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Oregon Medical Group RN - Anticoagulation (24 hours/week) in Eugene, Oregon

RN - Anticoagulation (24 hours/week)

+ + Job Tracking ID: 512611-740039

  • Job Location: Eugene, OR

  • Job Type: Part-Time/Regular

  • Date Updated: September 22, 2020

    • Starting Date: ASAP
  • Hours: Monday-Friday, daily schedule varies

  • Number of Openings: 1

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Job Description:

PURPOSE OF POSITION: To improve the anticoagulation patient’s outcome by providing safe and therapeutic anticoagulation administration and education for better understanding and compliance. To decrease adverse events such as stroke or bleeding. To optimize the administration cost associated with maintaining patients on Coumadin. This individual also works to develop, interpret, implement and document a plan of care for each patient.

TYPICAL PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination and manual dexterity sufficient to operate a keyboard, telephone, photocopier, calculator and other office equipment. Requires prolonged standing and walking for extended periods of time. Occasionally lifts and carries items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours. Requires exposure to communicable diseases and fluids.

TYPICAL WORKING CONDITIONS: Exposure to communicable diseases, toxic substances, medicinal preparations and other conditions common to a clinic environment.

EXAMPLES OF DUTIES:

  • Elicit critical patient information about anticoagulation status and factors potentially affecting anticoagulation status. Analyze patient information and laboratory data.

  • Select and follow appropriate Warfarin dosing protocol, upon orders from the ACC Supervising MD. Recognize unusual responses to Warfarin dose regulation and contact attending ACC Supervising MD or PCP.

  • Triage patient problems during clinic visit and over the telephone. Recognize patient circumstances and lab data which require referral and communications to ACC Supervising MD or PCP. Assume responsibility for arranging patient follow up on identified problems.

  • Educate patients and families about Warfarin risks, benefits and precautions. Engage patient in appropriate self-care activities concerning anticoagulation use.

  • Record all prothrombin time results, anticoagulation dose, return visits and telephone interactions in clinic chart. Send copy of results to PCP in timely manner or at intervals requested by PCP. Document all prothrombin time results and resultant Warfarin dosage using EMR. Send copy of results to PCP in timely manner or at intervals requested by PCP.

  • Determine frequency of patient visits based on patient information and lab test results.

  • Initiate contact with appropriate home health agencies to arrange patient care at the approval of attending ACC Supervising MD or PCP. Analyze home care situations for potential risks to an anti-coagulated patient.

  • Watch for and recognize musculoskeletal hematomas and injuries; notify attending ACC Supervising MD, PCP or emergency room as appropriate. Watch for and recognize symptoms of GI or GU bleeding and initiates appropriate referrals, based on perceived urgency. Watch for and recognize thrombosis or embolus and contacts PCP, attending ACC Supervising MD or emergency room, as needed.

  • Participate in professional development efforts to ensure currency in health care practices and trends.

  • Maintain strictest confidentiality

  • Attend meetings as required

  • Perform other duties as assigned.

Experience and Skills:

PERFORMANCE REQUIREMENTS: Skill in communicating effectively and empathetically with patients and their family members. Ability to work effectively with providers and staff. Specialized knowledge in the area of counseling and related services. Knowledge of community counseling resources. Ability to develop and maintain a resource library for patients. Knowledge of computer systems and applications. Knowledge of health care administrative practices. Ability to build relationships with internal and external departments and agencies. Knowledge of administrative principles and the ability to exercise initiative, problem-solving and decision-making.

EDUCATION: RN required. BSN preferred.

EXPERIENCE: Two to three years of clinical health care experience.

CERTIFICATION/LICENSE: Current Oregon RN license. Healthcare provider level CPR certification required.

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