Ambulatory Nurse - Pediatric Cardiology (BCH-Mission Bay)
UC San Francisco (UCSF) · San Francisco, California, United States
Under general supervision, guided by the policies and procedures of the Medical Center and Ambulatory Services, and in collaboration with providers and administrative management, the Ambulatory Pediatric Heart Center Nurse works autonomously, utilizing the nursing process, to assess, plan, coordinate, implement and evaluate patient care within the ambulatory setting. S/he will utilize a high level of clinical knowledge to fulfill patient needs, ensure efficient patient care, and provide patient education when necessary. The Nurse Care Coordinator will act as a patient advocate and as a liaison between insurance companies, inpatient/outpatient services, patients/families and all other necessary healthcare services to manage and facilitate efficient and timely coordination of care. In addition, the Clinical Nurse Care Coordinator will assist in the development of patient care standards and practices.
The Pediatric Heart Center Nurse Care Coordinator is responsible for coordinating outpatient services and needs for a panel of pediatric cardiology patients and providers in the ambulatory setting. His/her responsibilities include both in clinic procedures, managing the Outpatient Heart Center clinic flow as well as assisting with insurance authorization and prior medication authorizations, contacting home health companies, assuring DME and other home supplies are adequate, assisting with medication refill requests, patient teaching and assisting in the overall coordination of timely patient care. This position is 100% in-person onsite. This position support patient care primarily in San Francisco and as needed in Oakland and satellite clinics.
%
of time
Essential Function (Yes/No)
Key Responsibilities
(To be completed by Supervisor)
10
YesCase 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 foll