CN II - Ambulatory Procedural Nurse

Job Summary: Under direction, Ambulatory Care Nurses perform professional nursing duties for outpatient clinical areas; monitor, treat and educate patients, their families and the public regarding various medical conditions; record medical histories and symptoms; perform diagnostic tests and analyze results; operate medical equipment; administer treatment and medications; make assessments and create a plan of care; perform care coordination; provide lead direction to other nursing and paraprofessional personnel and perform other duties as assigned and required by the assigned clinical setting.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification.



1.  Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients and families by co-workers for a given work period; responsibility as a team leader when assigned.



2.  Participates in the implementation of patient care standards, infection control   standards and quality assurance criteria; assist with conducting studies; participates in unit and other meetings.



3.  Provides patient-centered care that is respectful of, and responsive to, individual patient preferences, needs and values. Provides and promotes excellence in customer service for both internal and external customers.



4.  Collaborates with patients and other healthcare providers to deliver coordinated, high quality care



5.  Performs nursing care following prescribed roles, policies, protocols and procedures.



6.  Prepares, educates and monitors patients undergoing procedural sedation.



7.  Critically evaluates and uses good judgment in unusual or emergent situations.



8.  Complete patient assessments and triage, record patient histories, symptoms and observations.



9.  Clinical skills include but are not limited to: vital signs, procedural sedation management, cleaning and use of medical equipment, Point of Care Testing and phlebotomy.



10. Provides clinical support and direct case management including patient education, goal setting, self-management teaching and coaching.



11. Effectively utilizes population health methodologies such as patient registry, in reach, outreach, care protocols and team-based care to improve patient and population outcomes



12. Provides care coordination of patient-centered care, based on evidence-based guidelines; coordination based on patients’ health care needs and treatment recommendations to establish and maintain a plan of care jointly created and managed by patient, family and care team.



13. Administers medications, immunizations, performs medication reconciliation.  Titrates medications/manages refills per clinical guidelines.



14. Performs accurate assessment of patient conditions (face to face or through telehealth) and utilizes guidelines or standardized procedures to create an effective plan of care.



15. Participates in Performance Improvement/Quality Control activities.



16. Ability to empathize with vulnerable populations and underserved patients.



Minimum Qualifications:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.



Required Education: Graduate of an accredited Registered Nursing Program



Preferred Education: Bachelor's degree in Nursing or higher.



Required Experience: Six months experience as a Clinical Nurse I with AHS or the equivalent of one year full time recent experience at a comparable level in an acute care hospital or in the area of specialty; (if experience is not recent, completion of an approved refresher course may be acceptable).



Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.



Required Licenses/Certifications: Advanced Cardiac Life Support Certification issued by the American Heart Association; Completion of moderate sedation competency.



Required Licenses/Certifications: Provider existing (or obtain new, if needed) NPI number

Preferred: Moderate Sedation Certification