Ambulatory Nurse - Pediatric Cardiology (BCH-Mission Bay)

%

of time

Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

10

Case Management

Contacting insurance companies, home health agencies, DME companies, parents, pharmacies, CCS etc. to coordinate timely care. Returning calls to pharmacies and parents to facilitate prescription renewals. Facilitating communication between parents, providers, and other necessary support services. Faxing and submitting paperwork in a timely manner. Assisting in creation/reorganization of teaching materials for patients. Patient education.

5 Yes

Clinic Coordination and Support

Use clinical judgment when determining appropriateness of testing. Performs regulatory chart audits in compliance with Ambulatory Nursing Administration guidelines. Performs clinical activities in an accurate and timely manner. Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative and clinical practices. Complies with activities mandated by TJC/Title 22. Completion of annual review and trainings. Document appropriate patient assessment and needs in APEX.

10

Yes

Patient Medication Management

The nurse will work as part of a multidisciplinary team to obtain medication authorizations, coordinate medication ordering and assure safe medication administration. Assist with prescription refills and medication authorizations. S/he will document and maintain a record of prescription refills, medication authorizations and all patient interactions via APEX.

10

Yes

Coordination of Lab Requisitions and Reports

To assist providers in ordering and obtaining lab/other results, the nurse will: Coordinate completed lab requisition slips, send them to the appropriate outside lab or patient and follow up to confirm completion. Maintain a record of outside lab requisitions. Ensure follow up to completion of studies. Obtain, review, distribute outside lab results to appropriate providers. Set aside results that are outside the normal range and bring those reports to the attention of the ordering provider. Review testing results with patients and families as directed by providers.

10

Yes

Patient Support

The nurse will answer phone calls/emails/CRMS/Inbasket messages and assist in addressing all patient care needs. The nurse will work within his/her scope of practice when answering all medical, medication, and treatment questions and escalate to the provider as appropriate. The nurse will bring communications regarding the patients' medical care or treatment to the attention of the provider and enter a note in the patient's medical record (via APEX) reflecting the conversation with the parent/patient. The nurse will facilitate letters for school/employment/other requests. The nurse will act as a patient ambassador by contacting families to ensure that they do not have questions or concerns after changes in medication, diagnoses or post-hospitalization. Participate as a member of the healthcare team to coordinate outside resources for pediatric cardiology patients. Follow up with families by phone and email as needed.

10

Yes

Assessment

Identifies the needs and responses of patients to medical regimen and treatment through observation of symptoms, emotional state, and cultural and socioeconomic background. Recognizes and reports specific physical and emotional conditions/needs/concerns of the patient to appropriate members of the health care team. Identifies patients appropriate for transition education and planning.

10

Yes

Planning

Works cooperatively and participates with the health care team to meet the patient's needs. Reviews and triages new patient referrals. Reviews and troubleshoots upcoming provider schedules. Identifies and utilizes appropriate resources (e.g. social work, child life, etc.) for patients with social, parenting, personal, or other concerns. Coordinates multi-disciplinary care for California Children's Services patients, including appropriate reporting to CCS.

10

Yes

Implementation

Provides individualized nursing care that respond 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-1year), Pediatric (1-12 years), Adolescent (13-18 years), Adult (19 years +). Prepares for and instructs patients about specific diagnostic and therapeutic procedures and treatments as appropriate. Completes and/or assists as needed with diagnostic and therapeutic procedures and treatments (i.e. EKGs, 4 limb blood pressures, saline and contrast echos; including pending orders (i.e. Echo, EKG) as needed. Uses appliances and equipment correctly and maintains safe practice. Administers and legibly documents the administration of medication while maintaining current knowledge of pharmacology and competency in modes of administration. Coordinate & implements transition services/education & organizes transfer to adult care. Responds appropriately in emergencies. Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety administration and clinical practice. Complies with activities mandated by TJC/Title 22/NCQA. Completes annual competency testing as specified by the individual practice.

15

Yes

Coordination/Continuity/Communication

Organizes activities based on the needs of patients while maintaining the effective flow of patients through the practice. Triages and prioritizes patients' needs effectively. Maintains open communication and facilitates continuity of care for patients and/or family with member 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 includes 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 technique and etiquette. Shows sensitivity to a variety of cultural needs. Demonstrates a positive and supportive manner in which patients perceive interactions as positive and supportive. Acts as a liaison and patient advocate by communicating with insurance companies, patients, providers and others to coordinate timely and efficient care.

5

No

Performance Improvement

Participates in Performance Improvement (PI) activities. Makes recommendations regarding 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.

4

No

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. Contributes to the orientation and learning experiences of other members of the health care team. Maintains accountability for his or her time, including but not limited to the following: Records work time per clinic protocol; clocks in and out each work day per Medical Center protocols. Assumes responsibility for notifying supervisor or department supervisors for approval prior to accruing any overtime. Request for time off (vacation/personal time): Requests should be entered into payroll timekeeping system in a timely manner and according to the clinic protocol. If that is not possible, requests should be submitted in writing. Vacation and personal time off requests will be granted following Medical Center policy. Sick calls: Notification of time off for illness must be done prior to 0730 on the day of the absence. A doctor's note may be requested per Medical Center Policy. Adheres to the Medical Center phone policy. Complies with departmental scheduling guidelines i.e. starts work at times schedueld, completes work in a timely manner.

1

Other Functions & Responsibilities

Performs other duties related to patient care activities as required.

100%

(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)