Ambulatory Care Nurse
NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine is committed to improving the human condition through medical education, scientific research, and direct patient care.
Position Summary: We have an exciting opportunity to join our team as an 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, and collaborate with licensed providers to develop patient-centered plans of care.
Job Responsibilities:
- 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.
- Administers medications, provides comprehensive wound care, and performs phone and in-person patient triage.
- Assesses and monitors patient responses to various treatments, procedures, and anesthesia.
- Consults with clinical supervisors to determine best treatment plans for patients.
- Directs, supervises, and delegates to licensed practical nurses, medical assistants, and technicians.
- 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 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.
- 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.
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.
- Assessment: Assess patients, identify unmet patient needs, and plan comprehensive care to meet those needs.
- Case-finding: Identify unidentified co-morbidities or emergent complications and report to the provider.
- Coordination: Integrate care with other health care providers.
- Provision of direct care services: Provides physical care in the entire patients manifested requirements.
Task/Procedure:
- Collects and documents patient clinical historical and assessment data.
- Performs onsite testing, e.g. POC lab testing, EKG, specimen collection, auditory & visual test, psychiatric & physical risk screening, fetal monitoring, 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.
- Performs procedures, e.g. hot & cold applications, placement/removal of orthopedic appliances, casts, splints, suture and staple removal, urinary bladder irrigation, insertion/removal/catheter 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, medical/surgical treatment, and/or sedation.
- Provides medication administration: IM, PO, SQ, ID, IV topical, inhalation, ocular, vaginal, rectal as per provider orders or protocols.
- Facilitates medication refills by reviewing clinical information and preparing order for provider 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 and/or direction from provider.
- Performs Care/Case management of a defined population via multi-disciplinary plan to coordinate/facilitate patient care as needed.
Health Promotion & Education:
- Identifies, through case-finding and critical analysis, patient, family, and/or community deviations from health and wellbeing; advocates for, initiates, and/or 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 and/or treatment to provider.
- Escalates urgent/emergent deviations to medical provider and/or emergency care.
- Identifies expected outcomes and anticipates unexpected or adverse outcomes as individualized to the patient.
- Considers needs and behaviors of specific patient age and cultural groups in all patient care activities.
- Assesses patient's ability to adapt to new situations and circumstances created by changes in health status and/or environment.
- Identifies barriers to optimal care, e.g. physical, cognitive, language, literacy, socioeconomic, cultural, and/or behavioral.
- Assesses & identifies learning needs; documents and updates accordingly.
- Develops patient-centered plans of care that prescribe interventions to attain expected outcomes, and partners with patients to set individualized goals.
- Educates patients and families to facilitate and promote healthy adjustment to new or changed health patterns.
- Implements interventions identified in the plan of care.
- Evaluates patient progress toward attainment of expected outcomes.
Patient Experience:
- Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision, and values and promoting excellence in the patient experience, during every encounter.
- Drives consistency in every patient and