Registered Nurse

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 physiologic, 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.
• 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.
• Delegates appropriately and coordinates duties/activities of health care team members.
• Evaluates effectiveness of care given by team members.
• Implements patient care functions including but not limited to: sterile wound dressing/packing, urine catheter insertion/removal, suture and staple removal.
• Utilizes effective communication methods and skills, following lines of authority as appropriate.
• 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 to SYH policy and procedure.
• Demonstrates knowledge of and applies safety principles as identified by San Ysidro Health.
• Leads efficiently in emergency situations following established protocols, informing appropriate persons, and documenting events.
• Autoclave: oversight of process to ensure the cleaning, processing, sterilizing and checking of instruments is in compliance to meet audit and infection control requirements.
• Immunization coordination: oversight of clinic’s daily routine workflow, excursion reporting process and emergency vaccine management plan.
• Demonstrates responsibility and accountability for own professional practice.
• Participates regularly in staff development trainings and activities for clinic to support continuous quality improvement.
• Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.
• Participates in unit and department Performance and Quality Improvement activities.
• Participates in nursing research activities as requested.
• Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests.
• Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information.
• If practicing in a specialty/extended role, fulfills the expectations established for the particular role.
• Perform other related duties as necessary.
• This job has no supervisory responsibility.

Customer Service/ Patient-Centered Care

• Practices customer service standards as defined by SYH and specified clinic.
• Anticipates the customer's needs, takes proactive steps to meet those needs, by listening and taking responsibility within scope to ensure issues are resolved.
• Promptly responds to patient requests.
• Facilitates the customer's ability to utilize resources.
• Assures a clean, orderly, and functional work environment.

Team Commitment

• Effective team member who is adaptable, cooperative, and willing to assist others.
• Works collaboratively with others to meet shared objectives.
• Manages difficult or conflict situations constructively and seeks appropriate assistance.
• Takes accountability for own actions.
• Actively participates in departmental professional development activities.
• Adheres to Attendance Policy.

Job Requirements

Experience Preferred:

• six (6) months of experience as a Registered Nurse

Education Required:

• High School Diploma/GED
• Graduate of an accredited registered nursing program.

Education Preferred:

• ADN and/or Bachelor of Science, Nursing (BSN)

Certifications Required:

• Current license to practice as a Registered Nurse in California.
• Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification (American Heart Association)

Verbal and Written Skills Required to Perform the Job:

• Ability to read, write and comprehend medical information and terminology.
• Ability to effectively present information, both verbal and written.
• Demonstrated knowledge of the RN scope of practice.
• Good interpersonal skills.

Working Conditions and Physical Requirements: 

• Continuous standing/walking/twisting.
• Occasionally lifts pushes and/or transfers patients. 
• Exposed to unpleasant elements (accidents, injuries and illness).
• May be required to work evenings and/or weekends.
• Reliable transportation necessary for traveling to assist with providing coverage as needed throughout all SYH clinic locations.

Universal Requirements:

Pre-employment requirements include I-9, positive background and reference check results, complete application, new hire orientation, and completion of employee health screening.