University of Rochester Staff Nurse, UHS in Rochester, New York
Full Time 36 hours Grade 044 University Health Service
8 AM-5 PM; MAY REQUIRE FLEXIBILITY TO WORK OCCASIONAL EVENINGS OR WEEKENDS.
The Level 3 RN assesses and evaluates the health and illness needs of UHS patients. This includes planning and initiating nursing interventions according to clinical urgency. The Level 3 RN translates nursing skills in a variety of patient care settings including primary care, mental health, reproductive health and occupational health. The Level 3 RN works independently outside the main office without higher level of provider on site. The Level 3 RN assumes an expanded charge role along with orientation responsibilities for new RN staff. The Level 3 RN serves as care coordinator to assure quality and continuity of care, including the transfer of seriously ill patients to other sites of care.
Under general direction and with latitude for independent judgment:
Pre and post blood/body fluid exposure care to employees and students. Coordinates source patient testing. Pre and post test counseling for HIV testing. Liaison to UHS physicians regarding results of testing.
Responsible for determining eligibility of staff use of "absence to prevent contagion" policy.
Liaison to Infection Control for employee infectious exposures; evaluation and treatment of employees per standing orders/MD consult.
TB exposure surveillance programs for SMH, SMD, EDC and SON; TB exposure follow-up; monitors patient treatment.
Consults UHS Physicians and SMH Epidemiologist in management of hospital communicable disease exposures.
Provides occupational exposure or concern care for chemicals, latex or other agents.
Provide annual employee occupational health assessments according to protocol, on and off-site as needed. Includes immunization administration, PPD placement and other similar duties.
Level 3 Requirements:
Assesses and evaluates patient symptoms, reactions, and progress:
- Using the UHS Nursing Care Guidelines and evidence based principles of nursing practice, applies direct treatment and management of clinical conditions.
- Consults with care Provider as appropriate.
- Evaluates patient based on clinical data.
- Patient Care documentation is clear, concise, and follows the nursing care guidelines.
- Telephone triage notes reflect the AAACN standards.
Administers medications and other therapeutic or diagnostic procedures within a framework of established scientific principles and precautions. Demonstrates knowledge of medication interactions, effectiveness, and adverse reactions.
Provides for patients' care, comfort, and safety by monitoring the patient and UHS physical environment. Is alert to potential alteration in patients' health status. Takes effective action with any change in condition and communicates issues with the health care team. Able to transfer patient to a higher level of care (ED, CPEP, Orthopedics), with consultation from covering MD.
Maintains accurate and complete documentation of all interactions involving patient care. This includes SOAP notes and official logs and records. Assists with problem solving and improvement of the electronic health record.
Provides supervision and direction to other RN's and/or non-nurse staff as assigned by Assistant Director for Clinical Operations. Effectively manages the office, situation, sets priorities and delegates responsibility. Identifies potential problem areas and independently initiates problem solving. Interprets policies and procedures in a clear manner. Is consistently a resource to help others.
Provides individual patient teaching and counseling. Finds new sources of education and shares with the health care team. Teaches during visits, phone calls and documents interventions. Also participates in general health education activities for UHS staff.
Participates in internal and external quality assurance and accreditation activities to evaluate and improve UHS care and services. Identifies actual or potential problems and begins to generate solutions. Follows through on improvement plans and re-evaluation as needed.
Participates in internal and external emergency preparedness, leads drills and actual emergency situation response coordination.
Assists and collaborates with other UHS health care providers in delivering general and specialized patient care. All care includes consideration of patient age, life situation, cultural and spiritual needs.
Participates with other UHS staff members in the orientation and on-going clinical learning activities of student health professionals. Actively provides feedback and completes evaluation forms.
Assumes responsibility for personal professional growth; plans and/or participates in conferences, continuing education, and in-service activities. Keeps current in professional knowledge and issues. Maintains a minimum of 10 contact hours per year.
Functions within the philosophy, objectives, and policies of UHS and interprets these to patients, the University community, and the community at large.
Fosters a positive relationship with all members of the health team, is approachable and works to promote a smooth and efficient care center. Treats patients/family/staff with respect, kindness, and courtesy without discrimination and serves as a role model to others.
Other duties as assigned.
Graduation from an accredited School of Nursing, BSN preferred. Current license to practice as a Registered Nurse in New York. At least three years of RN experience in direct patient care including assessment of health/illness status, utilization of physical assessment skills, and direct decision-making (e.g. choose a course of action), or an equivalent combination of education and experience. Meets Level 2 requirements including all RN core competencies. Able to place and monitor IV therapy.
EOE Minorities/Females/Protected Veterans/Disabled
Job Title: Staff Nurse, UHS
Location: Central Administration
Job ID: 210785
Full/Part Time: Full-Time