The Outpatient Pulmonary Clinical Nurse II, under the supervision of the Clinical Manager and Practice Manager, delivers direct patient care to adult outpatient population in general pulmonary, and multiple sub-specialties including but not limited to Asthma, Advanced COPD, Bronchiectasis/Nontuberculous Mycobacteria, Cystic Fibrosis, Interstitial Lung Diseases, Sarcoidosis, and Neuromuscular Lung Diseases. The nurse is required to work in a fast-paced environment, to be flexible to work at multiple sites, and to cross-cover multiple sub-specialties and other nurses in the division when needed.

This nurse will be expected to be highly skilled with an in-depth knowledge and understanding of the pulmonary disease process, the major treatment modalities, symptom management, supportive care, and patient education. At this operational level, the nurse proactively embraces the Pulmonary Nursing Society/Standards of Pulmonary Nursing practice to utilize the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care.

The nurse utilizes an interdisciplinary approach across the continuum of care with adherence to National Patient Safety Goals set forth by regulatory requirements. The nurse is recognized and utilized as a clinical resource and demonstrates investment in the overall forward movement of the unit and the organization.

The Outpatient Pulmonary Clinical Nurse II is responsible for maintaining a safe environment for patients and staff, and for daily operations. Daily Tasks are including but not limited to: performing symptomatic phone triages, managing in-basket, complex care coordination, navigating & facilitating prior authorization for complex and specialty medications, walk test titration and assist with clinic emergencies. The Clinical Nurse II utilizes the nursing process for patient care assessment, planning, implementation, and evaluation to provide safe, therapeutic clinical care.

All components of nursing care will be individualized to meet the patient’s physiological and psychosocial developmental level and needs. S/he consistently projects a professional and courteous demeanor and works well in a collaborative team environment. S/he will assist with management of patient care administered by the UCSF Pulmonary Center physicians and other members of the clinical and nursing team. S/he will consistently project a professional and courteous demeanor and shall comply with the Medical Center Policies and Telephone Standards.

Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance.

% of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

YesClinical

Assessment

Identifies the needs and responses of patients to medical regimen and treatment through observation and documentation of signs/symptoms, emotional state, and cultural and socio-economic settings and backgrounds.
Responds or refers inquiries appropriately. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patient to appropriate members of the health care team. Alerts a provider/Nursing Manager re: unusual observations of patients in order to facilitate immediate attention, e.g. chest pain, shortness of breath.

Planning

Works cooperatively and participates with the health care team to discuss patient’s alternatives to health care services and to develop short and long range goals to meet the patient’s needs and treatment planning.
Plans as appropriate for the needs of patient using knowledge of physical and emotional processes as well as cultural and socio-economic backgrounds.
Identifies appropriate internal and external resources (e.g., family, significant others, monetary, community organizations) in planning for patient care.

Implementation/Evaluation

Provides individualized nursing care that responds to the growth and developmental needs of patients and demonstrates an understanding of the range of treatment required by the patient.
Demonstrates ability to provide appropriate care based on the needs of a specific individual, including that individual’s age.
Prepares and instructs patients as well as performs specific diagnostic and therapeutic procedures and treatments, including nurse visits, wound care, vaccination and venipuncture .
Uses appliances and equipment correctly and maintains safe practice.
Evaluates and documents patients’ responses to nursing care, including pre/post procedures and treatments. Uses knowledge of cognitive, physical, emotional and chronological maturation process in evaluating care for all ages of patients.
Administers and documents the administration of medication while maintaining current knowledge of pharmacology and competency in modes of administration.
Responds appropriately in emergencies. Is knowledgeable about the contents of the code blue cart and/or the emergency kits, and can initiate and assist in CPR. Understands the procedures for medical emergencies, code blue and other emergency/disaster situations.
Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative and clinical practice. Complies with activities mandated by JCAHO/Title 22/NCQA.
Completes annual competency testing as specified by Ambulatory Services Administration polices, guidelines, and Title 22.
Assists in reviewing in-basket messages and triaging phone inquiries per protocol
Using protocols, approve/disapprove medication refills and contacting patients accordingly if needs new labs, and schedules patients should they need an office visit
Assists in reviewing laboratory results with physicians and/or nurse practitioner and provides instructions to patients as deemed necessary after consultation with appropriate documentation of treatment plan and follow up with patients accordingly

YesCoordination/Continuity/Communication

Organizes activities based on the needs of patients while maintaining the effective flow of patients through the practice. Adjusts clinical support activities to reflect changes in priorities during practice sessions.
Maintains open communication and facilitates continuity of care for patients/and or family with members of the health care team through phone contact, verbal interaction and/or written reports. Utilizes APEX information (i.e., labs, appointments) to contribute to patient care.
Maintains accurate, current, properly signed records and documentation which include patient complaints, nursing observations, interventions and care plan, nursing actions/teaching performed and patient response to the action.
Obtains, records, and conveys information, clearly and concisely.
Demonstrates courtesy, common sense, and follow-through in all telephone communications, maintaining the Telephone Standards as established by UCSF Medical Center.
Fosters/maintains positive public relations (patients, family, visitors and staff). Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients and staff perceive interactions as positive and supportive.
Actively assists physicians and care coordinators in the screening process of incoming referrals. S/he also assists with patient scheduling (new and returns) and coordinate testing services with ancillary departments, requesting authorization for visits as well as working with the providers to obtain prior authorization of specialty medications.
Effectively demonstrates ability to communicate to patients via phone, electronically , requirements for new patient appointments and assists in the screening of the incoming referrals to the departments
Assists in scheduling new and follow up patient appointments
Works with the ancillary support staff to rotate roles within the practice, utilizing skills as needed within the practice, i.e. answering the telephones, managing the front desk, assisting with patient check in, scheduling appointments, assisting with referral work queues

YesAdvocacy/Education

Participates in identifying the educational needs of patients.
Provides patients with the necessary information to make informed decisions utilizing available resources and making referrals appropriately. Informs patients/families about services available at UCSF Medical Center and in the community. Utilizes and maintains updated educational resources.
Provides and reinforces patient health teaching by utilizing language which patient and family can understand.
Verifies patient/family understanding through return demonstration, verbal, physical or written.
Utilizes available educational resources. Participates in review and/or revision of educational materials.

YesPerformance Improvement

Participates in performance improvement (PI) activities to enhance and optimize clinical team flow and overall performance levels.
Makes recommendations regarding clinical targeted (PI) topics or problems; and assists in data collection.
Reports and follows up on issues that affect environment and safety.
Maximizes resources by seeking assistance from appropriate support, effectively using supplies, making suggestions for improved approaches, assists in cost effective practices.

YesSelf-Development/Professionalism

Attends classes, conferences, workshops and staff meetings. Shares information from programs attended.
Attends and participates in monthly staff meetings and clinical team meetings.
Complies with work related policies, including license renewal, annual PPD, CPR certification, use of benefit time, and dress code including identification policy.
Contributes to the orientation and learning experiences of other members of the health care team.
Complies with departmental scheduling guidelines; i.e., starts work at times scheduled, completes work in a timely manner.

100%

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REQUIRED QUALIFICATIONS

Must have recent adult outpatient Pulmonary experience (e.g. asthma, bronchiectasis, cystic fibrosis, interstitial lung diseases, COPD, etc.) within the past 2 years.
Minimum 1 year of recent RN experience in an adult outpatient medical specialty setting (within the past 2 years).
Must have previous acute care experience. (minimum 1 year)
Must have experience with EPIC systems.
Must have experience in a fast-paced environment.
Flexibility is required to orient with various operational needs, and with covering other sub-specialties within Pulmonary.
This position requires flexibility to orient and work at all UCSF Medical Center locations.
Training and experience with electronic health record.

PREFERRED QUALIFICATION

High level of interpersonal, written and verbal communication skills preferred.
Experience with IV Antibiotic or complex care coordination
Experience with prior authorization for complex and specialty medications
Experience with symptomatic telephone triage in a call center environment.

REQUIRED LICENSES/CERTIFICATIONS

Current California Registered Nurse License
Current BLS certification

Registered Nurse-Outpatient Pulmonary @ iazuqy.fa.ocs.oraclecloud.com

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