Outpatient Care Nurse (Hiring Immediately)

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Position Summary :

We have an exciting opportunity to join our team as a Ambulatory Care Nurse.

In this role, the successful candidate will support the coordination,

integration, communication, implementation and evaluation of nursing practice

and clinical policies and procedures. The Ambulatory Care Nurse will

participate in site and organizational quality and performance improvement

activities, collect patient healthcare data systematically using appropriate

assessment techniques and instruments, and collaborate with licensed providers

to develop patient centered plans of care that prescribe interventions to

attain expected outcomes. The Ambulatory Care Nurse provides comprehensive

care in support of all patients manifested requirements through :

administration of treatments and medication, acting as a sentinel for untoward

events or symptoms, disease prevention guidance, rehabilitation care, public

health care, and supportive care for symptom relief including health teaching

and health counseling.

Job Responsibilities :

Specific activities include, but are not limited to :

• Performs physical examinations and diagnostic tests.
• Collects patient health history.
• Records information in electronic health record.
• Provides information, counsel, and education to patients and families

regarding test results and treatment plans as directed.

Administers medications (including vaccination, IV therapy, oxygen

administration), provides comprehensive wound care, and performs phone and in-

person patient triage for clinical concerns.

Assesses and monitors patient responses to various treatments, procedures,

and anesthesia.

Assesses and interprets patient information, making treatment decisions as

appropriate.

Consults with clinical supervisors and licensed providers to determine best

treatment plans for patients.

Directs, supervises, and delegates to licensed practical nurses, medical

assistants and technicians as needed to support patient flow and efficiency.

Performs other duties as needed.

Clinical Responsibilities

Supports the coordination, integration, communication, implementation and

performance evaluation of nursing practice and clinical policies and

procedures.

• Ensures clinical compliance with Patient Safety initiatives and reporting.
• Supports key quality initiatives (e.g. MIPS, Care gap management) to impact

clinical outcome measures.

Demonstrates knowledge of the NYULH Service Standards and incorporates into

the performance of responsibilities.

Participates in designated activities related to NYULH clinical standards

and regulations of relevant outside agencies.

Supports the missions, philosophy, standards, goals and objectives of NYULH,

Departments of Nursing, and FGP.

Participates in coordination of on-site activities to provide patient care

in a healing, humane and caring environment.

Collaborates with members of the interdisciplinary team and promotes

collegial relationships.

Serves as a support and resource for nursing, other clinical staff and

providers.

Participates in clinical inquiry and activities to foster evidence-based

practice.

Embraces fundamental values and obligations beyond that of a private citizen

including ethical obligations and a recognition of patients’ rights to

confidentiality. (NYSED, 2009)

• Provides emergency care in accordance with organizational policy.
• Functions as a respectful member of the health care team.
• Delegates and oversees specific nursing interventions to implement patient

care plans to members of the health care team as deemed appropriate by job

description and licensecertification.

Professional

Engages in self-assessment and participates in activities to promote own

professional growth and development.

Seeks, acquires and maintains current nursing knowledge and competence to

fulfill responsibilities as FGP Ambulatory Nurse.

Procures and applies new knowledge related to medical treatment and

technology.

Utilizes resources to meet individual learning needs and promote

professional development in clinical practice.

Maintains awareness of current patient centered, evidence-based practice and

considers applicable research data to patient care delivery.

• Acts as a mentor to peers and colleagues.
• Fulfills obligation to identify and report professional misconduct

appropriately.

Implementation Provision of Care

Executes medical regimens as prescribed by licensed providers : (physicians,

dentists, nurse practitioners, certified midwife, physician assistants,

podiatrists)

Assessment : Assess patients, identify unmet patient needs and plan

comprehensive care to meet those needs in relation to the patient’s illness,

condition or disability.

Case-finding : Identify unidentified co-morbidities or emergent complications

and report to the provider so that an intervention may be ordered.

Co-ordination : Integrate care with other health care providers such as

respiratory therapists, physical therapists, social workers, physicians, nurse

practitioners, dieticians, navigators, and discharge planners.

Provision of direct care services : Provides physical care in the entire

patient’s manifested requirements including but not limited to administration

of treatments and medication, acting as a sentinel for untoward events or

symptoms, disease prevention guidance, rehabilitation care, public health

care, and supportive care for symptom relief including health teaching and

health counseling.

TASKPROCEDURE

• Collects and documents patient clinical historical and assessment data.
• Performs onsite testing, e.g. : POC lab testing, EKG, specimen collection

including phlebotomy), auditory & visual test, psychiatric & physical risk

screening, fetal monitoring (ante partum) and non-stress test, spirometry,

allergy skin testing, bladder, tb skin testing and result evaluation.

Performs medical and nursing treatments in accordance with plan of care,

provider orders, and NYSBON scope of practice.

Perform procedures, e.g. : hot & cold applications, placement removal of

orthopedic appliances, casts, splints, suture and staple removal, urinary

bladder irrigation w and wo chemotherapy, insertionremovalcatheter care of

urinary catheter, ear irrigation.

• Applies and removes dressings, and performs wound care.
• Assists with Minor and Major Procedures.
• Performs patient monitoring including pre, intra, post procedure, testing,

medication administration, medicalsurgical treatment andor sedation.

Provides medication administration : (IM, PO, SQ, ID, IV topical, inhalation,

ocular, vaginal, rectal) as per provider orders or protocols to patients in

practice, following nursing rights of medication administration and

organizational policies. This includes oxygen therapy.

Facilitates medication refills by reviewing clinical information and

preparing order for provider (prospective) authorization in EMR.

Administers IV therapy : including blood, blood products, IV fluids,

chemotherapy (with proper certification), IV medications via peripheral or

central venous devices.

• Starts and discontinues peripheral IV lines.
• Maintains peripheral and central IV lines and manages complications with

appropriate certification.

Communication and Message Management

Ensures clinical in-baskets are managed and encounters closed in a timely

manner.

• Receives, documents, and reports critical lab values as indicated.
• Relays normal and abnormal clinical results, follow up, and explanation to

patients, as directed by provider.

Performs preliminary review of results for prioritization of urgent

findings, then notifies provider for final verification.

Performs in person and phone triage for patient clinical concerns with

appropriate escalation; provides clinical advice as within RN scope andor

direction from provider.

Performs CareCase management of a defined population via multi-disciplinary

plan to coordinatefacilitate patient care as needed.

Health Promotion & Education

Identifies, through case-finding and critical analysis, patient, family

andor community deviations from health and wellbeing; advocates for,

initiates andor recommends appropriate actions including the establishment of

safe environments.

Collects patient healthcare data systematically and continuously, using

appropriate assessment techniques and instruments.

• Analyzes assessment data to determine health status and nursing diagnoses.
• Reports deviations requiring medical diagnosis andor treatment to provider.
• Escalates urgentemergent deviations to medical provider andor emergency

care.