Nurse-LPN-Orthopedics Columbia Tech Center

The Vancouver Clinic Vancouver, WA
The Vancouver Clinic is looking for a compassionate RN to assure the delivery of quality health care by assisting the physician and facilitating integration of resources. Acts as patient advocate to a broad range of people with varied ethnic, religious, and socio-economic backgrounds. Applies nursing skill to assist population to maintain health and treat illness. Models professional behavior through positive interactions with all members of the health care team. Performs applies, adjusts, and removes casts, assembles traction apparatus, and fits strappings and splints for orthopedic patients.


Patient Care

* Coordinate patient care based on physician's orders, department protocols, community resources and patient preference: Refers complex decision making situations to department providers and/or registered nurses.

* Triage and prioritize patient needs based on nursing assessment, availability of resources and patient preference. Refers complex decision making situations to department providers and/or registered nurses.

* Obtain all pertinent new patient information and diagnostics prior to consult (H&P, Medication, Labs)

* Possess working knowledge of community resources to assist patients in meeting health care needs.

* Perform, assist, and delegate procedures and injections as ordered by physician.

* Perform procedures pertinent to specialty where assigned. (May include treadmills, PFT, holters, IV therapy, surgical assisting, EKGs, injections, and others).

* Perform nurse visits.

* Evaluate needs of walk-in patient within 10 minutes of known arrival.

* Provide and direct patient education, advice, and procedures as appropriate.

* Assist patient in obtaining necessary appointments and testing to meet his/her needs.

* Specific duties may vary depending on the department.


* Process phone calls in a timely manner.

* Triage voice mail messages to meet needs of acutely ill patients first.

* Answer voice mail in same day received, unless message is left after 4:30 PM.

* Return all voice mail left after 4:30 PM within the first two hours of the next working day.

* Delegate work from voice mail appropriately to Medical Assistants and Patient Service Representatives.

* Facilitate communications between provider and community-based health care programs (nursing homes, Home Health, Hospice, hospital).

* Instruct health care assistants in procedures and care as necessary.

* Complete Patient Communication Forms (documentation of patient intervention and communication accurately.

Patient Education

* Educate patients and families in health care issues and needs.

* Identify educational opportunities for patients and provide for need, or arrange formal classes.

* Possess knowledge of opportunities for patient education in the community.


* Assist in coordination of flow for the day.

* Review number of providers and appointment availability.

* Delegate responsibility to meet needs of the day.

* Working with Manager, may reassign staff as needed based on daily schedule.

* Coordinate cross-site visits.

* Assess patient needs. If no appointment is available at same site, communicate with nursing staff at other sites until patient needs are met.

* Work with Patient Services Representatives to assure accuracy of appointment type and billing information.

* Assure quality checks for Lab testing (such as Beta Strep controls, cleaning schedules, narcotic checks, code cart checks) are completed in a timely manner.

* Acts as a mentor, role model and resource for co-workers.


* Document relevant information about patients in EHR. Ensure entries are objective, factual, time specific, accurate, correctly spelled using generally accepted medical abbreviations and terminology.

* Complete Patient Communication form accurately and legibly (documentation of intervention and communication).

This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.



Establish & maintain solid work relationships, through communication, cooperation, and positive interaction with all employees, staff and physicians.

* Approachability – build rapport by making the effort to be cooperative and adaptive, put others at ease, and support co-workers.

* Listening – practice active listening; display patience when listening to the views of others, and discuss differing opinions with an open mind.

* Dealing with ambiguity and change – avoid getting upset when things are ambiguous. Remain flexible and view new tasks or situations as opportunities.

* Problem Solving – work with others to prevent problems & find a solution when issues arise.

Customer & Patient Service

Exhibit professional behavior while being caring and compassionate.

* Customer Focus – dedicated to meeting the expectations of internal and external customers. Demonstrate sensitivity, empathy, concern and respect for others. Act with the patient in mind, gain trust and respect by building and maintaining effective relationships.

* Problem Solving - seek to solve the patient's problem or provide adequate resolution. Compromise when appropriate.

* Maintain confidentiality – in accordance with TVC and HIPAA regulations.

Effective Use of Resources

Maximize the Clinic's resources while minimizing waste and controlling expenses. This includes the effective use of work time and supplies, working safely, following established work practices, and seeking ways to improve operations.

* Productivity - increase throughput and minimize waste of time and materials.

* Improvement – recommend procedures that reduce costs and streamline operations while improving quality.

* Maintain neat, clean and professional work area.


Self motivated and contribute to new ideas.

* Improvements – initiate improvements and apply new methods of working to help the Clinic achieve goals.

* Learning on the go – develop an action plan when facing new problems, and be open to change. Experiment to find new solutions to problems. Seek to find the underlying root cause of problems to prevent future occurrences.

* Seek additional work to help co-workers, acquire additional skills, and promote efficiency.


* Graduate of accredited school of nursing.

* Current Washington State LPN license in good standing.

* Excellent written and oral communication skills.

* Ability to interact effectively with patients and physicians in pressure situations while maintaining tact and diplomacy.

* Ability to work independently while functioning as a team member.

* Ability to organize and prioritize workflow independently.

* Ability to direct others in urgent and emergency situations.

* Previous experience in an outpatient medical setting may be helpful.

* Previous experience with computer software is helpful but not necessary.

* Current American Heart Association Health Care Provider BLS CPR certification.

* Current certification in IV therapy or eligible.

We offer a competitive wage and a comprehensive benefits package which includes insurance programs covering medical, dental, vision, life, long-term disability, paid time off, education reimbursement, and a 401(k) plan. We are proud to be an equal opportunity employer.