Registered Nurse

San Ysidro Health•San Diego, CA

5d•Onsite

About The Position

Under direct supervision and within the established scope of practice, the Ambulatory Care Registered Nurse ensures delivery of patient-centered services in a clinic setting in accordance with San Ysidro Health (SYH) policies and procedures. The nurse assesses patients, documents care, coordinates with the healthcare team, provides education and clinical interventions, supports clinic operations and inventory, and follows applicable safety, infection-control, confidentiality, and quality-improvement requirements. The role also supports message management, telephone triage, telehealth visits, medication prior authorizations, and vaccination and immunization programs. The nurse may provide coverage across SYH clinic locations and work a varied 40-hour schedule, including evenings and/or weekends, between 8 a.m. and 8 p.m. The position has no supervisory responsibilities.

Requirements

Current license to practice as a Registered Nurse in California.
Graduate of an accredited registered nursing program.
Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification from the American Heart Association.
Ability to read, write, and comprehend medical information and terminology.
Ability to present information effectively, both verbally and in writing.
Demonstrated knowledge of the RN scope of practice.
Good interpersonal skills.
Fluent in Spanish and English.
Ability to work a varied 40-hour-per-week schedule, including evenings and/or weekends, between 8 a.m. and 8 p.m.
Compliance with mandated vaccinations and all boosters as a condition of employment.
Completion of pre-employment requirements, including I-9, physical, positive background and reference check results, completed application, new-hire orientation, and pre-employment PPDs.

Nice To Haves

One year of experience as a Registered Nurse.
Associate Degree in Nursing (ADN) and/or Bachelor of Science in Nursing (BSN).

Responsibilities

Uphold SYH policies, procedures, core values, competencies, and applicable laws.
Assess and collect patient information covering physiological, psychosocial, cultural, spiritual, and cognitive status, nutrition, pain, education needs, family involvement, and patient advocacy.
Document patient information, nursing procedures, and patient responses in the medical record according to SYH guidelines while maintaining confidentiality.
Prepare and manage charts for scheduled patients.
Delegate appropriately and coordinate the duties and activities of healthcare team members; support other ambulatory care roles in the clinic.
Prioritize patient care based on patient needs and available resources.
Identify and address patient and family learning needs, including through health coaching and teach-back techniques to support self-management.
Demonstrate sensitivity to patient and family rights, age-specific needs, and cultural and ethical beliefs.
Provide and coordinate patient care and maintain effective working relationships with healthcare team members, patients, and families.
Communicate patient test results and follow-up according to SYH processes.
Interview patients and measure vital signs and other information required by the clinic.
Perform patient care procedures, including sterile wound dressing and packing, catheter insertion and removal, and suture and staple removal.
Perform point-of-care testing, including urine, pregnancy, and A1C tests, as directed.
Manage clinic-use medication inventories and order or replenish medical supplies, medications, and materials; maintain inventory logs.
Prepare and administer medications under SYH standing orders and physician orders, in accordance with SYH policies and procedures.
Lead efficiently in emergencies by following protocols, notifying appropriate people, and documenting events.
Oversee autoclave processes to ensure instruments are cleaned, processed, sterilized, and checked in compliance with audit and infection-control requirements.
Assist physicians with therapeutic and diagnostic care, including sterile procedures, wound care, catheter insertion and removal, inhalation treatments, minor surgery support, dressing application or removal, EKGs, visual testing, and audiometric testing.
Follow infection-control policies and procedures, including aseptic techniques, and apply SYH safety principles.
Follow ambulatory care policies and established workflow processes; demonstrate accountability for professional practice.
Oversee clinic immunization workflows, excursion reporting, and emergency vaccine management plans.
Use effective communication methods and follow appropriate lines of authority.
Participate in staff development training, meetings, clinic activities, and continuous quality-improvement efforts; assist with annual competency skills sign-off.
Apply knowledge of legal issues, including patient confidentiality and risk management.
Keep the clinical area prepared for audits by completing monthly Quality Assurance packets and addressing deficiencies.
Participate in unit and department performance and quality-improvement activities and nursing research activities as requested.
Use computers and telecommunication modalities to document, track, and convey information.
Assist with nursing schedules, address staffing issues flexibly, and float to other units upon request.
Fulfill expectations established for any specialty or extended role, if applicable, and perform other assigned duties.
Practice SYH customer-service standards, anticipate and respond promptly to patient needs, facilitate access to resources, and maintain a clean, orderly, functional work environment.
Work collaboratively, adapt and assist others, manage conflict constructively, take accountability, participate in professional development, and adhere to the Attendance Policy.
Assist with medication prior authorization as needed and follow the established message-management process.
De-escalate concerns and support service recovery; conduct telephone triage using clear protocols and clinical judgment; support telehealth visits.
Support vaccination programs through vaccine administration, reconciliation, verification, inventory management, patient outreach, staff training, reporting, workflow coordination, program communications, quality improvement, and management of vaccine excursions and emergency plans.
Provide coverage as needed throughout SYH clinic locations.
Complete a self-ergonomic evaluation on the learning management system for the home office.