Registered Nurse

*This position is part of the message management team and involves in-direct patient care, telephone triage and high customer service. Spanish Speaking required.

Position Summary:
Under direct supervision and within established scope of practice, the Ambulatory Care Registered Nurse ensures the delivery of patient-centered services as directed by San Ysidro Health policies and procedures in a 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 assessment/data collection focusing on physiological, psychosocial, cultural, spiritual and cognitive status; also, nutrition, pain, patient/family education, family involvement and patient advocacy.
• Documents pertinent patient information, nursing procedures and patient responses in patients' medical record, following established SYH guidelines and maintaining patient confidentiality.
• Performs data collection focusing on physiology, 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 per SYH standing orders and as directed by physician orders, in accordance with SYH policy and procedure.
• Leads efficiently in emergency situations following established protocols, informing appropriate people, and documenting events.
• Autoclave: oversight of processes to ensure the cleaning, processing, sterilizing, and checking of instruments is in compliance 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 act