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Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required; performs nursing care for patients with more complex needs with assistance and supervision. Assists with the management of patient care administered by other members of the nursing team. Guided by the policies and procedures of the Ambulatory Services Administration, and in collaboration with providers and other clinical staff, the Clinical Nurse 2 is responsible for providing safe, efficient nursing care to patients in an out-patient, primary care practice. Triages patients and responds appropriately according to protocol and nursing assessment. The Clinical Nurse 2 utilizes the nursing process (Assessment, Planning, Implementation and Evaluation) to provide safe and therapeutic clinical care. The Clinical Nurse 2 also provides clinical support to providers and participates as part of the health care team to assure coordination and continuity of patient care. The Clinical Nurse 2 is responsible for triage on behalf of the practice both in person and through telephone and electronic communication. S/he participates in the development and implementation of educational programs and materials for patients and their family members. S/he delivers direct patient care to a variety of patient populations. All components of nursing care will be individualized to meet the patient's physiological and psychosocial development. The Clinical Nurse 2 will play a critical role in the patient experience including optimizing clinic flow, providing in and outreach to patients and working collaboratively with the team to create a patient centered environment. S/he participates in Performance Improvement (PI) activities. They are required to learn and apply the Patient Centered Medical Home Standards and to maintain a safe environment for patients. The Clinical Nurse 2 consistently projects a professional and courteous demeanor, helps establish and maintain the highest service standards for the practice and complies with the Medical Center House and Telephone Standards. This employee will utilize computer skills in APeX and other UCSF computerized programs. This individual supports the standards of the policies and procedures of the practice, and is responsible for maintaining current knowledge of pharmacology and competency in modes of administration, and complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, and administrative and clinical practice. They are required to adhere to UCSF's PRIDE values and the AIDET fundamentals of communication in all patient care and stakeholder interactions. Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance. DUTIES & ESSENTIAL JOB FUNCTIONS
% of time |
Essential Function (Yes/No) |
Key Responsibilities (To be completed by Supervisor) |
25% |
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ASSESSMENT Identifies the needs of patients through observations of disease symptoms, emotional state, cultural and socioeconomic background and response to medical regimen and treatment. Uses knowledge of the cognitive, physical, emotional and chronological maturation process. Collects and organizes data from the client, encouraging them to present their problems or symptoms through active listening and open-ended questions. Assesses each client's problem(s) based on auditory, verbal, and emotional cues, as well as information extracted from the medical record. Triages and responds or refers inquiries appropriately. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patients to the appropriate members of the health care team. Alerts provider of unusual observations of patients to facilitate immediate attention, e.g. chest pain, shortness of breath. Demonstrates ability to provide appropriate care based on the needs of a specific individual, including that individual's age. Check applicable age-specific group(s): X Adult (19 - 64 years) X Geriatric (65+ years) PLANNING Plans as appropriate to the needs of patients and uses knowledge of the cognitive physical, emotional, and chronological maturation process. Collaborates with practice providers and all other members of the clinical support team in planning for the clinical support of providers in practice. |
25% |
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COORDINATION / CONTINUITY / COMMUNICATION Organizes nursing care based on the needs of patients, while maintaining the effective flow of patients through the clinic. Adjusts the clinical support activities to reflect changes in priorities during practice sessions. Maintains open communication and facilitates continuity of care for patients and/or family with members of the health care team through phone contact, verbal interaction and/or written reports. Utilizes electronic healthcare information (i.e. labs, appointments) to contribute to patient care. Assists with coordinating diagnostic testing and specialty referrals. Maintains accurate follow-up on results and contacts patient with any significant result requiring treatment ordered by the provider. Answer nursing telephone line messages. Responds appropriately within the scope of Nursing and recommends treatments under the supervision of a provider and/or use of standardized protocols. Maintains open communication with ancillary departments such as pharmacy, sterile processing, EKG and the laboratory to problem-solve issues. Actively participates in all staff meetings. Demonstrates knowledge of and effective use of communication to resolve questions, problems, concerns, and/or issues. Demonstrates courtesy, common sense and follow-through in all telephone communications, maintaining the Telephone Standards as established by the Medical Center staff. Assists LVN's with critical patients requiring transfer to the Emergency Room and acts as a resource for all clinical staff. Assesses the appropriateness of treating some problems at home; recommends medications under the supervision of a provider and/or use of standardized protocols. |
20% |
|
IMPLEMENTATION / EVALUATION Provides individualized nursing care which responds to the special needs of the patient population and demonstrates and understanding of the treatment needs required for patients. Performs nursing intake process according to the standards in the nursing policies and procedure manual. Performs nursing activities as ordered by the provider. Administers medications and thoroughly documents in the medical record. Maintains current knowledge of pharmacology and assures medications are current. Instructs patients on specific diagnostic procedures (specimen collection, etc.) Assists as needed with diagnostic procedures and treatments. Maintains knowledge about the operation and care of biomedical equipment in the practice. Responds to the emotional needs of patients by demonstrating a sensitivity to their emotional state by relating to patients in an appropriate manner. Refers to appropriate members of the health team as indicated. Responds appropriately to emergencies and maintains knowledge of emergency procedures and supplies available. Complies with all ACC and Medical Center policies and procedures for infection control, safety, administrative, and clinical practice. Complies with activities mandated by JCAHO / Title 22. |
15% |
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ADVOCACY Provides patients and/or their families with the necessary information to make informed decisions utilizing available resources and makes referrals appropriately. Informs patients/family about services available at UCSF and in the community. Informs patients of the Patient Bill of Rights and encourages involvement in their own health care. PATIENT EDUCATION Participates in identifying the educational needs of the all patient populations. Provides and reinforces patient health teaching. Evaluates the effectiveness of health teaching by obtaining feedback from patients. Participates in the review and/or revision of established educational materials. |
10% |
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SELF-DEVELOPMENT / PROFESSIONALISM Assumes responsibility for own career growth, recognizing the need to increase knowledge, stays abreast of current trends and developments within own area of practice, expand skills and show initiative. Complies with work-related policies, including license renewal, annual PPD, CPR certification, use of benefits time and dress code, including identification. Completion of annual competency testing. Ensures a professional and helpful working environment by upholding the House Standards as adopted by the Medical Center staff. Contributes to the orientation and learning experiences of other health care providers. Participates in practice committee activities such as Quality Improvement, Patient Education, etc. Embraces and role models PRIDE values (Professionalism, Respect, Integrity, Diversity and Excellence) and AIDET (Acknowledge, Introduce, Duration, Explanation and Thanks) concepts as part of approach to all assigned tasks, responsibilities and interactions with peers, internal and external customers and patients in person, by phone and in while engaging in electronic communications. Participates in practice committee activities such as Quality Improvement, Patient Education, etc |
5% |
|
PERFORMANCE IMPROVEMENT Participates in Performance Improvement (PI) activities. Makes recommendations regarding PI topics or problems; and assists in data collection. Reports and follows up on issues that affect environment and safety. Maximizes resources by seeking assistance from appropriate support, effectively using supplies, making suggestions for improved approaches, assists in cost effective practices. |
100% |
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Required qualifications:
Preferred qualifications:
- Recent Experience in the use of Electronic Medical Record documentation - Epic
- 2 years of experience as a Registered Nurse in an Ambulatory Practice
- Experience in ambulatory setting - Adults and Geriatrics preferred.
- Ability to work competently and efficiently with Microsoft Office: Outlook, Excel & Work
Licenses/Certifications:
- Registered Nurse as defined by California Board of Registered Nursing
- Current CA Registered Nurse license
- Current American Heart Association CPR Certification.
About UCSF
The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
Equal Employment Opportunity
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.
Salary Information
The final salary and offer components are subject to additional approvals based on UC policy.
Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Required qualifications:
Preferred qualifications:
- Recent Experience in the use of Electronic Medical Record documentation - Epic
- 2 years of experience as a Registered Nurse in an Ambulatory Practice
- Experience in ambulatory setting - Adults and Geriatrics preferred.
- Ability to work competently and efficiently with Microsoft Office: Outlook, Excel & Work
Licenses/Certifications:
- Registered Nurse as defined by California Board of Registered Nursing
- Current CA Registered Nurse license
- Current American Heart Association CPR Certification.
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