Clinical Nurse, Per Diem - Urgent Care (9119C) #27273

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 the 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.

Works collaboratively with Health Services staff following a team approach.

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. 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 policies.

D.Adheres to hours of work and payroll responsibilities. 1.Demonstrates flexibility in work schedules and daily assignments•3-5 years of experience in clinical nursing, minimum of 2 years in Emergency Department, Urgent Care or combination of both highly preferred. •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 especially the Student Health Insurance plan (SHIP). •Working knowledge of existing resources, including the 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 effectively.

Education: Bachelor's Degree in Nursing preferred.

Licenses or certifications required, if any: •Current and valid California State RN license. •Current BLS Certification. •Current ACLS 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).