Registered Nurse II, Student Health Services
San Diego State University - San Diego, CA

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Full-time, temporary position anticipated to end on or before six months and one day from initial date of appointment, with possibility for reappointment and/or permanency.
This position, under the general supervision of the Director of Clinical Services, performs nursing functions throughout the clinic. Standard nursing care duties include following established procedures and protocols, including observing, interpreting, recording and reporting patients' symptoms, reactions, and behaviors. The incumbent's duties will primarily involve phone and face-to-face triage of patients using computer-based and paper protocols. In addition, the incumbent will work as a member of a team with a physician or nurse practitioner seeing patients with higher acuity problems such as exacerbations of asthma, acute abdominal pain, and injuries. The incumbent will also assist in special immunization or testing programs in response to the needs of the campus or the community.

Salary Range

Salary Range: $4,029 - $6,446 per month (Anticipated Hiring Salary Range: $4,029 - $4,565 per month). The competitive salary is determined by the education, experience, and qualifications the candidate brings to the position, internal equity, and the hiring department's fiscal resources.

Responsibilities

Primary Clinical Responsibilities
Triage patients in person or by telephone using computer-based and paper protocols and develop a nursing diagnosis based on observation of the patient's physical condition and interpretation of information obtained through the patient interview and other sources.
Other Clinical Responsibilities
Obtain as directed a patient's height, weight, temperature, blood pressure, respiratory rate, peak flow rate, and O2 saturation.
Conduct Snellen eye and color blindness testing when relevant.
Prepare patients for medical examinations and treatments and assist physicians and other nurse practitioners in clinical examinations.
Obtain and record a patient's relevant medical history, allergies/sensitivities, and current medications.
Formulate a care plan for the patient which provides for indirect and direct nursing care.
Educate and counsel patients regarding treatment plans and self-care.
Evaluate the effectiveness of care plans by observing the patient's physical condition and behavior, signs and symptoms of illness and injury, and reactions to treatment and through communication with the patient and other members of the health care team. Assist in modifying treatment plans as needed.
Staff a nurse clinic for patient assessment and treatment under established protocols and standardized procedures for specific conditions such as emergency contraception, urinary tract infection, and colds.
Counsel and educate patients and may conduct group sessions for students in matters related to the specialty area, which may include such specialties as nutrition or family planning.
Perform therapeutic measures and nursing services as ordered by a physician or similar practitioner such as, but not limited to, performing TB and other skins tests; administering immunizations, performing electrocardiograms; performing pulmonary function testing; conducting irrigations and catheterizations; suctioning tracheotomies; observing, recording, and treating drug reactions; applying and changing dressings; performing wound debridement; removing sutures; applying splints, measuring and fitting for crutches, and teaching to walk with crutches; ear lavage; and similar treatments and procedures. With proper training, apply casts under the director of a physician. Decisions regarding treatment of patients' illnesses and development of health programs primarily are made by physicians and other similar practitioners.
Administer allergy immunotherapy, under a physician's orders.
Under the orders of a physician or nurse practitioner, may administer medications by various means, including oral, intramuscular, subcutaneous and intravenous routes; perform phlebotomy; start and superimpose intravenous lines and fluids, and administer vaccines and treatments.
Perform basic and CLIA-waived testing including obtaining specimens and assist in acquiring other tests for patients such as preparing requisitions for laboratory and X-ray work as ordered by a practitioner.
Support general health center maintenance such as cleaning and sterilizing equipment and instruments, setting up treatment trays, changing linen in examination and treatment rooms, checking refrigeration equipment is operating at required temperatures for storage of medications and specimens; stocking supplies; assisting in maintaining and filing medical records.
Administrative Responsibilities
Keep current with registered nursing field and requirements and maintain competencies relative to the scope of practice.
Assist in ordering of clinic's medications.
Assist in the development and implementation of nursing services, policies, and procedures., providing input helpful in improving day-to-day operations.
Participate in SHS campus activities including Freshmen Orientation, Explore SDSU Day, teaching, etc.
Assist in other duties as deemed appropriate by SHS Director of Clinical Services or Director.

Knowledge, Skills & Abilities

The ideal candidate must possess:
Ability to effectively apply nursing knowledge and demonstrate proper techniques and skills in performing nursing duties; accurately observe and record symptoms, behaviors, and reactions to treatments in order to make a nursing diagnosis; respond with therapy to treatment reactions;
Ability to use applicable health center automated systems to perform duties and maintain records and prepare reports;
Ability to gain the cooperation of patients; analyze emergency situations and take prompt action; maintain patient confidentiality and privacy in compliance with applicable state and federal laws and regulations
Ability to maintain effective working relationships with practitioners and other health center support staff; and be sensitive to and communicate effectively with patients from diverse backgrounds
Thorough knowledge of professional nursing principles, methods and procedures; medical terminology, anatomy and physiology applicable to assigned duties; medical supplies and equipment used in nursing practice; and the uses and effects of medications and narcotics.
Working knowledge of applicable state and federal laws and regulations pertaining to registered nursing and the scope of practice limitations of clinic support staff.
Broad and specialized nursing knowledge that supports the performance of specialized duties in such areas as, but not limited to, triage and assessment, patient counseling, and staffing specialized nursing clinics.
Broad knowledge of clinic operations and the development and implementation of a nursing program, including procedures and protocols.
Ability to effectively apply specialized nursing skills.

Experience and Education

Graduation from high school or the equivalent plus completion of a professional nursing program in an approved school of nursing or by additional preparation as approved by the California Board of Registered Nursing.
Professional nursing experience which has provided evidence of the ability to work independently in specialized nursing activities and to support the overall nursing program within the Student Health Center. Typically, this requires at least one year of professional nursing experience.

Specialized Requirements

Must possess and maintain a valid license as a Registered Nurse in the State of California.
Possess and maintain certification in CPR/AED.
Experience using computer-based protocols for triaging patients by telephone.
Ability to work cooperatively in a team setting with good interpersonal and communication skills.
Ability to perform triage and handle emergent and/or potentially critical situations with speed, accuracy and diplomacy.
Experience in splinting and/or casting.
Expertise in administering intravenous therapy, therapeutic injections, allergy immunotherapy, and nebulizer use; managing minor trauma including wound care, burn care and suture removal; performing audiometry, ECGs, and pulmonary function testing and basic physical assessment.
Possess computer skills in both practice management and electronic health records within SHS, as well as e-mail and Microsoft Word.

Preferred Qualifications

Possess patient teaching skills for common college health problems such as, but not limited to, self-care education of common ailments, nutrition counseling, diabetes and asthma counseling smoking cessation counseling, STD prevention, and substance abuse.
Five years of professional nursing experience in an ambulatory hospital setting with increasing clinical responsibility and independent practice; specialty experience in urgent care, emergency room, phone triage, adult immunization and nurse clinic.

Application Procedures

Review of applications will begin on Friday, December 20, 2013; position will remain open until filled. The on-line application should be completed in detail. COMPLETION OF THE ONLINE APPLICATION IS REQUIRED FOR CONSIDERATION, A RESUME ALONE WILL NOT SUFFICE.

To apply for this position, please click on the "Apply Now" button on this page. You must submit your application by clicking on the "Submit" button. If you need assistance completing your application there are instructions available on the Employment Opportunities Website .
Applicants with disabilities requiring special attention and/or interview arrangements may call (619) 594-7099.

SDSU employees are required to sign an Oath of Allegiance.
The person holding this position is considered a 'mandated reporter' under the California Child Abuse and Neglect Reporting Act and is required to comply with the requirements set forth in CSU Executive Order 1083 as a condition of employment.
This position may be funded by a qualifying federal contract, requiring new hire employment verification to be processed through the E-Verify program administered by the Department of Homeland Security, U.S. Citizenship and Immigration Services (DHSUSCIS), in partnership with the Social Security Administration (SSA).

This position may be a "designated position" under the Conflict of Interest Code. Candidates accepting a "designated" position will be required to file Conflict of Interest forms subject to the regulations of the Fair Political Practices Commission.

Employees who are required to operate motorized vehicles and/or use their personal vehicle more than once a month on University business are required to take a mandatory Defensive Driving course and enroll in the DMV Employee Pull Notice (EPN) Program.

This position may require a background check, including, but not limited to employment verification and evidence of degree(s) and/or certification(s). The selected candidate will be required to submit fingerprints to the LiveScan Print Services. If required for the position, a background check must be completed satisfactorily before any candidate can be offered a position with SDSU.

Equal Employment Opportunity

SDSU is an equal opportunity employer and does not discriminate against persons on the basis of race, religion, national origin, sexual orientation, gender, gender identity and expression, marital status, age, disability, pregnancy, medical condition, or covered veteran status.

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