RN Ambulatory - Internal Medicine

Job Summary:

Job Responsibilities:

• Assess health status by completing a nursing assessment. 
• Performs telephone triage. 
• Notifies physician/LIP of abnormal findings. 
• Establishes a care plan in collaboration with the patient, family, and health care team.
• Collaborates with care coordinators to ensure smooth and effective transitions of care.
• Assists with specialized diagnostic and therapeutic procedures. 
• Assist with specialized patient care equipment as required by the clinical department and medical specialty assigned. 
• Administers medications and treatments as ordered by physician/LIP and monitors patients for response. 
• Initiates CPR and other emergency measures. Covers other nursing roles within the department
• Provides health education to patients and families.  Develops, evaluates, adapts, and documents education to learning needs.  Assists in preparation of the department specific education for patients and colleagues. 
• Facilitates smooth operation of the ambulatory areas.
• Participates in quality initiatives, process improvements, and research activities to improve patient outcomes, patient experience, and patient safety. 
• Maintains professional growth and development in the nursing field and identified annual core competencies.
• Some RN Ambulatory work may require travel within the region to support physician clinics and surgical procedures in various locations.
• Other duties as assigned.

Education:

• Graduate of accredited school of nursing.  BSN preferred.

Certifications:

• Current state licensure as a Registered Nurse (RN).
• Basic Life Support (BLS) through American Heart Association (AHA) required.
• In areas performing moderate sedation procedures and/or cardiac stress testing, must have current Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) Certification within 6 months of hire.
• Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in  medical oncology, radiation oncology,  cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility.

Competencies (Complexity of Work):

• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Professional behavior/appearance required, ability to focus on patient safety, teamwork, patient outcomes, patient experience and quality improvement.
• The ability to travel within Cleveland Clinic regional locations. 
• Strong communication and interpersonal skills.

Work Experience:

• Minimum one year recent experience as a Registered Nurse.
• If current Cleveland Clinic Caregiver in ambulatory Cleveland Clinic setting transferring into a RN role but remaining in the same current ambulatory Cleveland Clinic setting will consider current LPN, Medical Assistant, and/or other unlicensed clinical healthcare experience (e.g. Dialysis Tech., Ambulatory CT., in lieu of RN experience,  or if current Cleveland Clinic Caregiver in a clinical role within the same specialty area as ambulatory area transferring into will consider current LPN, Medical Assistant, and /or other unlicensed clinical healthcare experience(Dialysis Tech. , Ambulatory CT., Inpatient PCNA, inpatient C.T., Inpatient LPN, in lieu of RN experience.   Current demonstrated clinical competence.

Physical Requirements:

• Requires full range of motion, manual and finger dexterity and eye-hand coordination.
• Requires corrected hearing and vision to normal range.
• May requires some exposure to communicable diseases or bodily fluids.
• Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.
• Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.