Registered Nurse III, Ambulatory Care

Registered Professional Nurse III, Ambulatory Care

Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

The Registered Professional Nurse III, Ambulatory Care is accountable for the delivery of safe patient care utilizing the nursing process. The RN assesses, plans, delivers, coordinates, integrates, and evaluates nursing care related to patient needs. The RN contributes to the support of patients through interdisciplinary teamwork.

The RN III provides leadership to department staff, serving as a resource and mentor. These RNs contribute to the body of professional nursing practice through participation in research, committee work, and professional organizations, internal and external.

Responsibilities:

• Provides nursing care and services to patients throughout the life span and in various settings consistent with educational preparation.
• Collects and records relevant patient health data accurately and works in collaboration with the care team to contribute to the plan of care.
• Analyzes assessment data to identify patient problems and utilizes date to continuously meet care coordination needs.
• Identifies expected outcomes individualized to the patient.
• Evaluates patient response to plan of care and works in collaboration with the inter-professional team to make any needed adjustments.
• Implements and records interventions appropriate to diagnosis or patient problem.
• Evaluates the patient's progress toward attainment of identified goals and initiates or participates in patient outcome improvement activities.
• Adheres to approved, research-based practice standards.
• Directs and supervises patient care provided by LPNs and support personnel.
• Performs and documents Point of Care (POC) testing and quality control in accordance with established laboratory policies and procedures.
• Maintains and documents testing reagents/supplies and equipment according to established laboratory procedures.
• Acts effectively as a group leader or preceptor when assigned.
• Advocates for patients to ensure that care preserves and protects the patient's autonomy, dignity and rights.
• Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity.
• Assures that patients have informed consent signed for indicated procedures, 100% of the time, as measured by random supervisory chart review.
• Acquires and maintains current knowledge and skills in his or her area of practice.
• Provides proof of current BLS validation to supervisor.
• Completes required unit credentialing according to departmental policy by providing documented evidence of completion to supervisor.
• Provides to supervisor /manager evidence of completion of all required training and competency validation.
• Develops a plan of care that describes interventions to attain expected outcomes, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
• Implements and records interventions appropriate to diagnosis or patient problem, with no more than 2-3 exceptions, as measured by random supervisory chart review and/or direct supervisory observation.
• Evaluates the patient's progress toward attainment of identified goals, with no more than 2-3 exceptions, as measured by random supervisory observation and random supervisory chart review.
• Adheres to approved, research-based practice standards, with no more than 2-3 exceptions, as measured by direct supervisory observation and random supervisory chart review.
• Directs and supervises patient care provided by LPNs and support personnel 100% of the time according to department guidelines, as measured by co-worker feedback and managerial observation.
• Performs and documents Point of Care (POC) testing and quality control in accordance with established laboratory policies and procedures, with no more than 1 exception per year, as observed by supervisor and POC staff.
• Maintains and documents testing reagents/supplies and equipment according to established laboratory procedures, with no more than 1 exception per year, as observed by supervisor and POC staff.
• Acts effectively as a group leader or preceptor when assigned, as determined by co-worker or preceptee feedback and direct managerial observation.
• Advocates for patients to ensure that care preserves and protects the patient's autonomy, dignity and rights.
• Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity, 100% of the time, as measured by no significant, substantiated patient or peer complaints received by the manager/supervisor.
• Assures that patients have informed consent signed for indicated procedures, 100% of the time, as measured by random supervisory chart review.
• Acquires and maintains current knowledge and skills in his or her area of practice.
• Provides proof of current BLS validation to supervisor. (To achieve excellence, one must do this in a proactive, timely manner prior to due date)
• Completes required unit credentialing according to departmental policy by providing documented evidence of completion to supervisor.
• Provides to supervisor evidence of completion of all required training and competency validation. (To achieve excellence, one must take personal responsibility for this task and complete by due date)
• Performs Similar or related duties as requested or directed.
• Triennial completion of professional nursing pathway for current practice level and provides evidence of completion to supervisor.
• Provides an annual in-service for co-workers and provides documented evidence of activity to supervisor.
• Demonstrates clinical problem-solving ability through written exemplar, patient/family feedback, co-worker report or direct managerial observation.

Education:

• 2 year / Associate Degree in Nursing, required or...
• Vocational / Technical Diploma Professional Nursing Program, required or...
• 4 year / Bachelor's Degree in Nursing, required

All RN's hired and do not currently hold a BSN will be expected to demonstrate enrollment in a bachelor's prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RN's licensed on or before 12/19/17 are/remain exempt from this requirement.

Experience:

• Minimum 3 years Registered Nurse experience, required
• Minimum1-year Registered Nurse experience must be within relevant practice area, required
• Previous experience as a charge nurse/leadership role, preferred

License/ Certification:

• Current NYS license as a Registered Nurse, required
• BLS certification will be required within 6 months
• Other certifications may be needed based on department requirements

Skills:

• Leadership
• Clinical Skills
• Multi-Tasking
• Attention to Detail
• Advocacy
• Adaptability
• Training

Physical Requirements:

• Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects
• Occasional balancing, climbing, crouching, kneeling, lifting, pulling, pushing, reaching
• Frequent fit testing
• Constant typing/clerical/dexterity, grasping, hearing, repetitive motion, seeing/monitor/computer use, standing, stooping, talking, visual acuity (color, depth, perception), walking

Hazards:

• Occasional radiation/radiant energy
• Frequent bodily fluids/bloodborne exposure

Working Conditions:

• Occasional noise, vibration, wet and/or humid
• Frequent odors

Travel:

• Occasional Travel - The job may require travel from time-to-time, but not on a regular basis

Bassett Healthcare Network's commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind

Bassett Healthcare Network