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NYU Langone Hospitals

Ambulatory Care Nurse (FGP) - Palm Beach County, Florida

NYU Langone Hospitals, New York, New York, us, 10261

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Position Summary

We have an exciting opportunity to join our team as an Ambulatory Care Nurse. The Ambulatory Care Nurse will support the coordination, integration, communication, implementation and evaluation of nursing practice and clinical policies and procedures. In this role, the nurse participates in site and organizational quality and performance improvement activities, collects patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborates with licensed providers to develop patient‑centered plans of care that prescribe interventions to attain expected outcomes. The nurse provides comprehensive care in support of all patients, including administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and counseling.

Job Responsibilities

Perform physical examinations and diagnostic tests Collect patient health history Record information in electronic health record Provide information, counsel and education to patients and families regarding test results and treatment plans as directed Administer medications (including vaccination, IV therapy, oxygen administration), provide comprehensive wound care, and perform phone and in‑person patient triage for clinical concerns Assess and monitor patient responses to various treatments, procedures and anesthesia Consult with clinical supervisors and licensed providers to determine best treatment plans for patients Direct, supervise and delegate to licensed practical nurses, medical assistants and technicians as needed to support patient flow and efficiency Perform other duties as needed

Clinical Responsibilities

Support the coordination, integration, communication, implementation and performance evaluation of nursing practice and clinical policies and procedures Ensure clinical compliance with Patient Safety initiatives and reporting Support key quality initiatives (e.g., MIPS, Care gap management) to impact clinical outcome measures Demonstrate knowledge of the NYULH Service Standards and incorporate them into performance of responsibilities Participate in designated activities related to NYULH clinical standards and regulations of relevant outside agencies Support the missions, philosophy, standards, goals and objectives of NYULH, Departments of Nursing, and FPG Collaborate with members of the interdisciplinary team and promote collegial relationships Serve as a support and resource for nursing, other clinical staff and providers Participate in clinical inquiry and activities to foster evidence‑based practice Provide emergency care in accordance with organizational policy

Professional

Engage in self‑assessment and participate in activities to promote own professional growth and development Seek, acquire and maintain current nursing knowledge and competence to fulfill responsibilities as FGP Ambulatory Nurse Procure and apply new knowledge related to medical treatment and technology Utilize resources to meet individual learning needs and promote professional development in clinical practice Maintain awareness of current patient‑centered, evidence‑based practice and consider applicable research data to patient care delivery Act as a mentor to peers and colleagues Fulfill obligation to identify and report professional misconduct appropriately

Implementation / Provision of Care

Execute medical regimens as prescribed by licensed providers (physicians, dentists, nurse practitioners, certified midwife, physician assistants, podiatrists) Assess patients, identify unmet patient needs and plan comprehensive care to meet those needs in relation to the patient’s illness, condition or disability Identify unidentified co‑morbidities or emergent complications and report to the provider so that an intervention may be ordered Integrate care with other health care providers such as respiratory therapists, physical therapists, social workers, physicians, nurse practitioners, dieticians, navigators, and discharge planners Provide physical care in the entire patient’s manifested requirements including but not limited to administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling

Task / Procedure

Collect and document patient clinical historical and assessment data Perform onsite testing (e.g., POC lab testing, EKG, specimen collection, auditory & visual test, psychiatric & physical risk screening, fetal monitoring, non‑stress test, spirometry, allergy skin testing, bladder, TB skin testing) Perform medical and nursing treatments in accordance with plan of care, provider orders, and NYSBON scope of practice Perform procedures (e.g., hot & cold applications, placement/removal of orthopedic appliances, casts, splints, sutures and staple removal, urinary bladder irrigation, insertion/removal of catheters, ear irrigation) Apply and remove dressings, perform wound care Assist with minor and major procedures Perform patient monitoring including pre, intra, post procedure, testing, medication administration, medical/surgical treatment and/or sedation Provide medication administration (IM, PO, SQ, ID, IV topical, inhalation, ocular, vaginal, rectal, oxygen therapy) as per provider orders or protocols to patients in practice, following nursing rights of medication administration and organizational policies Facilitate medication refills by reviewing clinical information and preparing orders for provider authorization in EMR Administer IV therapy (including blood, blood products, IV fluids, chemotherapy with proper certification) via peripheral or central venous devices Start and discontinue peripheral IV lines Maintain peripheral and central IV lines and manage complications with appropriate certification

Communication and Message Management

Ensure clinical in‑baskets are managed and encounters closed in a timely manner Receive, document and report critical lab values as indicated Relay normal and abnormal clinical results, follow up and explanation to patients, as directed by provider Perform preliminary review of results for prioritization of urgent findings, then notify provider for final verification Perform in person and phone triage for patient clinical concerns with appropriate escalation; provide clinical advice within RN scope and/or direction from provider Perform care/case management of a defined population via multidisciplinary plan to coordinate/facilitate patient care as needed

Health Promotion & Education

Identify, analyze and advocate for appropriate actions to improve health and wellbeing for patients, families and community Collect patient healthcare data systematically and continuously using appropriate assessment techniques and instruments Analyze assessment data to determine health status and nursing diagnoses Escalate urgent/emergent deviations to medical provider and/or emergency care Identify barriers to optimal care (physical, cognitive, language, literacy, socioeconomic, cultural, behavior) Assess patient’s ability to adapt to new situations and circumstances created by changes in health status and/or environment Develop patient‑centered plans of care that prescribe interventions to attain expected outcomes, and partner with patients to set individualized goals Educate patients and families to facilitate promote healthy adjustment to new or changed health patterns Implement interventions identified in the plan of care Evaluate patient progress toward attainment of expected outcomes

Patient Experience

Serve as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience during every encounter

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Minimum Qualifications

Bachelor’s degree in Nursing required, Basic Life Support Certification through the American Heart Association, fluent written and spoken English language skills. A Baccalaureate degree in Nursing is highly preferred; a Diploma or Associates Degree in Nursing requires a minimum of one year experience in conjunction with plans to earn a baccalaureate degree required. Current Registered Professional Nurse in Florida.

Required Licenses

Registered Nurse Lic- Florida, Basic Life Support Cert

Preferred Qualifications

ACLS certification. Membership in pertinent professional organizations.

Qualified candidates must be able to effectively communicate with all levels of the organization.

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