Registered Nurse

Position Summary:
Under direct supervision of a Registered Nurse or provider performs routine patient care, excluding administration of IV medications, as directed by San Ysidro Health policies and procedures in a medical office or clinic setting.

Essential Functions of the Job:
• Upholds San Ysidro Health’s Policies and Procedures, Core Values and competencies and applicable state, federal and local laws.
• Performs routine patient care functions as prescribed by licensed health care providers following established clinical protocols and policies and procedures within defined scope of education, training, and responsibilities.
• Documents pertinent patient information, nursing procedures and patient responses in EHR, following established SYH guidelines and maintaining patient confidentiality.
• Performs data collection focusing on physiologic, psychosocial, cultural, spiritual, and cognitive status; also, nutrition, pain, patient/family education, family involvement and patient advocacy.
• Completes chart preparation and management for scheduled patients.
• Delegates appropriately and coordinates duties/activities of health care team members.
• Ability to work and support other ambulatory care roles in clinic
• Establishes patient care priorities based on essential patient needs and availability of unit resources (time, personnel, equipment, and supplies).
• Identifies patient/family learning needs and acts to meet them.
• Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.
• Provides/coordinates care for patients/patient populations.
• Establishes effective working relationships with members of the health care team, patients, and families.
• Follows SYH process for communicating patient test results and follow-up.
• Interviews patients, measures vital signs, and other pertinent information as required by specific clinic.
• Implement patient education techniques such as health coaching and teach back to support self-management. Identifies patient/family learning needs and acts to meet them.
• Implements patient care functions including but not limited to sterile wound dressing/packing, urine catheter insertion/removal, suture and staple removal.
• Performs point of care testing, including but not limited to urine tests, pregnancy tests, A1C, and others as directed.
• Handles clinic use medication inventories and orders and replenishes medical supplies, medications, and materials throughout the day as needed. Maintains clinic inventory logs.
• Prepares and administers medications, excluding IV medications, as directed by physician order and in accordance with SYH policy and procedure.
• Participates and responds and may efficiently lead in emergency situations following established protocols, informing appropriate people, and documenting events. When assigned to clinical emergency codes.
• Autoclave: oversight of process to ensure the cleaning, processing, sterilizing, and checking of instruments complies to meet audit and infection control requirements.
• Assists the physician with therapeutic and diagnostic patient care functions which may require sterile technique, wound care, urine catheter insertion/removal, wound care, inhalation treatments, minor surgery support, removal or application of dressings, EKG, visual testing, and audiometric testing.
• Follow Infection Control policy and procedures guidelines, including aseptic techniques.
• Demonstrates knowledge of and applies safety principles as identified by San Ysidro Health.
• Demonstrates responsibility and accountability for own professional practice
• Follow all SYH ambulatory care policies, and established workflow process
• Immunization coordination: oversight of clinic’s daily routine workflow, excursion reporting process and emergency vaccine management plan.
• Utilizes effective communication methods and skills, following lines of authority as appropriate.
• Participate regularly in staff development training, meetings and activities for clinics to support continuous quality improvement.
• Assist with annual competency skills sign off
• Demonstrates knowledge of and applies safety principles as identified by San Ysidro Health.
• Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.
• Ensure the clinical area is audit prepared by completing monthly Quality Assurance packet and addressing deficiencies.
• Participates in unit and department Performance and Quality Improvement activities.
• Participates in nursing research activities as requested
• Demonstrates proficiency in the use of computers and telecommunication modali