Ambulatory Care Nurse - NYU Langone Ambulatory Care Garden City (OB/GYN PP)

NYU Langone Hospital-Long Island ================================

NYU Langone Hospital-Long 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.

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Position Summary -------------------

We have an exciting opportunity to join our team as a Ambulatory Care Nurse - NYU Langone Ambulatory Care Garden City (OB/GYN PP). In this role, the successful candidate will support the coordination, integration, communication, implementation, and evaluation of nursing practice and clinical policies and procedures.

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
• Assesses and interprets patient information, making treatment decisions as appropriate
• 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

Clinical Responsibilities ---------------------------

• Supports the coordination, integration, communication, implementation, and performance evaluation of nursing practice and clinical policies and procedures
• Ensures clinical compliance with Patient Safety initiatives and reporting
• Supports key quality initiatives (e.g. MIPS, Care gap management) to impact clinical outcome measures
• Demonstrates knowledge of the NYULH Service Standards and incorporates into the performance of responsibilities
• Participates in designated activities related to NYULH clinical standards and regulations of relevant outside agencies
• Supports the missions, philosophy, standards, goals, and objectives of NYULH, Departments of Nursing, and FGP
• Participates in coordination of on-site activities to provide patient care in a healing, humane, and caring environment
• Collaborates with members of the interdisciplinary team and promotes collegial relationships
• Serves as a support and resource for nursing, other clinical staff, and providers
• Participates in clinical inquiry and activities to foster evidence-based practice
• Embraces fundamental values and obligations beyond that of a private citizen, including ethical obligations and a recognition of patients rights to confidentiality (NYSED, 2009)
• Provides emergency care in accordance with organizational policy
• Functions as a respectful member of the health care team
• Delegates and oversees specific nursing interventions to implement patient care plans to members of the health care team as deemed appropriate by job description and license/certification

Professional Development ---------------------------

• 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

Implementation/Provision of Care -----------------------------------

• Executes medical regimens as prescribed by licensed providers
• 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
• Performs 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
• 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 and 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

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 each step of the care/interaction as appropriate
• Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries, whether in person, by phone, or via electronic messaging
• Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate
• Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership
• Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience
• Takes a proactive approach