As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff that are committed to the values of professionalism, respect, integrity, diversity, and excellence that are integral to our mission.

Under the Direction of the nurse manager and guided by the policies and procedures of Ambulatory Services, The RN utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. The RN will be responsible for indirect care of patients by providing patient advice resulting in comfort, infection prevention, safety, and patient protection. The RN will reinforce and provide clarification on patient advice as documented by the attending physician or resident, as well as provide guidance affecting wound care and post-wound care instructions.

The RN will clarify self-care instructions for post-clinic visits and independently assess patient concerns and give advice within the scope of the Nurse Practice Act. The RN will triage telephone calls from patients, patient representatives, physicians, physician representatives, pharmacies, and dermatology team members. The RN will serve as a conduit for inquiries related to, but not limited to prescription refills, medication use and side effects, clinically-related inquiries, and provide clinical guidance accordingly. The RN will be given access to incoming Cisco calls from adult general dermatology patients who have clinical inquiries.

The RN may be routinely asked to help room dermatology patients in clinics, provide direct patient care, and assist with surgical procedures and repairs. The RN will help obtain intake information (chief complaint, list of medications taking /not taking, confirm pharmacy of choice, allergies, family history of skin cancer, pain rating) and ensure that patients are placed escorted into clinic rooms to support safe clinic flow.

This position will be assigned to work at multiple Dermatology locations including future sites.

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

15% y

Assessment

Identifies the needs and responses of patients to

medical regimen and treatment through observation of symptoms, emotional state, and cultural and a

socioeconomic background. Able to collect,process, and

analyze data.

Recognizes and reports specific physical and emotional

conditions/needs/concerns of the patient to appropriate

members of the health care team. Alertsa provider of

unusual observations of patients to facilitate immediate

attention, e.g. obstetrical emergencies, chest pain,

shortness of breath.

Reports emergency or unsafe patientcare conditions on

the Incident Reporting System and to the management

8% y

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.

Plans as appropriate for the needs of patient using knowledge of physical and emotional processes as well as cultural and socioeconomic backgrounds.
Identifies appropriate resources (e.g., family, significant others, monetary, community organizations) in planning for patientcare.

30% y

Implementation/Evaluation

Provides individualized nursingcare which 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. Check age-specific group(s):
Neonatal (Birth - 1 year)
Pediatric (1 - 12 years)
Adolescent (13 -18 years)
Adult (19- 64 years)
Geriatric (65+ years)
Setsup and maintains cleanliness of examrooms including periodic exam room disinfection and organization and removal of expired supplies.
Performs the intake process and engages and provides for patient's physical and emotional privacy.
Provides in in reach and outreach to support practice quality initiatives and to support the model of population management.
Prepares for and instructs patients about specific diagnostic and therapeutic procedures and treatments.
Assists as needed with diagnostic and therapeutic procedures and treatments.
Usesappliances and equipment correctly and maintains safe practice.
Provides treatments to patients based on physician treatment plan.
Assist withsurgical procedures as needed.
Evaluates and documents patients' responses to nursing care in the electronic medical record, including pre/post procedures and treatments. Uses knowledge of cognitive, physical, emotional and chronological maturation process in evaluating care for all ages of patients.
Practices basic assessment and applies communication skills for the purpose of patient care and education.
Administers and documents the administration of medication while maintaining current knowledge of pharmacology and competency in modes of

administration.

Documents telephone messages andchart notes in a thorough and grammatically correct manner.
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. Participates in safety drills.
Complies withall 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 annualcompetency testing as specified by

Ambulatory and the individual practice.

35% y

Coordination/Continuity/Communication

Organizes activities based on the needsof patients while maintaining the effective flowof patients through the practice. Adjusts clinical support activities to reflect changes in priorities during practice sessions.
Provides administrative support to providers in coordination of patient care (i.e. sending patient letters, educational materials, results of lab tests,etc.}
Triages telephone calls and messages, screening for

emergencies and routingall messages to physicians or administrative team as appropriate.

CoversApex in-baskets and phone messages as part of routine role.
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.
Maintains accurate, records and documentation which include patient complaints, nursing observations, interventions and careplan, nursing actions/teaching performed and patient response to the action.
Obtains, records, and conveysinformation, clearly and concisely.
Demonstrates courtesy, common sense,and follow-through in all telephone/electronic communications, maintaining the Telephone Standards as established by the Medical Center.
Completes all tasks withinassigned InBasket to include cross- coverage of lnBaskets where needed.
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 perceive interactions as positive and supportive.
Demonstrates ability to work as a team member with providers, supervisors, fellownursing staff and clerical/administrative staff within the care team structure, with the practice team and in cross-

organization relationships.

Participates in dailyhuddles to supportefficient and

patient-centered care.

DemonstratesEveryday PRIDE values and the AIDET fundamentals of communication in all patient care stakeholder interactions.

Advocacy /Education

Participates in identifying and documenting the educational needs of patients.
Provides patients withthe 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.
Assists providers with providing patients with EMMI and other educational materials.
Provides and reinforces patient health teaching by utilizing language which patient and family can understand.
Utilizes and documents interpreting services as appropriate.
Verifies patient/family understanding through return demonstration, either verbal, physical or written.
Utilizes available educational resources. Participates in review and/or revision of educational materials.

Performance Improvement

Participates in Performance Improvement (Pl) activities to include ongoing health care maintenance support
Makes recommendations regarding Pl 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.

Self-Development/Professionalism

Attends classes, conferences, workshops and staff meetings applicable to practice needs. Shares information from programs attended.
Attends and participates in staff meetings.
Complies with work related policies, including license renewal, annual PPD, CPR certification, use of benefit time, and dress code including identification policy.
Completes all required local and Ambulatory competencies as well as online training.
Refrains from using the internet or cell phone during normal work hours.
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.

REQUIRED QUALIFICATIONS

Minimum 3 years of recent RN experience
At least 2 years of recent related experience in Ambulatory Dermatology Clinic with recent (within last year) hands-on experience with Dermatology Surgery procedures.
Knowledge and abilities essential to the successful performance of the duties assigned to the position.
Excellent communication skills
Experience in patient local numbing
This position requires flexibility to orient and work at all UCSF Medical Center locations

PREFERRED QUALIFICATIONS

At least 5 years of Dermatology Nursing experience.
Experience with Medical and Surgical Dermatology triage, phototherapy, PDT, and Excimer.

REQUIRED License/Certifications

California Registered Nurse license and
Current CPR certification

Registered Nurse - Dermatology @ iazuqy.fa.ocs.oraclecloud.com

About this role