Pros and cons of RN clinic nursing?

Specialties CNS Nursing Q/A

Now that I am recovering from my PTSD I'm getting back into nursing. I already have a (very part-time) home infusion job, and I have an interview soon for a two-day a week Clinic RN position. In preparation for this interview I would like to know more about Clinic RN work. What questions should I ask in the question portion of the interview? 2 days a week is just the right amount for me.

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2BS Nurse said:

"Isn't there a clinic manager who is responsible for those duties?"

The managers tend to "delegate" everything they can. 

Klone: It sounds like you work for a great organization. Sadly, where I worked the RNs had to know all of the above so they could conveniently slip into the MA role at a moment's notice. Again, it helps to have a union behind you.

Sounds like bad management.  

toomuchbaloney: Unfortunately, this is an organization with 35,000+ employees and bad management is rampant. It's not unusual for them to hire former car dealership managers. One of many reasons I left. 

I've heard of RNs doing Medicare wellness visits independently (probably under standing orders). I'm not sure how this works. Have any of you seen or participated in this? 

On 2/25/2022 at 8:32 AM, Jedrnurse said:

You dropped VERY important words in your unofficial quote. The OP said it's not that the RN can't do the MA job. That's very different from "the RNs CAN'T do the MA job, legally."

My apologies. I should have only quoted the "It's that they don't know HOW to do the MA job" part.

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2 hours ago, 2BS Nurse said:

toomuchbaloney: Unfortunately, this is an organization with 35,000+ employees and bad management is rampant. It's not unusual for them to hire former car dealership managers. One of many reasons I left. 

I've heard of RNs doing Medicare wellness visits independently (probably under standing orders). I'm not sure how this works. Have any of you seen or participated in this? 

There used to be a program for pediatric well checks/visits that could be nursing driven.  The physician only saw the kids if the exam had abnormalities.  It was called Early and Periodic Screening, Diagnostics and treatment (EPSDT).  It was for Medicaid recipients and the nurse led teams followed the guidelines for screening and immunizations with some specific standing orders to cover the diagnostics, vaccinations and treatments. This was an active and robust program in the large FQCHC that I worked with for a nice spell. 

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
On 2/26/2022 at 8:30 AM, 2BS Nurse said:

I've heard of RNs doing Medicare wellness visits independently (probably under standing orders). I'm not sure how this works. Have any of you seen or participated in this? 

This is legal, as long as it is under the "guidance" of an LIP. 

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