Registered Nurse - Ambulatory (OB/GYN)

Job Description

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

Responsibilities

• Assess the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; performs a comprehensive health assessment across all body systems; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care as appropriate; assesses level of pain and pain management; communicates/documented physiologic health status and plan of care.
• Assess the patient’s psychosocial health status: Elicits perception of medical/nursing care and expectations; determines coping mechanisms, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan; coordinates support group, counseling, and social services.
• Identify patient outcomes: Develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; determines need for teaching based on psychosocial and developmental assessment; develops outcome statements and establishes individualized patient goals.
• Formulate the plan of care and establish priorities: Coordinates cost‑effective use of supplies, equipment and medication; documents the plan of care and collaborates with physicians and other health team members.
• Implement the plan of care: Maintains constant vigilance over patient safety; exercises professional skills; reassesses patients and revises plan as needed; correctly administers prescribed treatments and uses equipment; provides emotional support; applies scientific principles in procedures; makes accurate observations; documents treatment, activity, condition, and patient responses; acts rapidly in emergencies; provides a calm environment; communicates effectively with family or caretakers; participates in discharge planning, coordinates referrals, provides discharge instructions; educates patients and significant others using teach‑back and evidence‑based methods; evaluates effectiveness of education.
• Evaluate care provided for patient outcome: Measures effectiveness of care and documents results; performs variance analysis for performance improvement; designs, implements, and evaluates systems to improve unit care; maintains accurate documentation.
• Collaborate with other care team members and provide direction: Works with physicians or providers on plan of care; interprets and implements treatment regimens; assists during treatments/diagnostic procedures; keeps care manager/physician abreast of changes; uses clinical judgment in delegating assignments and ensures timely completion.
• Provide wound care and pressure ulcer management (Stages I–IV): Performs preventive skin care; applies simple dressings using aseptic technique; applies warm & cold compresses per facility procedure; performs irrigations; conducts other skin‑care procedures as needed.
• Administer medications safely: Correctly identifies medication (action, dosage, side effects, implications); meets standard medication administration examination; prepares local solutions and IV drips; administers and documents medication; administers IV push medication per policy; educates patients and significant others about drug and food interactions.
• Participate in patient and family education: Explains condition; records, updates, and verbalizes assessment data to care team and agencies; utilizes health teaching opportunities and resources; facilitates early discharge planning and appropriate referrals; evaluates teaching effectiveness through feedback and documents outcomes.
• Perform related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related, are not essential functions.

Qualifications

• Graduate from an accredited School of Nursing.
• Bachelor’s Degree in Nursing preferred; must be enrolled in an accredited BSN program within two (2) years and obtain a BSN degree within five (5) years of job entry date.
• Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
• Previous experience in Labor and Delivery/Antepartum highly preferred.

Salary Information

The salary range and/or hourly rate listed is a good‑faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).