Outpatient RN

Driscoll Children's Hospital Corpus Christi, TX, US

Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

General Purpose of Job:

The staff nurse is a professional Registered Nurse (RN) who provides direct nursing care to an assigned patient population, service line or clinic department. The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas Nursing Practice Act scope of practice and within the framework of Driscoll Health System’s vision and mission of excellence and integrated care delivery. The staff nurse practices within the established standards of practice, ethical guidelines, policies and guidelines reflective of the American Nurses Association (ANA) and their specialty service line. The staff nurse completes specific duties and maintains current competence in the skills and nursing practice according to the service line or area of primary work assignment.

Essential functions and Behavioral Expectations:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

Standards of Nursing Practice

Assessment

Collects pertinent data through initial and ongoing focused assessments to analyze the patient’s condition and follows through with appropriate reporting and actions. Conducts comprehensive assessments of patients' physical, psychosocial, and emotional needs
Utilizes appropriate tools to gather relevant data to inform patient care decisions

Diagnosis/Analysis

Analyzes assessment data to determine actual or potential diagnoses, problems, and issues
Verifies the diagnoses, problems, and issues with the healthcare consumer and interprofessional colleagues

Outcomes Identification

Identifies expected outcomes for a plan individualized to the patient or situation
Collaborates with the patient/family to define outcomes integrating culture, values, and ethical considerations
Works collaboratively with other healthcare team members which may include other RNs, Licensed Vocational Nurse (LVN), Advanced Practice Nurse Practitioners (NP), Physician Assistants (PA), Physicians and Medical/Nursing Assistants and administrative support staff to address patient needs promptly

Planning

Develops, prioritizes, implements, and modifies an individualized evidence-based plan of care in partnership with the person, family and healthcare team
Contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management
Advocates for compassion, responsible, and appropriate use of interventions

Implementation

Administers medications and therapeutic treatments using appropriate devices per clinical guidelines and orders
Recognizes and intervenes to address abnormal responses to medication therapy and initiates corrective therapy
Escalates patient care concerns or changing status until resolution is achieved

Coordination of Care

Initiates appropriate referrals to the healthcare team based on assessed patient needs
Communicates with the patient/family, interprofessional team, and community-based resources for safe transitions in continuity of care
Ensures continuity of care by communicating effectively with patients, families, and healthcare providers
Acts as a liaison between specialties and sub-specialties, coordinating referrals and follow-up appointments as needed to support the patient continuity of care between inpatient and outpatient care
Performs phone triage, manages prescription renewals, and coordinates follow-up appointments and care plans tailored to patients’ needs if working in an ambulatory setting

Health Teaching and Health Promotion

Identifies barriers to learning, develops and implements education plan based on assessed patient/family needs
that reflects the patient/family values, beliefs, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status
Uses health promotion and teaching methods, including technologies to communicate health promotion and disease prevention

Evaluation

Evaluates and reports pertinent patient response to interventions based on evidence-based best practice
Evaluates progress toward attainment of expected outcomes and revises plan as necessary

Standards of Professional Performance

Ethics

Integrates code of Ethics for Nurses to guide practice and decision-making in all areas of practice

Advocacy

Functions as an advocate, seeking direction as needed to provide safe, effective, efficient, and timely care
Demonstrates a willingness to address persistent, pervasive systemic issues
Embraces diversity, equity, inclusivity, health promotion for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span

Respectful and Equitable Practice

Establishes and maintains a therapeutic relationship with patient/family to ensure patient comfort and dignity without bias

Communication

Uses clear, closed loop communication that enhances team information sharing and decision making. Uses language translation resources to ensure effective communication
Documents according to policy or guidelines in a timely and accurate manner in the medical record to communicate with the healthcare team

Collaboration

Supports goals through participation and compliance in unit activities, shared governance and decision-making

Leadership

Identifies conflict and helps to initiate resolution, seeking assistance when appropriate
Demonstrates authority, ownership, accountability and responsibility for appropriate delegation of nursing care to unlicensed assistive personnel
Assists by assuming a lead role as needs or schedule variances arise
Assumes charge nurse role by completing additional training and competency to support the unit as requested

Education

Seeks experiences that reflect current practice to maintain and advance knowledge, skills, abilities, and judgment in clinical practice or role performance
Mentors and/or trains new nurses to their roles for the purpose of ensuring successful enculturation, orientation, competence and emotional support
Supports the acculturation of nurses new to their roles by role modeling, encouraging, advocating, and sharing pertinent information relative to optimal care delivery

Scholarly Inquiry

Participates in clinical research by following specific protocols
Uses current evidence-based knowledge, combined with clinical expertise to guide practice

Quality of Practice

Complies with and supports regulatory and organizational policies and professional standards
Participates in Quality Improvement
Identifies trends in patient care outcomes for QI monitoring, practice change, and/or staff education

Professional Practice Evaluation

Participates in improving patient care by engaging in reviewing and supporting practice change based on evidence-based practice
Completes required ongoing development and education/competency/certifications as required

Resource Stewardship

Ensures the correct functioning of equipment, identifies deficits and reports appropriately
Integrates connected health technologies into practice to promote positive interactions between patients and care providers
Submits required tasks and documentation to support chargeable and billable care activities

Environmental Health

Creates a safe and healthy workplace and professional practice environment void of abusive, destructive or oppressive behaviors

Additional Job Responsibilities

Staffing to Demand & Floating

Demonstrates flexibility in staffing, scheduling and traveling as needed to meet unit and the hospital system staffing needs for the greater good
Willing to float between various care areas, departments, subspecialty clinics or ambulatory clinics as directed by supervisor and according to scope and competency
Nurses may be floated, flexed off or to stand-by according to policy based on schedule, volume and patient care needs and/or work activity demands to optimize resource allocation and maintain quality of care
Supports staffing needs as deemed necessary by each individual Department or Service line. May be required to work alternating shifts or flexible hours including days, nights, weekends, or take on-call and/or call-back shifts to support regular and surge volume needs. These staffing changes will fluctuate with patient volume, acuity and staffing matrices

Travel Requirements

May be required to travel to satellite locations to support clinical practice care services as needed to ensure patient access and continuity of care
- Clinic nursing staff are required to travel to satellite outpatient clinics as needed to ensure patient access and continuity of care. Supports the coordination of patient care and services at these sites

License, Education and/or Experience:

BSN preferred.
Current RN license in the State of Texas.

Certificates, Registrations:

American Heart Association Basic Life Support (CPR) continuously maintained. May onboard with AHA or Red Cross CPR and then transition to AHA upon first renewal.
Advanced Specialty Courses (ASC) according to Attachment A
- ASC courses should be taken at earliest opportunity, but must be completed within timeframes specified on Attachment A and continuously maintained ongoing.
National Certification in specialty must be attempted within 4 years of hire date for eligible role and continuously maintained thereafter.

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Proven track record of collaborating with physicians, advanced practice providers, sonographers, and interdisciplinary teams to pilot and scale innovative approaches in high-risk obstetrics, fetal diagnostics, and prenatal care delivery, while ensuring compliance with regulatory, accreditation, and quality standards. Demonstrated leadership skills including creative and effective problem-solving, ability to effectively collaborate within a multidisciplinary team, and ability to direct nursing practice and apply critical thinking skills/judgment to a variety of situations. Previous supervisory/management experience 2 years or greater experience in a nursing leadership role. Experience in managing budgets, aligning resources Experience with telephone triage Master's in nursing preferred Certification in specialty or ambulatory care. Evidence of demonstrated or potential leadership ability, including charge nurse, team leader or other leadership experience. Active participant in professional organizations Experience with Epic or MiChart Previous experience in the application of evidence-based medicine in a clinical patient care environment is desired. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Excellent medical, dental and vision coverage effective on your very first day 2:1 Match on retirement savings Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Work Schedule Hours per week: 40 hours/week Hours/Shift: Hours and days will be based on unit/clinic need. Location: Michigan Medicine-Ambulatory Care: CW Clinics Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended. Selection Process Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.

NURSING SUPERVISOR (Ambulatory Care: Children and Women's Clinics)

Michigan Medicine Ann Arbor, MI