Ambulatory Care Nurse - NYU Langone Medical Associates - Hewlett

Ambulatory Care Nurse - NYU Langone Medical Associates - Hewlett

Hewlett, NY Full-Time/Regular

NYU Langone HospitalLong Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge.

Position Summary:

We have an exciting opportunity to join our team as a Ambulatory Care Nurse - Hewlett. In this role, the successful candidate 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:

• 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 as directed
• Administers medications (including vaccination, IV therapy, oxygen administration), provides comprehensive wound care, and performs phone and in-person patient triage for clinical concerns.
• Assesses and monitors patient responses to various treatments, procedures, and anesthesia.
• Consults with clinical supervisors and licensed providers to determine best treatment plans for patients
• Directs, supervises, and delegates to licensed practical nurses, medical assistants and technicians as needed to support patient flow and efficiency
• Performs other duties as needed

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
• 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 patients illness, condition or disability.
• Case-finding: Identify unidentified co-morbidities or emergent complications and report to the provider so that an intervention may be ordered.
• Co-ordination: Integrate care with other health care providers such as respiratory therapists, physical therapists, social workers, physicians, nurse practitioners, dieticians, navigators, and discharge planners.
• Provision of direct care services: Provides physical care in the entire patients 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 data.
• Performs onsite testing, e.g.: 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 practice.
• Perform 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 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 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 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 patients 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 colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
• Greets patients warmly and professionally, stating name and role, and clearly communicates