Clinical Nurse II - Pulmonary Services - F/T - Days
UC Irvine Health - Orange, CA

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Reports to: Respiratory Therapist IV

Working Title: Clinical Nurse II

Cost Center: Pulmonary Services (7185)

Bargaining Unit: NX

FLSA: Nonexempt

Job Code: 9139

Date Created: 02/12/2013

Shift: Day Shift

Hours: 40.00

Position Summary:

The Clinical Nurse II provides direct and indirect patient care to an assigned group of pulmonary patients. The nurse will also assist Lung Center faculty with outpatient and inpatient clinical care as well as with procedures such as bronchoscopy, thoracentesis, photodynamic therapy, laser resection, and pulmonary stent insertion. Demonstrates knowledge of patient assessment, planning, intervention and evaluation and performs nursing assessment; records patient history, lab testing and radiology results as part of pre-procedure and conscious sedation evaluation(s). The nurse will serve as a contact for patients, physicians and staff, helping to ensure appropriate scheduling and authorizations and also assisting in patient education, discharge, and formulation of patient plans of care and follow-up. Reports to Ambulatory Nursing with a matrix relationship to the Medical Director of the UCI Comprehensive Lung Diseases Center. Partners with the Pulmonary Diagnostics & Procedures Program Coordinator and Lung Center director to develop and grow the product line. May function as a Charge Nurse as requested by Administrative Nurse Manager. Other responsibilities as assigned.

Salary Range:

Rate Minimum $37.14 Midpoint $44.07 Maximum $51.00

Essential Job Functions:

The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.

% Effort

Actively engages in caring behaviors, taking conscious ownership for work and takes deliberate/thoughtful actions regarding how to best carry out relationships with the patient and co-workers

0%

Total Effort:

0%

Responsibilities:

Assesses and documents the patient's physical and psychosocial condition initially and on an ongoing basis

Utilizes pain scale and appropriate intervention when providing patient pain relief, in consideration of patient age

Assumes shared responsibility for ensuring the proper functioning of equipment and instrumentation through effective troubleshooting, maintenance, and correction of problems

Reviews patient testing, interpreting and communicating results in a manner consistent with the age of the patient

Acts as a source of information for the patient and articulately responds to questions. Provides resources and education about diagnosis and course of treatment and seeks out education and new information to increase skill and knowledge in support of the patient

Effectively incorporates patient preferences into the plan of care

Ensures nursing practice is within scope of licensure

Conducts accurate initial patient assessments

Appropriately assists with development of Lung Center policies and procedures as needed

Collaborates with all members of the health care team to document, assess, intervene, advocate and evaluate patients

Assists in developing educational models of Pulmonary Procedures and appropriately educates ancillary healthcare providers

Actively empathizes with patient, expresses compassion and understanding for the situation and offers support/encouragement where appropriate

Appropriately assists with shared research activities pertaining to patient care and process improvement as needed

Appropriately assists with diagnostic and therapeutic bronchoscopic and pleural procedures such as, laser resection, stent procedures, Argon-plasma coagulation, balloon dilation, photodynamic therapy and thoracentesis

Ensures the availability of all necessary supplies and medication inventory by reordering and restocking as needed

Ensures that all aspects of bronchoscopy setup procedures (both diagnostic and therapeutic), and airway procedures are accurately done and all appropriate instrumentation and equipment is available

Demonstrates care which is appropriate for the age and cultural, religious or ethnic background of the patient

Accurately maintains and performs POCT Quality Controls per standards

Consistently ensures nursing practice is evidence based

Utilizes clinical expertise to assist unit staff in providing patient care and education

Administers medications in a safe, effective and age appropriate manner, and in compliance with all policies and regulations

Delegates patient care activities to appropriate members of the health care team and assures care is safe and of high quality

Appropriately restocks supplies, equipment, products, videotapes, and computer accessories as needed in a timely manner

Makes appropriate referrals to resolve patient issues effectively

Provides effective coordination and leadership to the healthcare team

Accurately transcribes and follows pre and post procedure orders and written protocols, particularly regarding conscious sedation and discharge planning as directed

Accurately takes and records vital signs including temperature, pulse, weight, respiratory rate and blood pressure, documenting appropriately

Demonstrates appropriate use of independent judgment and decision making

Accurately evaluates and documents the patient/family response to care

Demonstrates an understanding of emergency procedures

Effectively utilizes the computer to transcribe orders or request printouts

Conducts effective patient/family teaching and appropriately documents

Identifies and plans discharge needs from time of admission to ensure and facilitate appropriate discharge

Intervenes appropriately in situations where basic life support systems are threatened

Administers patient treatments or procedures (such as dressing/wound care, IV insertion, Patient procedure placement, conscious sedation, etc.) in a safe, effective and age appropriate manner, in compliance with all policies and regulations

Recognizes situations where adverse psychological reactions are probable or changes in normal behavior patterns have occurred

Recognizes critical deviations in patient conditions, taking appropriate action and documenting intervention

Core Organizational Functions:

Personal Achievement: Sets and achieves personal goals to advance career-related skills, knowledge and abilities and helps others to improve their skills.

Customer Service: Values and delivers high quality service to all customers through effective application of the UCICARE principles: Understanding, Communication, Involvement, Commitment, Action, Respect Environment, and LAST. Knows and complies with all customer service standards as outlined in the Service Excellence Handbook.

Quality Improvement: Strives for high quality performance and takes initiative to make improvements and deliver results.

Resource Management: Demonstrates accountability, discretion and sound judgment in using or managing university resources.

Teamwork: Builds effective relationships across work groups by treating fellow employees with courtesy, respect and inclusiveness; maintains a positive attitude and takes responsibility for assignments.

Required Qualifications:

Knowledge and practice of body mechanics

Minimum of six months demonstrated nursing experience in an acute care setting

Demonstrated knowledge and practice of infection control techniques

Current California RN license

Current BLS and ACLS certification

Ability to read, write and communicate effectively in English

Ability to work variable shifts including evenings, nights, weekends, and holidays

Ability to maintain flexibility and work well in a constantly changing environment

Preferred Qualifications:

Bilingual skills to communicate effectively with patients and families

Understanding of JCAHO requirements

Working knowledge of computer programs such as Microsoft Word & Excel, TDS, RadPlus, & Adobe PhotoShop

Conscious Sedation experience

Physical, Mental & Environmental Demands:

To comply with the Rehabilitation Act of 1973 the essential physical, mental and environmental requirements for this job are listed below. These are requirements normally expected to perform regular job duties. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.

Mobility

Standing 45% of time

Walking 40% of time

Sitting 15% of time

Agility (F = Frequently, O = Occasionally, N = Never)

Turning F

Twisting F

Bending O

Crouching O

Kneeling O

Balancing N

Climbing N

Crawling N

Strength

Lifting up to 50 Pounds

Pulling up to 50 Pounds

Pushing up to 50 Pounds

Carrying up to 30 Pounds

Safety Equipment

Gloves Required

Mask Required

Dexterity (F = Frequently, O = Occasionally, N = Never)

Fingering F

Handling F

Reaching F

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