Onsite Registered Nurse

Work Schedule:Monday - Friday (10 hour shift each day)

Job Summary

The Site Registered Nurse (Site RN) provides on-site medical support at the Steel River construction project in Arkansas. The Site RN works under the remote supervision of the CMO or on call physician. The Site RN practices to the full extent of RN licensure, including triage, assessment, first aid, emergency stabilization, wound care, administration of medications and treatments authorized by the CMO or on call physician.

Essential Job Duties/Responsibilities

•       Provide first-response assessment, first aid, and emergency stabilization for on-site injuries and illnesses, acting under the supervising physician or Advanced Practice Provider.

Recognize and respond to heat-related illness, including cramps, syncope, exhaustion, and heat stroke, consistent with the site's heat-injury monitoring program.

•       Escalate to the supervising physician/APP by phone or telehealth per standing-order criteria, and coordinate transport or EMS activation for cases exceeding on-site capability.

Maintain accurate clinical documentation of all visits, incidents, and communications with supervising providers.

•       Support return-to-work assessments and coordinate with employees' treating providers as directed by the Safety Office, without independently clearing employees for duty.

Participate in site safety orientation, drills, and periodic review and renewal of standing orders with the supervising physician.

•       Administer medications and treatments authorized under written standing orders, within the defined escalation and consultation pathway.

Complete site safety orientation (for example, OSHA 10/30, as required by the general contractor) prior to independent work.

•       Complies with all state and federal regulations and organization confidentiality policies, including HIPAA regulations, to protect patient health information.

Performs other duties and assists with special projects as assigned.

Required Skills/Abilities

•       Ability to work independently as the senior on-site clinical resource for extended periods, with support available only by phone or telehealth rather than in person.

Ability to efficiently use Microsoft office applications such as Outlook, Word and Teams.

•     Ability to work with an Electronic Medical Record and Microsoft Teams using a company-provided laptop, and to accept voice guidance over a company-provided cell phone when required.

Reliable access to phone/telehealth connectivity for real-time consultation with the supervising physician/APP.

•       Analytical and triage skills appropriate to first response and emergency stabilization care.

Professionalism with strong communication skills, given the role's function as the primary on-site clinical resource.

•       Understanding of the legal aspects of confidentiality and patient care.

Education and Experience

Required:

Active, unencumbered Registered Nurse (RN) license valid in Arkansas

•       Current BLS (Basic Life Support) certification

Minimum 2 years of RN clinical experience (for example, emergency, urgent care, EMS, or occupational health).

Preferred qualifications:

•       ER or urgent care experience.

Occupational health nursing experience.

•       ACLS certification (not required, but beneficial in addition to BLS).

Prior construction, industrial, or remote/field-site experience.

•       Wilderness medicine, remote-site medic, or austere-environment training.

OSHA 10/30 construction safety certification.

Physical Requirements/Work Environment

·     Outdoor and semi-enclosed work areas, with exposure to heat, weather, dust, noise, and heavy-equipment traffic.

·     Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers.

·    The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and reports; email; viewing a computer terminal; extensive reading

·     Required use of site personal protective equipment (hard hat, safety glasses, high-visibility clothing) when moving about the site, and completion of site safety orientation prior to independent work.

·     Occasional standing and walking on uneven terrain, responding to incidents across an active job site, and lifting/carrying medical equipment and supplies.

·     Ability to lift 25 lbs. to assist with patient transport if needed

·     Able to reach, push and pull.

·     Able to kneel, bend, stretch, twist stoop, and get into awkward positions to treat patients in various environments.

·      Able to stand up for over an hour at a time.

·     Able to walk over a mile a day in various weather conditions and on various surfaces.

·      Able to move quickly and efficiently over varying terrain and quickly gain access to emergency sites is essential.

·     Able to run or jog to respond to emergency situations to provide life saving techniques (CPR or using an AED).

EEO Disclaimer:

We are an Equal Opportunity Employer, are committed to creating a diverse and inclusive company culture, and we do not discriminate against candidates or employees because of their disability, sex, race, gender identity, sexual orientation, religion, national origin, age, veteran status, or any other protected status under federal or state laws.