Ambulatory Care Nurse - Faculty Group Practice *Onsite- Delray Beach, FL*
NYU Winthrop Hospital
We have an exciting opportunity to join our team as a Ambulatory Care Nurse. The Ambulatory Care Nurse will support the coordination, integration, communication, implementation and evaluation of nursing practice and clinical policies and procedures. In this role, 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 testsCollects patient health historyRecords information in electronic health recordProvides information, counsel, and education to patients and families regarding test results and treatment plans as directedAdministers medications (including vaccination, IV therapy, oxygen administration), provides comprehensive wound care, and performs phone and in-person patient triage for clinical concernsAssesses and monitors patient responses to various treatments, procedures, and anesthesiaAssesses and interprets patient information, making treatment decisions as appropriateConsults with clinical supervisors and licensed providers to determine best treatment plans for patientsDirects, supervises, and delegates to licensed practical nurses, medical assistants and technicians as needed to support patient flow and efficiencyPerforms other duties as needed Clinical Responsibilities - Supports the coordination, integration, communication, implementation and performance evaluation of nursing practice and clinical policies and proceduresEnsures clinical compliance with Patient Safety initiatives and reportingSupports key quality initiatives (e.g. MIPS, Care gap management) to impact clinical outcome measuresDemonstrates knowledge of the NYULH Service Standards and incorporates into the performance of responsibilitiesParticipates in designated activities related to NYULH clinical standards and regulations of relevant outside agenciesSupports the missions, philosophy, standards, goals and objectives of NYULH, Departments of Nursing, and FPG Participates in coordination of on-site activities to provide patient care in a healing, humane and caring environmentCollaborates with members of the interdisciplinary team and promotes collegial relationshipsServes as a support and resource for nursing, other clinical staff and providersParticipates in clinical inquiry and activities to foster evidence-based practiceEmbraces 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 policyFunctions 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 license/certificationProfessional Development - Engages in self-assessment and participates in activities to promote own professional growth and developmentSeeks, acquires and maintains current nursing knowledge and competence to fulfill responsibilities as FGP Ambulatory NurseProcures and applies new knowledge related to medical treatment and technologyUtilizes resources to meet individual learning needs and promote professional development in clinical practiceMaintains awareness of current patient centered, evidence-based practice and considers applicable research data to patient care deliveryActs as a mentor to peers and colleaguesFulfills 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 disabilityCase-finding: Identify unidentified co-morbidities or emergent complications and report to the provider so that an intervention may be orderedCo-ordination: Integrate care with other health care providers such as respiratory therapists, physical therapists, social workers, physicians, nurse practitioners, dieticians, navigators, and discharge plannersProvision 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 TASK/PROCEDURE Collects and documents patient clinical historical and assessment dataPerforms onsite testing - 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 practicePerform procedures, e.g.: hot & cold applications, placement/ removal of orthopedic appliances, casts, splints, suture and staple removal, urinary bladder irrigation w/ and w/o chemotherapy, insertion/removal/catheter care of urinary catheter, ear irrigationApplies and removes dressings, and performs wound care Assists with Minor and Major ProceduresPerforms patient monitoring including pre, intra, post procedure, testing, medication administration, medical/surgical treatment and/or sedationProvides 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 EMRAdministers IV therapy: including blood, blood products, IV fluids, chemotherapy (with proper certification), IV medications via peripheral or central venous devicesStarts and discontinues peripheral IV linesMaintains peripheral and central IV lines and manages complications with appropriate certification Minimum Qualifications: To qualify you must have: Baccalaureate degree in Nursing is highly preferred; a Diploma or Associates Degree in Nursing requires a minimum of one year experience in conjunction with plans to earn a baccalaureate degree requiredCurrent Registered Professional Nurse in Florida licensure is requiredBCLS certification is requiredMembership in pertinent professional organization preferred. Fluent written and spoken English language skills necessary. Physical stamina, manual dexterity, visual and aural acuity to perform responsibilities needed also required.Qualified candidates must be able to effectively communicate with all levels of the organization Preferred Qualifications: ACLS certificationSpoken mastery of a second languageEmergency room or critical care nursing experience and membership in pertinent professional organizations preferred NYU Langone Florida is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online. If you wish to view NYU Langone Florida's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.
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