The Ambulatory Care Nurse in partnership with other health care professionals, addresses patient’s wellness, acute illness, chronic disease, disability, and end of life needs. Use the nursing process to perform a problem focused assessment of the patient’s primary concerns in the clinic, telephone, and telemedicine setting. Integrate into the practice the finding of quality of care and performance improvement initiatives. Ambulatory Care Nurse performs a variety of nursing care procedures requiring professional knowledge and consideration for specific patient conditions and treatments, and ability to work independently in completing assignments. Guidelines include physician’s orders, standards of care, nursing policies and procedures manuals, hospital policies. Nursing duties include support to individuals of all ages and their families.
The Ambulatory Care Nurse establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends and families. Model exemplary interpersonal communication, leadership, critical thinking and decision-making plus the following:
- Conducts a patient centered assessment utilizing appropriate assessment techniques related to ambulatory nursing.
- Creates available data, information, and nursing knowledge relevant to the presenting health situation to identify unique medical/nursing needs and implements appropriate interventions for age specifics categories.
- Provides age specific care in a compassionate, caring, culturally and ethically sensitive manner.
- Utilize competent, evidence-based ambulatory care nursing intervention during clinic visits, telephone or telemedicine and electronic health communication encounters.
- Interviewing patients and family members; consults and coordinates with providers and other members of the health care team to assess, plan, implement, and evaluate patient care plans carries out treatments and procedures per scope of practice. Provides counseling and education to patients and families or surrogates on preventive, curative and rehabilitative measures related to their health care needs. Serve as patient advocate by supporting the basic rights, values and beliefs of the patient.
- Maintaining health records by documenting observations, nursing interventions and therapeutic measures administered in an accurate, efficient, and timely manner, in the appropriate format and appropriate forms.
- Recognizing adverse signs and symptoms, which are not always apparent, and to respond promptly in emergency situations including the implementation of life saving procedures.
- Participating in the development, implementation and evaluation of standards of care, Quality Assurance and Infection Control activities. Contribute to positive working relationships within the Outpatient Department (OPD) team and other departments in the hospital.
- Monitoring and initiating corrective action to maintain the environment of care including equipment and material resources.
- Contributes to data collection that monitor ambulatory care nursing and organizational performance
- Delegating tasks and supervising the activities of other licensed and unlicensed care providers as appropriate in accordance with licensure standards. Accepts responsibility, delegated by the Program Director or designee, when assigned as team leader, providing guidance, direction and training to ancillary nursing and other personnel. Serve as charge nurse for a group of patients or staff when assigned.
- Participates in orientating new employees. Fosters a collaborative environment, using a team approach, in which ideas are shared and valued to promote safe, patient centered care.
- Maintains professional knowledge and proficiency in nursing through continuing education, staff meetings, workshops and serving on nursing committees.
- Floats to other Outpatient Department’s clinical areas to meet patient care needs during staffing shortages.
- Performing other duties as assigned.
The individual shall perform a variety of responsible nursing care procedures requiring professional knowledge and consideration specific patient conditions and treatments and ability to work independently in completing assignments; perform duties as assigned and insure quality patient care despite the situation encountered, be it routine or emergent.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Work requires walking, driving, long periods of standing, and bending. Agility and the ability to lift, pull and bend are required to move patients to and from beds, wheelchairs, stretchers, et cetera, and in moving equipment and medical supplies.
Contacts often require tact and sensitivity related to stressful situation such as death, dying, and catastrophic illnesses. Must be able to prioritize and use good judgment; coordinates a variety of issues while being frequently interrupted.
This position has a very high impact on the quality of treatment of patients. Inaccurate procedures result in risk management intervention.
TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position and applicants who are enrolled members of any other tribe who meet the necessary qualifications will be given secondary preference.
In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:
- Adhere to all professional and ethical behavior standards of the healthcare industry.
- Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
- Possess cultural awareness and sensitivity.
All employees must uphold all principles of confidentiality and patient care to the fullest extent.
I have read the qualifications and requirements for the position of Ambulatory Care Clinical Nurse. To the best of my knowledge, I believe I can perform these duties.
Associate’s or Bachelor’s Degree in Nursing
- Must have a valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States
- Must maintain and have a current valid BLS Certification by the American Heart Association
Must have one consecutive year of nursing experience in outpatient and/or acute healthcare setting
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
- Positive working relationships with others
- Ability to prioritize competing responsibilities while under pressure.
- Ability to communicate and interact effectively with patients, co-workers, and other practice.
- Ability to work independently; reports to work as scheduled without excessive absences.
- Ability to work in a computerized environmental setting; computer skills required.
- Knowledge of normal growth, development, and life cycle changes. This also includes knowledge of the physical, psychosocial, and behavioral characteristics of the age specific group for which care is provided.
- Knowledge of disease entities to recognize complications and therapeutic interventions required.
- Knowledge of pharmaceuticals to recognize the desired effects, side effects and complications on their use, with emphasis on vasopressors and emergency medications titration of these medications.
- Knowledge of infection control procedures, Personal Protective Equipment (PPE) and safety precautions
Bachelor’s Degree in Nursing
Other Skills and Abilities:
Ability to speak Navajo