Registered Nurse Ambulatory

About the role

Under the general supervision of the Clinic Administrator or Physician, and according to established procedures, provides care to patients and families. Responsible and accountable for the care provided regardless of whether it is provided solely by said nurse or by the nurse and others under his/her supervision. Implements and coordinates the steps of the nursing process, involves the patient in decision-making relative to care, and is responsible for making nursing care judgements and acting upon them.

Collaborates with Physicians in the management of the prescribed medical plan of care, including implementation of the physician-prescribed regimen, evaluation of patient response, and communication of changes in the patient’s status. Functions under protocols that extend responsibilities for medical management activities. Coordinates the patient plan of care with nurses, physicians, and other members of the health team and community agencies to provide an integrated and comprehensive approach to care delivery.

Participates in educational, quality assurance, and research activities. Acts as a consultant, sharing clinical expertise and knowledge with other healthcare providers and community members. Performs clinical management functions delegated by the Clinical Manager and participates in organizational planning and decision-making affecting patient care and ambulatory service operations. Practices within the framework of the philosophy, objectives, policies, and standards of the hospital and specific ambulatory service.

Employees are expected to role model the organization’s values of Compassion, Accountability, Respect, and Excellence, and demonstrate core Success Factors including Instill Trust, Value Differences, Patient and Community Focus, and Collaboration.

Responsibilities

• Consistently applies corporate values of respect, honesty, and fairness while improving the health status of the community through customer-friendly, high-value services.
• Adheres to the principles of the Brown University Health Corporate Compliance Program and Code of Conduct.
• Provides nursing care to patients, maintaining competence as defined by clinical service experience and credential requirements.
• Implements and coordinates the nursing process: assessment, diagnosis, goal setting, prescription, intervention, and evaluation.
• Delegates, supervises, and coordinates nursing care activities provided by Licensed Practical Nurses, Nurses Assistants, Orderlies, and Technicians.
• Implements the prescribed medical regimen, evaluates patient response, and communicates changes in patient condition to the physician.
• Performs extended functions in accordance with Rhode Island Hospital protocols and policies.
• Participates in clinic and departmental collaborative activities such as joint case presentations and grand rounds.
• Collaborates with patients, families, physicians, nurses, and other health team members to integrate, evaluate, and ensure continuity of the plan of care.
• Identifies and makes referrals to health team resources within the hospital and community, serving as a consultant to others.
• Provides, coordinates, and documents teaching for patients and families related to health problem management, health promotion, and rehabilitation.
• Participates in activities leading to self-growth and professional development, including conferences, seminars, and orientation of new staff.
• Updates knowledge of professional, medical, and technological developments and incorporates them into clinical nursing practice.
• Works with nursing educational programs to integrate clinical practice for students within patient care management.
• Participates in clinic and departmental quality assurance activities, including monitoring and evaluation of care, and validation of nursing standards, policies, and procedures.
• Engages in related clinical and operational research activities.
• Assumes charge position responsibilities for the clinic as delegated.
• Participates in performance appraisals with the Ambulatory Clinical Manager.
• Serves on committees and participates in organizational activities involving professional practice and patient care standards.

Requirements

• Licensure as a Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
• Graduate of an accredited School of Nursing; Bachelor’s Degree in Nursing preferred.
• Current licensure to practice as a Registered Nurse in the State of Rhode Island.
• Demonstrated knowledge and skills necessary to provide care to patients with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.
• Related experience and credentials where indicated.

Work Environment

Exposed to an ambulatory patient care environment, including potential exposure to communicable diseases. Adherence to infection control policies and procedures minimizes the risk of illness or injury.

Schedule

Monday through Saturday, 8:00 AM to 6:00 PM as scheduled.