RN - Clinic, Immediate Care

Registered Nurse - Ambulatory
Departments: Ambulatory
Qualifications:

• Current and valid RN license in any state.
• 18 months experience in specialty care area (within the past 5 years)
• Demonstrated clinical competency in acute and long-term care settings.
• Proficiency in electronic medical record documentation.
• (Trainings on VA systems will be provided during 2-day orientation prior to official start.)

Maintain confidentiality of patient/resident information.
Ensure a safe care environment in compliance with The Joint Commission, VA regulations, and other oversight bodies.
Adhere to protocols for medication administration, discharge processes, restraint usage, hazardous waste disposal, and patient/family education.
2. Patient/Resident-Centered Care

Conduct comprehensive health assessments and develop interdisciplinary care plans.
Monitor and respond to changes in patient/resident conditions.
Document all relevant data in the electronic medical record.
Complete nursing assessments within required timeframes.
Address emotional and spiritual needs of patients/residents and families.
Update care plans and communicate changes to the assigned physician.
Report any incidents of abuse immediately to the Nurse Manager or designated leadership.
3. Clinical Duties

Perform head-to-toe assessments.
Insert and manage IV lines, including peripheral, central, and PICC lines.
Administer medications, including IV therapies.
Coordinate admissions and discharges.
Measure and monitor vital signs, including pain and pulse oximetry.
Conduct wound care and dressing changes; obtain wound cultures.
Collect and deliver lab specimens.
Provide tracheostomy and non-acute ventilator care.
Perform oral, nasogastric, and tracheostomy suctioning, including deep suctioning.
Administer tube feedings and manage urinary/bowel elimination needs.
Educate patients/residents and families on diagnoses and medications.
Respond to emergency situations.
Provide clinical oversight to LPNs, Nursing Assistants, and Health Technicians.
Conduct one-to-one and virtual patient observation.
Perform capillary blood glucose testing and monitoring.
Ambulatory Care RN Specialty Responsibilities
The Ambulatory Care RN provides patient-centered care in outpatient settings, focusing on preventive health, chronic disease management, and coordination of care across multiple specialties. Additional responsibilities include:

Patient Assessment & Triage
Perform initial and ongoing assessments for patients in ambulatory clinics.
Triage patients based on acuity and ensure timely access to care.
Identify and act on changes in patient condition during clinic visits.

Care Coordination
Collaborate with primary care providers, specialists, and interdisciplinary teams to ensure continuity of care.
Facilitate referrals, diagnostic testing, and follow-up appointments.
Support transitions of care between inpatient and outpatient settings.

Chronic Disease Management
Monitor and manage patients with chronic conditions such as diabetes, hypertension, and heart disease.
Provide education on self-management strategies and lifestyle modifications.
Track and document outcomes in electronic health records.

Procedural Support
Assist with minor procedures in the clinic setting (e.g., wound care, injections, EKGs).
Prepare patients for diagnostic tests and ensure proper specimen collection.

Medication Administration & Education
Administer medications, including injections and infusions, as ordered.
Educate patients on medication regimens, side effects, and adherence strategies.

Preventive Care
Promote health maintenance through immunizations, screenings, and patient education.
Support population health initiatives and outreach programs.

Emergency Response
Respond to urgent situations within the clinic and initiate emergency protocols as needed.