RN Outpatient Per Diem

Job Summary

 

Registered nurses, regardless of specialty or work setting, utilize the Standards of Professional Nursing Practice and the listed competencies, in caring for the patients at Summit Healthcare.  The nursing process, critical thinking and problem-solving skills are utilized to provide holistic care to individuals, families, groups, communities and populations across the life span. 

Registered Nurse Seniors are high-performing employees who in addition to regular RN duties provide a specialty service or focus within a department or the organization.  This specialty will require additional skills and experience than the RN position.

 

Essential Functions

 

Nursing standards of practice* as outlined below:

 

Standard 1:  Assessment

- Provides initial and ongoing assessment and interpretation of patients within the framework of holistic professional nursing practice, and in accordance with the principles of patient and family centered care.

- Integrates knowledge from environmental factors into the assessment process.

- Assesses and interprets information and data regarding the patient’s culture and values system, lifestyle, and interest and ability to participate in their care, and other factors impacting successful treatment outcomes.

- Recognizes the impact of one’s own attitudes, beliefs and values on the assessment process.

- Identifies barriers to effective communication based on psychosocial, literacy, economic, cultural and religious considerations.

- Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data.

- Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication.

- Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status.

 

Standard 2:  Diagnosis

- Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle.

- Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues.

- Corroborates the diagnoses with the patient, family, group or community.

- Prioritizes diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community.

- Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan.

 

Standard 3: Outcomes Identification

- Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team,

- Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care.

- Documents expected outcomes as measurable goals.

- Evaluates the actual outcomes against the expected outcomes.

 

Standard 4: Planning

- Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum.

- Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following:  Promotion of health, prevention of illness or injury, healing, and supportive care.

- Prioritizes nursing interventions to achieve patient outcomes and goals.

- Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes.

- Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum.

 

Standard 5:  Implementation

- Establishes and maintains a therapeutic relationship with patient or families.

- Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence.

- Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education).

- Ensures the implementation, coordination and ongoing evaluation of the patient care plan.

- Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability.

- Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions.

- Provides information and instruction to assist patients and family members to understand health care practices and processes.

- Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being.

- Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.

- Maintains patient confidence and protects operations by keeping information confidential.

- Ensures care is coordinated and delivered within the confines of available human, material and fiscal resources of Summit Healthcare Association.

 

Standard 6:  Evaluation

- Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes.

- Supervises and evaluates care provided by direct care assistive and support staff.

- Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions.

- Documents complete accurate and relevant data for every patient according to Association policies and guidelines.

 

In addition to the six standards above, Summit Healthcare also integrates the following standards:

 

Advocacy:

- Provides a supportive environment for communications and decision making by patients and their families.

- Advocates for and supports the principles of patient and family centered care, and   patient rights and wellbeing.

- Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system.

- Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate.

- Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care.

- Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals.

- Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

 

Professional Development and Accountability:

- Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times.

- Demonstrates professionalism in attitude, dress and behavior.

- Contributes to positive team functioning and supporting one another.

- Develops cultural competence in order to provide culturally competent care.

- Actively participates in developing and evaluating professional goals and performance at regular intervals.

- Is a role model for the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors.

- Accountable for reporting professional practice issues to the appropriate person, agency or professional body.

- Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.

- Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.

- Promotes the patient safety standards as a core value and part of the strategic plan of the organization.

 

Professional Leadership, Education and Research:

- Supports Summit’s philosophy, vision and mission. 

- Participates in the development and revision of standards of care, policies and procedures.

- Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety.

- Promotes a safe work environment by identifying and resolving potential risk issues.

- Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs.

- Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change.

- Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures.

- Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students.  

- Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs.

 

*Nursing Scope and Standards of Practice, 3rd Edition, American Nurses Association.  Published by Nursesbooks.org, 2015.

 

Secondary Functions:

- Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars.

- Reads department and association wide policies and procedures pertinent to the department.

 

Other Duties

Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

 

 

Abilities:

- This position requires: 

General nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs).

Excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary.

Knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment.

Self-direction and self-motivation.

 

Must be able to read, write, speak, and understand English

 

Supervisory Responsibilities

 

None.

 

Work Environment

 

At Summit Healthcare, our mission statement is that we are trusted to provide exceptional, compassionate care close to home. Our vision is to be the healthcare system of choice.

 

To uphold our mission and vision statements, we expect all employees to practice SHINE Behavioral standards:

- Always SHINE – show respect and be kind.

- Always work together – we are on the same team.

- Always serve others – no job is beneath you.

- Always maintain high standards of quality and safety – best practice every time.

- Always communicate clearly – be compassionate.

- Always practice integrity – maintain confidentiality.

- Always be accountable – take responsibility.

- Always empower – create an environment of success.

- Always excel – don’t settle for mediocrity.

- Always promote wellness – make choices for a healthy lifestyle.

 

Physical Demands

 

Heavy

Exerts up to 100 lbs. of force occasionally, and/or up to 50 lbs. of force frequently, and/or up to 20 lbs. of force constantly to move objects. The worker is exposed to contact with chemicals and infectious fluids, heavy lifting, constant standing, extensive close work, and extensive computer work.

 

Required Education and Experience

 

All Departments:

- Graduate from an accredited school of nursing

- Current AZ RN license

- CPR Certification %

 

Department Specific Education and Experience

 

Emergency Department:

ACLS * / &

PALS * / &

NIHSS &

SECURE

TNCC, ATLS or ITLS or other trauma course (with approval) ** / &

ENPC ** (preferred)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Dialysis:

ACLS * / &

NIHSS &

 

Home Health:

Arizona Dept. of Public Safety class 1 fingerprint clearance card

Current driver’s license

Current auto insurance

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

ICU:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Med/Surg 2

ACLS * / &

PALS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Med/Surg 3 and Med/Surg Telemetry

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

OB:

PALS * / & (L&D only)

Department specific stroke education

STABLE ** / & +

AWHONN intermediate and/or advanced fetal monitoring ** / & (L&D only)

NRP * / &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

OR:

ACLS * / & +

PALS * / & +

Department specific stroke education

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

ASC/Preop/PACU:

ACLS * / & +

PALS * / & +

Department specific stroke education

SECURE (Floats only)

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

IV Therapy:

ACLS * / &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Imaging:

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Diagnostic Imaging:

ACLS * / & +

PALS * / & +

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Oncology:

Chemotherapy/Biotherapy certification ** / &

 

Cath Lab:

ACLS * / &

NIHSS &

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

Occupational Health:

NIOSH

Breath Alcohol Testing (BAT) certification

DOT drug screening certification

Certified Occupational Hearing Conservationist (CAOHC)

 

Cardiac Rehab:

ACLS * / &

 

Senior Behavioral Health:

NIHSS &

SECURE

Professional organization specialty certification +

Baccalaureate in nursing +

1+ years specific unit experience

 

* - Renewal may take up to 30 days after expiration of original certification.

** - Renewal make take up to 75 days after expiration of original certification.

& - Required within 6 months of employment, or at completion of orientation.

% - Certification required with 30 days of employment.

X – Required.

+ - Preferred.

 

OSHA Exposure Category:

 

OSHA Exposure Category 1

Involves exposure to blood, body fluids, or tissues.

 

This is a safety sensitive position.

 

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Outpatient Per Diem
Fairview Park Hospital

RN Outpatient Surgery PRN

Ready for a role that supports your unique calling in patient care and fits your life? At Fairview Park Hospital , you’ll find clear path ways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance , you wi ll have all the resources you need to build the career of a lifetime. Job Summary and Qualifications Position Details: Self/preferential scheduling posted four weeks in advance for you to have predictability in your schedule Culture of mutual respect and collaboration among all surgical staff Continuous investment in equipment including surgical instruments, devices and patient positioning for you to do your best work with patient safety and workflow efficiency in the Operating Room Rounding with unit leaders, including charge nurses, to ensure your voice is heard on suggestions for patient care and surgical workflow improvement What you will do in this role: Evaluate patients prior to surgery Provide patient and family education surrounding the procedure and peri-operative process Assume responsibility for patient preparation, including intravenous therapy, preoperative medications, and surgical site verification Participate in surgical site verification, including briefing, time out, debriefing, and universal protocols, according to hospital policy Recognize and respond to patient emergencies Deliver high-quality, patient-centered care while managing evidence-based practices and continuous improvement initiatives Be an integral member of a dynamic interdisciplinary team – consisting of the provider(s), surgeons, surgical technologists and more Consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients Assess patient condition, monitor throughout your shift, and document changes in patient condition along with the care provided thoroughly Educate patients and families/caregivers about the patient’s medical condition, treatment and follow-up measures What qualifications you will need: Advanced Cardiac Life Spt must be obtained within 6 months of employment start date Basic Cardiac Life Support must be obtained within 30 days of employment start date PALS Pediatric Adv Life Supt must be obtained within 6 months of employment start date (RN) Registered Nurse Bachelors Degree, or Associate Degree Benefits Fairview Park Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Fairview Park Hospital is a 175+ bed acute-care hospital serving the City of Dublin, Laurens County, and the surrounding communities. Our hospital provides 24-hour emergency services, inpatient and outpatient surgery options, and rehabilitation therapy services. Other specialized programs include our Sleep Center at Fairview Park, the Same Day Surgery Center, the Heart Center at Fairview Park, the Women’s Imaging Center and much more. We are committed to providing the best for our community. Our facilitys stroke center scored “A” on Patient Safety Report Card. We have been named one of the nation’s top 100 hospitals by Truven Health Analytics, IBM Watson Health. At Fairview Park Hospital, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Join a family that cares about every stage in your career! We are interviewing candidates for our RN Outpatient Surgery PRN opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
RN Outpatient Per Diem
Augusta Health

PRN - RN PAT clinic

The office nurse will provide clinical support to the physician as needed and will provide direct nursing care to patients. Duties include performing as a member of the team and assisting in the administration and maintenance of an efficiently operated clinic. Accurately performs and documents assigned duties under the direction and supervision of the physician in accordance with the medical model of care as provided by the State Board of Nursing. Initiates implementation of processes and|or has access to all operational components of the office as required by daily operations. Access to operational components of a practice includes access to physician’s office, medical records, medical supplies and locked drug closets|refrigerators. Education: Nursing Diploma or Associate Degree of Nursing required Licensure/Certification: Current and valid Registered nurse license in the Commonwealth of Virginia or from a state that is part of a Compact agreement with Virginia required CPR certified Experience: Minimum of 5 years’ experience in a clinical setting preferred Essential Job Duties: Participates in educational and training programs to meet Augusta Health requirements Ability to work effectively as a team player. Arrange for follow-up care and appointments for patients and maintain communication with patients/families in other facilities Arrange and track patient referrals to specialty physicians. Assist with blood pressure check visits and medicine reviews. Assist with routine office duties to include ordering medical supplies, maintaining appropriate inventory, scheduling patients, answering telephones, etc. Ability to provide care and communicate to all age groups. Collect, label and prepare specimens for lab delivery. Perform nursing triage for acute visit requests from patients. Conduct annual physical exam interviews and assist with exams. Documents all patient care and relevant data accurately and systematically. Participates in staff meetings. Provide assistance to the provider as needed in examinations and special procedures. Respects physician preferences and anticipates physician’s needs. Provide direct routine nursing care to patients according to physician’s instructions. - Assess the patient for needs specific to age, general condition, psychosocial, emotional, physical, spiritual status and visit reason or surgery to be performed. Completes written assessment and documents specific needs identified. Plans for the care of the patient by obtaining appropriate supplies and equipment in advance, uses appropriate positioning aids. Anticipates patient needs and changing conditions necessitating additional, different supplies. - Monitors and maintains safe comfortable environment, assists safe transport to and from table/bed/chair - Maintains, monitors and initiates correction of breaks in aseptic technique - Compiles with Augusta Health policies and procedures for handling hazardous materials, fall precautions, infection control, electrical and fire safety. - Evaluates care given based on specific needs and projected outcomes. Responsible, versatile individual willing to accept a variety of responsibilities. Provide pre and post-procedural nursing care to patients including administration of medication, local lab tests, venipuncture, EKGs and assessment of patient’s status. Assist physician in monitoring patients on prescriptions Assumes a leadership role in absence of a senior staff member Maintains confidentiality of patients Coordinates and observes activities of supportive clinical staff, makes recommendations in the quality and effectiveness of care provided. Assist other personnel in administration of total patient care. Performs procedures under the provider’s guidance Accepts and documents verbal orders /critical results according to Augusta Health Policy. Performs waived testing according to the Augusta Health Policy and Procedure. Administers medications per the guidelines for Augusta Health. Schedule and track wellness initiatives for patients (labs, coloscopies, immunizations, mammograms) Process prescription refills Some benefits of working at Augusta Health include: Generous paid time off to promote work life balance Competitive Pay Retirement Plan Medical, Dental, and Vision Benefits Free onsite parking Tuition reimbursement Onsite childcare Company Information: Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations. Equal Opportunity: Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.
RN Outpatient Per Diem
ScionHealth

RN Outpatient Heart & Vascular PRN

Description Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s. Job Summary The Registered Nurse (RN) provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements. Essential Functions Performs comprehensive assessments and reassessments to determine nursing care needs. Develops, implements, and evaluates individualized plans of care. Administers medications and treatments in accordance with policy and physician orders. Documents assessments, interventions, outcomes, and patient education timely and accurately. Provides direct care including ADLs, hygiene, nutrition, and mobility support. Monitors patient conditions and communicates significant changes to the care team. Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals. Provides emotional and psychosocial support to patients and families. Ensures patient safety through adherence to infection control and fall prevention protocols. Supervises and delegates tasks appropriately to licensed and unlicensed staff. Knowledge/Skills/Abilities/Expectations Proficient in clinical assessment, documentation, and patient care planning. Knowledge of medical terminology, pharmacology, and nursing best practices. Strong interpersonal, communication, and organizational skills. Ability to function effectively in high-stress situations with diverse patient populations. Familiarity with electronic medical records (EMR) and clinical documentation systems. Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity. Demonstrates professional integrity, accountability, and a commitment to continuing education. Qualifications Education Associates degree in Nursing required. Bachelor of Science in Nursing (BSN) preferred. Licenses/Certifications Current state RN license or compact state equivalent required. Basic Life Support (BLS) required in the timeframe required by facility policy. Advanced Cardiovascular Life Support (ACLS) required in the timeframe required by facility policy. Crisis Prevention Intervention (CPI) may be required in the timeframe required by facility policy. Specialty certification (e.g., RN-BC, CMSRN) preferred. Experience Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred. Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment.
RN Outpatient Per Diem
NYU Langone Health

Per Diem- Ambulatory Care Nurse (FGP), Brooklyn Heights

$1 - $1,000,000 / year
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 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. 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 Per Diem- Ambulatory Care Nurse. 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: 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 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 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 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 Current Registered Professional Nurse in New York. If hired after 9/1/25: Baccalaureate degree in Nursing required; Associate Degree in Nursing may be approved contingent upon approval from Nursing Leadership, with a minimum of two years nursing experience in applicable area and enrollment in a baccalaureate nursing program to be completed within 2 years of hire. Basic Life Support Certification through the American Heart Association.. Required Licenses: Registered Nurse License-NYS, Basic Life Support Cert Preferred Qualifications: ACLS certification. Membership in pertinent professional organizations. Ambulatory Care and/or Emergency Department experience preferred. 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. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Grossman School of Medicine is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . 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 - $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. To view the Pay Transparency Notice, please click here
Rady Children's Hospital-San Diego

Registered Nurse (RN) - Hematology/Oncology Outpatient, San Diego, CA

Per-Diem RN position at the Rady Proton Center Located inside of the California Protons Cancer Therapy Center, the Rady's Proton Center provides proton radiation as part of cancer therapy for pediatric patients from all around the globe. This position is for registered nurses who have reasonable availability to work on a per-diem schedule, and also have prior work experience with some of the following: Prior pediatric nursing experience within radiation oncology or: hematology/oncology (inpatient and/or outpatient) PICU PACU OR radiology plus more... Experience with the following pediatric nursing skills: general anesthesia (monitoring during and/or recovery) administering IV medications drawing labs via central line or peripheral venipuncture starting IV's central line care (to include dressing changes, accessing port-a-cath's, medication administration, etc.) CT, MRI, PET/CT plus more... The Proton Center is open from 0600 to 1830, Monday through Friday, and closed on major holidays. The nurse hired for this position would be used to fill gaps within the staffing schedule to meet the center's care demands appropriately. Individuals having a reasonable amount of flexibility to meet the center's requirements for staffing will be strongly considered upon selection for hiring. JOB SUMMARY: The Clinical Nurse II collaborates with physicians and multidisciplinary team members. Responsible for independently applying the nursing process through the assessment, planning, implementation, evaluation and documentation of pediatric patient care. Resolves patient problems and needs by applying multidisciplinary team strategies. Selects and coordinates the appropriate care, taking into consideration the age, developmental level and size of the patient. Protects patients and employees by adhering to infection-control policies and protocols, medication administration, storage procedures and controlled substance regulations. Should be able to identify own limitations and seek resources as needed. Maintains a collaborative relationship among health care teams by communicating information and participating in team problem-solving methods. MINIMUM QUALIFICATIONS: Associate's Degree in Nursing 1 year of experience Current California RN License BLS for Healthcare Providers, issued by American Heart Association PALS (American Heart Association) (within 3 months of hire) PREFERRED QUALIFICATIONS: Bachelor's Degree in Nursing APHON chemotherapy provider 3 years of experience Professional nursing certification Pediatric nursing experience in a comparable, high-acuity department Bilingual English/Spanish The current salary range for this position is $61.91 to $81.89 A candidate’s placement in the range will be determined based on the terms and conditions of the applicable collective bargaining agreement. Rady Children’s Hospital is committed to being externally competitive and internally equitable. We demonstrate this commitment by reviewing market data to remain competitive within the nonprofit, healthcare sector. This posting will remain open from the “date posted” until the hiring manager has determined there is a sufficient applicant pool or until the position is filled.