Scheduled Hours

40

Position Summary

Position is responsible for coordinating the care of patients for a designated service throughout the continuum of care. Serves as a clinical resource in area of specialty or expertise. Provides support to the division faculty and non-physician providers both in the clinical and academic settings.

Job Description

Primary Duties & Responsibilities:

Provides both direct and indirect patient care including assessment, planning, implementation and evaluation of patients.

• Responsible for attending physician office sessions of division providers.
• Performs interview of patient and family as indicated by the division providers.
• Completes health history of patient and conveys findings to provider of care.
• Patient care to include medication administration, access of central lines and ports, obtaining and evaluating vital signs, feeding tube management, and dressing / wound care. Documents care in the patient medical record.
• Responsible for telephone prescription / DME refills as order by provider.

Coordinates patient care, orders diagnostic and laboratory tests, conveys findings to physician, coordinates patient appointments and assists with referrals to outside sources.

• Attends division conference weekly.
• Works with division personnel to coordinate GI specific diagnostic procedures and treatments.
• Attends weekly post- clinic meeting.
• Attends team meetings as scheduled.

Prepares equipment and assists providers with examinations, treatments, procedures and other processes related to direct patient care as requested by division providers and allowed by Missouri Practice Standards for a registered nurse.

Performs a variety of nursing administrative duties including compliance with environmental safety regulations, infection control standards and quality assurance, billing and compliance, and HIPAA guidelines.

Acts as liaison and team leader by facilitating communication and coordination of care between patients, families and health team members. Explains routines and procedures to patients and coordinates patient care information to appropriate sources.

• Responsible for explaining diagnostic procedures and associated preps if applicable.
• Responsible for conveying to patients their lab, pathology, and ancillary testing results. Provides patient / family education as necessary.
• Responsible for telephone prescription / DME refills as order by provider.
• Provides direct oversight to physician office flow.

RN for Multi-Disciplinary Intestinal Rehabilitation Clinic: facilitates communication and coordination of care between short bowel patients, families, and team members. Explains routines and procedures to patients and coordinates patient care information to appropriate sources.

• Central venous catheter management: responsible for the care and maintenance of indwelling catheters including dressing changes, blood draws, administration of de-clotting agents (TPA), and line repair as needed. Education of patients and families on home management of catheter. Acts as department liaison to the SLCH IV therapy team to ensure continuity between inpatient and outpatient central line care.
• Gastrostomy/ileostomy/colostomy care and management for short bowel patients as needed including treatment of granulation tissue, appliance changes, and teaching. Responsible for ordering home health supplies for families.
• Responsible for communicating lab results and follow-up plan to families.
• General management of clinic flow and monitoring of supplies to ensure adequate quantities available for weekly clinic use.

Working Conditions:

Job Location/Working Conditions

• Medical office environment within a teaching institution.
• Patient care delivered in the physician office setting at St. Louis Children's Hospital and designated outpatient sites.
• Normal office environment.
• Exposure to blood-borne pathogens.
• Requires protective devices.
• Patient care setting.
• Direct patient care setting.

Physical Effort

• Typically sitting at desk or table.
• Typically standing or walking.
• Typically bending, crouching, stooping.
• Occasional lifting (25 lbs or less).

Equipment

• Office equipment.<