This position may be eligible for relocation assistance and tuition loan repayment Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care. Directs the plan of care while maintaining professionalism. Essential Job Functions • Utilizes a holistic approach and evidence based nursing practices, supported by nursing research. Incorporates the nursing process into the goal-directed plan of care for the patient. Collaborates with the interdisciplinary care team to execute a plan of care appropriate to the needs of the patients. • Plans, organizes, implements, evaluates/triages and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies and procedures. • Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status. • Utilizes performance improvement principles to assess and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care. • Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team. • Assess and monitor patients undergoing allergy testing and treatment, including recognizing anaphylaxis, hypersensitivity reactions, adverse reactions, and changes in clinical condition; administer ordered treatments and initiate appropriate interventions within RN scope and established protocols. • Prepare and administer biologic and allergen immunotherapy and monitor patients for immediate and delayed adverse reactions. • Perform allergy diagnostic testing and procedures, including scratch and intradermal skin testing, measurement and documentation of responses, and preparation/application of testing reagents. • Prepare venom and environmental allergen immunotherapy extracts in accordance with physician orders, department protocols, sterile technique, and applicable safety requirements. • Provide nursing care and monitoring for oral food challenges, graded drug challenges, drug desensitization, and subcutaneous injection challenges. • Perform required pulmonary function testing, including spirometry and peak expiratory flow measurement, and ensure testing meets applicable quality and technical requirements. • Provide patient education and training related to allergy treatment, medications, emergency response, therapeutic devices, and self-administration techniques. • Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Performs all other duties as assigned or as needed to meet the needs of the department/organization.