of medical protocols or referral based on medical staff protocol
• Medical Home Port (MHP) Team
• Proactively collaborate and integrate with members of their team, other departments and directorates to achieve optimal care for the patient in the HOME PORT Model.
• Participate in continuous process improvement to improve access to care, quality of care delivered, experience of care and to demand manage the utilization of health services by enrollees.
• Actively participate in MHP Team huddles.
• Proactively assist team’s identification of diagnostic procedures required during
• schedule scrub.
• Assist with identification of patient education needs and reviews plan with team
• members for coordination of educational needs.
• Assist providers with physical examinations, treatments and diagnostic procedures.
• May assist the provider with completion of reporting and required documentation regarding communicable disease and sexually transmitted diseases to the proper authorities.
• Maintain effective communication with staff, patients, families, and between other departments. Act as a patient advocate by facilitating communication for the patient with other departments and their staff. Communication avenues may include asynchronous messaging to improve communication, telephone consultations and other non-traditional means.
• Engage other MHP Team members to assist in improving documentation of the episode of care using MHP Clinic-approved templates as the initial template (i.e.
• Tri-Service Workflow/COMPASS) – Reason for today’s visit, History of Present
• Illness, Past Medical and Surgical History, Social History, and Medications with Medication Reconciliation.
• Train hospital corpsman (HM)/Licensed Practical Nurse (LPN)/Certified Medical
• Assistant (CMA) in meaningful and appropriate documentation regarding the patient’s visit