Family Medicine at Gabriel Park is a community clinic located in SW Portland. We serve our patients in varying stages of life and throughout their lives. Our services include general family medicine, transgender care, maternity care (including deliveries), pediatric care, behavioral health, sports medicine, travel immunizations, acupuncture, a retail pharmacy, x-ray, minor procedures, and health maintenance with focused preventive care. We are a high volume clinic that sees up to 250 patients and receives 400-600 phone calls daily. We have 39 providers plus 60 staff members. Our clinic guides itself though our vibe: Compassionate, Committed, and Collaborative.

The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

The RN will provide quality care management and triage nursing care to patients consistent with OHSU Family Medicine at Gabriel Parks care philosophy: patient-centeredness, advanced access, providing a robust medical home for patients, team-based care and empanelment. The RN will set a positive example of nursing for the Family Medicine residents, staff and visiting students. The RN serves in a clinical leadership role to the Gabriel Park team. The RN ensures that the clinic functions smoothly and efficiently while keeping the patients well-being paramount. The individual represents the patients, providers, staff, the clinic and OHSU. They will conduct themselves in a friendly, courteous and professional manner when involved with any activity associated with OHSU. The presentation of medical care is an important component of the quality of medical care.

Clinical Skills and Duties:

• Active participant in the development of care management standards and care delivery models within clinic and across OHSU primary care.
• Responsible for handling urgent/emergent calls and participating in provider visits for assigned patient panel.
• Perform wound care, INR testing, IV placement/infusion, bladder catheterization, suture removal, injection medication and other clinical duties as directed.
• Executes nurse visits focused on but not limited to: hypertension management, diabetes coaching, wound care, suture removal, anticoagulation monitoring, medication safety, injection medication teaching, and initial prenatal visits.
• Perform hospital and emergency department follow up phone calls to ensure safe transitions of care for patients.
• Participate in yearly Risk Stratification to identify high risk patients appropriate for care management.
• Cross coverage of all clinic RNs as needed.
• Ability to assess and document simultaneously in EMR.

• External applicants: Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
• Internal applicants: Associate's Degree in Nursing
• Minimum of six-months of ambulatory care experience within the last two-years
• Current, unencumbered Oregon State Registered Nurse License
• BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)
• BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application)
• Communication skills including fluency in oral and written English
• Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information and tools
• Must be able to perform the essential functions of the position with or without accommodation

• Current OHSU employees: BSN preferred
• Advanced Cardiac Life Support (ACLS) certification
• National nursing certification
• Greater than one-year of Primary Care clinic experience

Orientation period: 6 weeks

Expected abilities of the RN:

Ability to perform duties using theory-based nursing practice model, evidenced-based practices, and shared governance in a multidisciplinary team model. Ability to participate in a multidisciplinary clinical team. Knowledge of clinical quality improvement models and process. Knowledge of scope of patient care services provided by other clinical service lines and the referral process. Knowledge of effective teaching processes and principles in planning, providing and evaluating optimum health care. Knowledge of quality management and improvement processes to comply with internal and external standards, i.e., JCAHO. Knowledge of general medical procedures and the ability to anticipate complications and the indicated therapeutic interventions. Knowledge of clinic practices and ability to act as a resource for clinic personnel and assist the providers as necessary. Proficiency in the use of appropriate EMR, computer based software and office equipment. Ability to maintain quality safety and infection control standards. RN must possess the ability to apply the operational principles of the GPFM care model. Knowledge and ability to apply primary care best practices. Ability to mentor and orient new staff members.

Accountability:

Provides accurate and timely documentation of care of patients in the patient record - EMR. Assure proper transfer of patient care and coverage of duties when leaving the clinic. Initiate appropriate interactions with patients, providers and other staff regarding any relevant patient care or operational issues.

Policies and Procedures:

Implement agreed upon changes in function, policies and procedures. Establish appropriate patient/clinic flow priorities and follow through to completion. Participate in the formation, development, implementation, and evaluation of health care plans for patients. Other duties/projects which are assigned by supervisor and/or Lead Nurse are to be followed through to completion.

Meetings:

Attend and participate in relevant departmental, clinic, nursing, and patient care meetings. Assist and actively participate in the ongoing improvement of the clinic.