Job Requisition Number: 27272. UC Berkeley’s University Health Services (UHS) is a fully accredited comprehensive university health service providing primary medical care, counseling and psychological services, and innovative health promotion programs for students, faculty and staff. UHS provides on-campus medical care and coordinates supplemental needs for off-campus care through a network of community specialists and hospitals. The Clinical Services Program within the UHS includes urgent care, primary care and specialty clinics, laboratory, pharmacy, physical therapy, radiology, and a major medical insurance plan.
Approximately 65,000 visits occur annually including Primary Care, Urgent Care, Occupational Health and Specialty Clinics. Services are designed to enable students to get the most from their educational experience, minimizing the impact of illness, injury and emotional distress on their academic careers. Medical care and wellness programs for faculty and staff are designed to meet their occupational health needs and minimize lost work time. These visits generate ancillary encounters with the Radiology, Clinical Laboratory, Physical Therapy and Pharmacy departments. The Counseling and Psychological Services department sees an additional 15,000 visits per year.
I. PATIENT CARE AND TRIAGE Using the nursing process develops, interprets, implements, evaluates and documents a plan of care for patients consistent with UHS policies, procedures and guidelines. Patient care may be provided in person, by telephone, and by electronic means.
A.Employ triage techniques to identify existing or potential health problems (physiological and psychological) and formulate a plan of care.
1.Establish a priority of care for patients and route patients appropriately. Demonstrates confidentiality, sensitivity and concern during all patient interactions. 2.Recognize symptoms and diagnostic test results that deviate from normal. Follows through on abnormal findings in a timely manner, using appropriate resources. 3.Consults appropriately with MD/NP or supervisor. 4. Documents nursing assessments and interventions clearly, legibly, accurately, concisely, and consistently in accordance with UHS policy. 5. Provides appropriate patient teaching, health education and related counseling.
B. Provides direct patient care utilizing nursing skills and protocols.
1.Initiates diagnostic tests as appropriate and according to applicable protocol. 2.Administers medications and treatments. 3.Assists in the preparation and treatment of patients. 4.Takes medical histories, examines, assesses and counsels patients on basic health problems according to protocol, e.g. URI, allergy testing, pregnancy testing, etc. 5.Provides case management, maintains tickler file(s) systems to assure continuity of care.
C. Urgent Care, Allergy/Travel, Specialty Nurses must meet the specific focus Knowledge, Skills and Abilities of their units as outlined in attachments. The Clinical Nurse II job description includes the Clinic Advice Nurse Focus
II. ORGANIZATIONAL RESPONSIBILITIES Demonstrates a positive, constructive attitude that facilitates achieving UHS goals and objectives.
A.Adheres to principles of quality, customer oriented standards.
1.Demonstrates professionalism, courtesy, and sensitivity in all interactions with patients and staff. 2.Documents and refers administrative inquiries, patient complaints/concerns to appropriate supervisors. 3.Knowledgeable of patient rights and responsibilities, rules of confidentiality and patient privacy. 4.Maintains patient records appropriately including confidentiality, legibility and completeness of notes. This includes written and electronic records.
B.Implements University and UHS policies and procedures.
1.Knowledgeable of UHS departments, services, locations. 2.Knowledgeable of operational, administrative, business, and personnel policies. a.Detailed knowledge of Clinical Services policies and procedures.
C.Works collaboratively with Health Services staff following a team approach.
1.Demonstrates flexibility and adaptability as health care practices and related technology change.
III. LEADERSHIP/PROFESSIONAL GROWTH
A.As a nursing professional demonstrates an ability to communicate knowledge both formally and informally.
1.Anticipates educational needs of patients. a.Provides written resource materials. b.Documents instruction and patients' response to same. 2.Collaborates with other disciplines in planning, developing, implementing and evaluating patient education materials. 3.Participates in the orientation of new employees; may act as a preceptor providing instruction and guidance in a positive manner.
B.Contributes to the improvement of nursing practice.
1.Demonstrates and supports professionalism in nursing practice. 2.Takes responsibility for own educational needs. 3.Participates constructively in staff meetings. 4.Participates in nursing committees and the development of nursing protocols. 5.Assists in identifying nursing staff learning needs and issues in nursing practice, and may be asked to prepare materials to share with other nurses. 6.Actively contributes to Quality Improvement activities. 7.Facilitates team problem solving. 8.Facilitates problem solving by the contribution of constructive concerns and/or ideas for improving efficiency and working relations.
IV. WORK HABITS
A.Organized and able to prioritize workload. 1.Assures timely patient care. 2.Contributes to productivity of unit. 3.Maintains timely and effective communications and coordinates clinic and patient care functions with staff. 4.Able to work under pressure calmly and efficiently. 5.Maintains a clean and well organized work area.
B.Knowledgeable in Health, Safety, and Emergency Preparedness policies and procedures. 1.Knows emergency/disaster plan. 2.Knows use and location of emergency equipment at a level appropriate to the assigned unit. a.Initiates basic CPR as needed. b.Initiates ACLS as appropriate to training and resources.
C.Demonstrates understanding of and consistently follows Standard Precautions. 1.Implements UHS Universal Precautions, Body Substance Isolation and Infection Control polices.
D.Adheres to hours of work and payroll responsibilities. 1.Demonstrates flexibility in work schedules and daily assignments
Other duties as assigned•3 years of experience in Clinical nursing. •Ability to work independently. •Knowledge of outpatient care and principles of telephone triage. •Excellent communication skills and the ability to establish patient trust over the telephone and in person. •Ability to obtain an adequate history. •Knowledge of outpatient care and principles. •Excellent assessment skills and the ability to recognize deviations from normal findings over the telephone and in person. •Knowledge, skills, and ability to work with psychiatric related calls and drop-in visits. •Ability to use auditory and ‘body-language’ cues to make an appropriate assessment and triage decision over the telephone and in-person. •Working knowledge of Insurance plans (Will be oriented to the Student Health Insurance plan). •Working knowledge of existing resources, including use of designated consultants, to give appropriate advice, make an appropriate referral or Triage decision (such as In-House department referrals and outside referrals to local Emergency Rooms, Urgent Care Centers, shelters). •Ability to work under pressure calmly, effectively, and efficiently, coping with variable workloads, intermittent delays and emotionally charged situations. •Ability to document calls and drop-in visits appropriately, concisely, and clearly including patient identifying information, relevant history, assessment, and advice given including the disposition. •Ability to assess normal versus abnormal laboratory, radiology, and outside test reports and make appropriate decisions based on those results and with appropriate consultation. •Ability to assist patients and their clinicians with appropriate case-management situations that may involve assisting with referrals and follow-up consultations. •Knowledge, skill, and ability to provide emergency intervention •Ability to anticipate patient flow and/or scheduling problems/conflicts and intervene affectively.
Licenses or certifications required, if any: Current and valid California State RN license. Current BLS Certification. Employment is contingent on successful completion of: Background Check, Acceptable Medical Evaluation that includes infectious disease surveillance and proof of current required vaccinations or immunity levels, and successful credentials verification (if applicable).
The University of California was chartered in 1868 and its flagship campus - envisioned as a "City of Learning" - was established at Berkeley, on San Francisco Bay. Today the world's premier public university and a wellspring of innovation, UC Berkeley occupies a 1,232 acre campus with a sylvan 178-acre central core. From this home its academic community makes key contributions to the economic and social well-being of the Bay Area, California, and the nation.