Registered Nurse Primary Care

Thundermist's Mission - To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles.

Please note, effective September 1,2021, all Thundermist employees are required to have an initial dose of vaccine to prevent Covid-19. Effective October 1, 2021, all employees of RI licensed health care facilities must be fully vaccinated against Covid-19. Employees may be deemed exempt from this requirement based on documentation from their health care provider.

General Responsibilities:


We provide culturally competent care to patients from birth through late adulthood, utilizing a multidisciplinary team approach. As a registered nurse you are an essential member of the team delivering care in areas such as family medicine, primary care, pediatrics, obstetrical and gynecological care, medication assisted treatment, trans and behavioral health. Responsibilities include, but are not limited to, competent patient assessment, promptly prioritizing triage calls, determining appropriate patient disposition, managing nurse visits, providing direct patient care, and assisting providers as needed. The registered nurse acts as a resource person for medical assistants and other team members.

Qualifications:
Required Qualifications:

• Current State of Rhode Island Registered Nurse license
• Ability to communicate effectively and work collaboratively with patients, providers, other members of the healthcare team, other disciplines, and community agencies
• Professionalism, self-starter, leadership skills, triage skills, documentation skills, and teaching skills
• BLS certification

• Three or more years nursing experience, new RN graduates will be considered
• Ambulatory Health Care experience
• Candidates who do not meet all of the preferred qualifications are encouraged to apply.

• Possess basic nursing critical thinking skills (i. e. , assessment, triage, knowledge of medical terminology)
• Perform proactive chart review in anticipation of provider and patient needs and huddle with provider/MA as needed
• Ensure the safe delivery of care to patients (i. e. , newborn, infant, child, adolescent, adult, geriatric)
• Evaluate and assess patient's healthcare needs and determine patient disposition (i. e. , provider appointment, urgent care, ER, selfcare)
• Triage phone calls and evaluate patient healthcare needs, referencing up-to-date telephonic triage protocols
• Perform nurse visits and provide evidence-based health education and information at an appropriate level of understanding for the patient
• Administer vaccines and other injections as ordered by a provider and in accordance with agency procedures and policies
• Perform treatments ordered by providers such as dressing changes, respiratory treatments, etc.
• Support various population needs, including trans health and mental health as part of primary care
• Provide family planning and HIV counseling and documentation in accordance with Title X and based on the needs of our patient population
• Accurately obtain and document vital signs (i. e. , weight, blood pressure, BMI, pain assessment, temperature)
• Review externally ordered labs and diagnostic imaging and notify provider of abnormal results according to company policies and workflows
• Support obstetric patients in pre-natal and post-natal care, triage, and education via nursing and/or provider visits, and telephonically (Applicable to Woonsocket and WW only)
  • NST Certification and experience helpful but not required
  • Lactation Counselor Certification helpful but not required
• After appropriate orientation/training of OB and pediatric specialties, possess ability and flexibility to rotate through dependent on staffing needs. (Applicable only to Woonsocket)
• Support pediatric patients through accurate assessment and triage and determine appropriate patient disposition. Administer immunizations and provider ordered treatments.
  • Prior pediatric emergency or primary care experience helpful but not required
  • Experience in pediatric catheterization helpful but not required
• Perform medication reconciliation as needed and process prescriptions per established workflows
• Assess patients for potential communicable diseases and utilize infection control precautions. (i. e. , isolation of patient with TB or Chicken Pox)
• Act as a resource for other staff
• Notify patients of test results under the guidance and knowledge of providers, offer education, and assess patient understanding
• Receive and verify verbal orders from providers, assuring accuracy of the order
• Develop and implement nursing care plans based on patient evaluation
• Maintain line of communication with supervisor, providers, and other staff members
• Actively participates in performance improvement activities
• Respond to codes and rapid responses
• Utilize standing orders and SOP's
• Maintain OSHA and HIPPA guidelines
• Adhere to organizational policies and procedures
• Utilize electronic medical record alerts and act on them when appropriate
• Maintain standard precautions
• Assume responsibility for professional continuing education
• Perform other tests, duties and special projects as assigned
• Utilize training resources including RN manual, workflows, and instructional materials to perform at top of license

• This position is performed onsite at a Thundermist location.
• Moderate physical activity, walking, standing, stooping, and occasional lifting.
• Potential exposure to blood-borne pathogens, biohazardous materials, and infectious diseases (i. e. , tuberculosis, COVID-19).
• Manual dexterity required for injections, immunizations, and computer use.

• As scheduled during hours of operation (inclusive of weekend and evening hours as assigned) with occasional unscheduled overtime

• Have sensitivity to the patient population we serve, by identifying cultural, social, and economic characteristics. Applies verbal and non-verbal communication skills in patient interactions and utilizes teach-back, active listening, written materials, and visual aids.
• Able to document clearly, competently, and concisely in the medical record. Ability to maintain confidentiality of information and communicate in a professional manner with patients, families, other staff, and outside contacts