Ambulatory Care Nurse- Per Diem Brooklyn - Breast Surgery

NYU Langone Health • Full-time • Brooklyn, New York State, United States • $70 / hour • 2d ago

NYU Grossman School of Medicine is one of the nation's top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity, diversity, 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 diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed,Facebook, Twitter and Instagram.

Position Summary:
We have an exciting opportunity to join our team as a Ambulatory Care Nurse *Brooklyn - Breast Surgery*.

In this role, the successful candidate 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:

Specific activities include, but are not limited to:

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 Faculty group practice
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

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: (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 patient’s 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 patient’s 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 patient’s 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 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. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles

Minimum Qualifications:
To qualify you must have a Baccalaureate degree in Nursing is highly preferred; a Diploma or Associates Degree in Nursing requires a minimum of one year experience in conjunction with plans to earn a baccalaureate degree required. Current Registered Professional Nurse in New York, Bachelor's degree in Nursing required, Basic Life Support Certification through the American Heart Association, Fluent written and spoken English language skills.

Required Licenses: Registered Nurse License-NYS, Basic Life Support Cert

Preferred Qualifications:
ACLS certification. Membership in pertinent professional organizations.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

NYU Grossman School of Medicine is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Grossman School of Medicine's EEO policies, please click here. Please click here to view the Federal "EEO is the law" poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $70 Hourly. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

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