Registered Nurse
General Summary:
The Registered Nurse (RN) provides professional nursing care activities under the direction of a physician/provider
in Family Medicine within his/her scope of practice (RCW 18.360.050). The RN practices in a Certified Rural Health
Clinic (RHC) environment and supports the delivery of comprehensive, patient-centered primary care services to
patients across the lifespan. The RN may not accept delegation of acts not within his/her scope of practice.
The RN assists the physician/provider with the provision of care, including but not limited to: recording vital signs,
taking height and weight measurements, discussing primary health concerns, performing tests, administering
injections and medications, assisting with procedures and documentation, entering all patient information, and
clinical data in the electronic medical record (EMR), communicating key patient information to the
physician/provider, and anticipating and acting on the patient’s needs proactively.
The RN performs nursing assessments, establishes nursing diagnoses or problem lists, develops and implements
patient care plans, provides patient education, and delivers clinically competent, quality patient care. The RN is
responsible for assessing and responding to patient telephone calls and electronic patient messages, including
clinical triage, symptom assessment, prioritization of care needs, and coordination with providers to ensure timely
and appropriate patient care and follow-up. The RN provides clinical guidance to patients within established
protocols and the scope of practice and facilitates access to appropriate levels of care.
In addition, the RN supports the clinical support team as needed, including collaboration with medical assistants,
patient access staff, and other interdisciplinary team members, to maintain efficient clinic workflows and continuity of
care.