UCSF

Public health sciences university in San Francisco

Registered Nurse - Dermatology

Nursing & Frontline Patient CarePosted on Nov 13

Full-timeSan Francisco, CA, USA$93.47 - $121.11

About the Job

Requirements

Minimum 3 years of recent registered nurse experience.
At least 2 years of recent related experience in an ambulatory dermatology clinic, including hands-on experience with dermatology surgery procedures within the last year.
Knowledge and abilities essential to the successful performance of the assigned duties.
Experience with patient local numbing.
Flexibility to orient and work at all UCSF Medical Center locations.
California registered nurse license.
Current CPR certification.

Responsibilities

Use the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care under the direction of the nurse manager and in accordance with Ambulatory Services policies and procedures.
Provide indirect patient care and advice to promote comfort, infection prevention, safety, and patient protection.
Reinforce and clarify patient advice documented by attending physicians or residents, and provide guidance on wound care and post-wound care instructions.
Clarify self-care instructions after clinic visits, independently assess patient concerns, and provide advice within the scope of the Nurse Practice Act.
Triage calls from patients, patient representatives, physicians, physician representatives, pharmacies, and dermatology team members; address prescription refills, medication use and side effects, and clinical inquiries, and provide clinical guidance accordingly.
Respond to clinical inquiries from adult general dermatology patients through incoming Cisco calls.
Help room dermatology patients, provide direct patient care, and assist with surgical procedures and repairs as needed.
Obtain patient intake information, including chief complaint, medications being taken or not taken, preferred pharmacy, allergies, family history of skin cancer, and pain rating; escort patients into clinic rooms and support safe clinic flow.
Identify patient needs and responses to medical regimens and treatment through observation of symptoms, emotional state, and cultural and socioeconomic background; collect, process, and analyze data.
Recognize and report patients' physical and emotional conditions, needs, and concerns to appropriate healthcare team members, and alert providers to unusual observations requiring immediate attention.
Report emergency or unsafe patient care conditions through the incident reporting system and to management.
Plan patient care according to physical and emotional processes and cultural and socioeconomic backgrounds; discuss care alternatives with the care team and develop short- and long-range goals; identify appropriate resources for care planning.
Provide individualized nursing care responsive to patients' growth, developmental needs, age, and treatment requirements.
Set up and maintain clean, organized examination rooms, including periodic disinfection and removal of expired supplies.
Perform patient intake and protect patients' physical and emotional privacy.
Provide in-reach and outreach to support practice quality initiatives and population management.
Prepare and instruct patients about diagnostic and therapeutic procedures and treatments; assist with procedures and treatments as needed.
Use appliances and equipment correctly and maintain safe practices; provide treatments according to physician treatment plans and assist with surgical procedures as needed.
Evaluate and document patient responses to nursing care in the electronic medical record, including before and after procedures and treatments, considering cognitive, physical, emotional, and chronological maturation.
Apply basic assessment and communication skills for patient care and education.
Administer and document medications while maintaining current pharmacology knowledge and competency in administration methods.
Document telephone messages and chart notes thoroughly and grammatically.
Respond appropriately in emergencies, know the contents of emergency carts and kits, initiate and assist with CPR, follow procedures for medical emergencies and disasters, and participate in safety drills.
Comply with Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative and clinical practice, and activities required by JCAHO, Title 22, and NCQA.
Complete annual competency testing required by Ambulatory Services and the individual practice.
Organize activities around patient needs and maintain efficient patient flow, adjusting clinical support activities as priorities change.
Provide administrative support to providers in coordinating patient care, including sending patient letters, educational materials, and laboratory results.
Triage telephone calls and messages, screen for emergencies, and route messages to physicians or the administrative team as appropriate.
Cover Apex in-baskets and phone messages as part of the routine role, and complete assigned in-basket tasks, including cross-coverage as needed.
Maintain communication and continuity of care with patients and families through telephone and verbal interactions with the healthcare team.
Maintain accurate records and documentation of patient complaints, nursing observations, interventions, care plans, teaching, nursing actions, and patient responses.
Obtain, record, and convey information clearly and concisely, and use appropriate telephone and electronic communication techniques.
Work as a team member with providers, supervisors, fellow nursing staff, and clerical and administrative staff within the care team and across organizational relationships.
Participate in daily huddles to support efficient, patient-centered care and apply Everyday PRIDE values and AIDET communication fundamentals in patient-care interactions.
Identify and document patient education needs, provide information to support informed decisions, make appropriate referrals, and inform patients and families about UCSF Medical Center and community services.
Use and maintain updated patient education resources, assist providers with EMMI and other educational materials, reinforce patient health teaching in understandable language, and use and document interpreting services as appropriate.
Verify patient and family understanding through verbal, physical, or written return demonstration and participate in reviewing or revising educational materials.
Participate in performance improvement activities, including ongoing health maintenance support; recommend topics or identify problems and assist with data collection.
Report and follow up on issues affecting the environment and safety, use resources effectively, and suggest improved and cost-effective practices.
Attend classes, conferences, workshops, and staff meetings relevant to practice needs; share information from attended programs and participate in staff meetings.
Comply with work-related policies, including license renewal, annual PPD, CPR certification, benefit-time use, and dress code and identification requirements.
Complete required local and Ambulatory competencies and online training, refrain from personal internet or cell-phone use during normal work hours, contribute to team members' orientation and learning, and follow departmental scheduling guidelines.

Desired Qualifications

At least 5 years of dermatology nursing experience.
Experience with medical and surgical dermatology triage, phototherapy, photodynamic therapy, and excimer treatment.

As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success inthis mission requires a culture of collaboration,excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff that are committed to the values of professionalism,respect, integrity, diversity, and excellence that are integral to our mission.

Under the Direction of the nurse manager and guided by the policies and procedures of Ambulatory Services, The RN utilizes the nursingprocess for assessment, planning, implementation,and evaluation to provide safe, therapeutic care. The RN will be responsible for indirect care of patients by providing patient advice resulting in comfort, infection prevention, safety, and patientprotection.The RN will reinforce and provide clarification on patient advice as documented by the attending physician or resident, as well as provide guidance affecting wound care and post-wound care instructions. The RN will clarify self-care instructionsfor post-clinicvisits and independentlyassess patient concerns and give advice within the scope of the Nurse Practice Act. The RN will triage telephone calls from patients, patient representatives, physicians,physicianrepresentatives,pharmacies, anddermatology teammembers.TheRNwillserveasa conduit for inquiries related to,but not limited to prescriptionrefills, medicationuse and side effects, clinically-related inquiries, and provide clinical guidance accordingly.TheRN will be given access to incoming Cisco calls from adult general dermatology patients who have clinical inquiries. The RN may be routinely asked to help room dermatology patients inclinics, provide direct patient care, and assist with surgical procedures and repairs. The RN will help obtain intake information (chief complaint, list of medications taking /not taking, confirm pharmacy of choice, allergies, family history of skin cancer, pain rating)and ensure that patients are placed escorted into clinic rooms tosupportsafe clinic flow.

ThispositionwillbeassignedtoworkatmultipleDermatologylocationsincludingfuturesites.

REQUIRED QUALIFICATIONS

Minimum 3 years of recent RN experience

At least 2 years of recent related experience in Ambulatory Dermatology Clinic with recent (within last year) hands-on experience with Dermatology Surgery procedures.

Knowledge and abilities essential to the successful performance of the duties assigned to the position.

Excellent communication skills

Experience in patient local numbing

This position requires flexibilityto orient and work at all UCSF Medical Center locations

PREFERREDQUALIFICATIONS

Atleast5yearsof DermatologyNursingexperience.
ExperiencewithMedicalandSurgicalDermatologytriage,phototherapy,PDT,andExcimer.

REQUIRED License/Certifications

CaliforniaRegisteredNurselicenseand
Current CPRcertification

Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance.

%oftime	Essential Function (Yes/No)	KeyResponsibilities
15%	y	Assessment
		Identifiestheneedsandresponsesof patientsto
		medicalregimenandtreatmentthroughobservationof symptoms,emotionalstate,andculturalanda
		socioeconomicbackground.Abletocollect,process,and
		analyzedata.
		Recognizesandreportsspecificphysicalandemotional
		conditions/needs/concernsofthepatienttoappropriate
		membersof thehealthcareteam.Alertsaproviderof
		unusualobservationsofpatientstofacilitateimmediate
		attention,e.g.obstetricalemergencies,chestpain,
		shortnessofbreath.
		Reportsemergencyorunsafepatientcareconditionson
		the IncidentReportingSystemandtothemanagement
8%	y

careteamto discuss patient's alternatives to health care services and to develop short- and long- range goals to meet the patient's needs.

Plans as appropriate for the needs of patient using knowledge ofphysicalandemotionalprocesses aswell as cultural and socioeconomic backgrounds.
Identifies appropriate resources (e.g., family, significant others, monetary, community organizations) in planning
forpatientcare.

30%

Implementation/Evaluation

Provides individualizednursingcare which responds 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(1-12years)
- Adolescent(13-18years)
- Adult(19-64years)
- Geriatric(65+years)
Setsupandmaintainscleanlinessofexamrooms including periodic exam room disinfection and organization and removal of expired supplies.
Performstheintakeprocessandengagesandprovides for patient's physical and emotional privacy.
Provides ininreach andoutreach to support practice quality initiatives andto support the model of population management.
Prepares for and instructs patients about specific diagnostic and therapeutic procedures andtreatments.
Assistsasneededwithdiagnostic andtherapeutic procedures and treatments.
Usesappliances andequipment correctlyandmaintains safe practice.
Provides treatments to patients based onphysician treatment plan.
Assistwithsurgicalproceduresasneeded.
Evaluatesanddocumentspatients'responses tonursing care inthe electronic medical record, including pre/post procedures and treatments.Uses knowledge of cognitive, physical, emotional and chronological maturation process in evaluating care for all ages of patients.
Practices basicassessment andapplies communication skills for the purpose of patient care and education.
Administers anddocuments theadministrationof medicationwhilemaintainingcurrent knowledge of pharmacologyandcompetency inmodesof

administration.

Documentstelephonemessagesandchartnotesina thorough and grammatically correct manner.
Responds appropriately in emergencies.Is knowledgeable about the contents of the code blue cart and/or the emergency kits and can initiate and assist in CPR.Understands the procedures for medical emergencies, code blue and other emergency/disaster situations. Participates in safety drills.
ComplieswithallAmbulatoryServicesandMedical Center policiesandprocedures forinfectioncontrol, safety,administrativeandclinical practice.Complies withactivitiesmandatedbyJCAHO/Title22/NCQA.
Completesannualcompetencytestingasspecifiedby

Ambulatoryandtheindividualpractice.

35%

Coordination/Continuity/Communication

Organizesactivities basedontheneedsofpatients whilemaintainingtheeffectiveflowofpatientsthrough thepractice.Adjustsclinicalsupportactivitiestoreflect changesinprioritiesduringpracticesessions.
Provides administrativesupport to providers in coordinationofpatientcare(i.e.sendingpatientletters, educational materials, results oflabtests,etc.}
Triagestelephonecallsandmessages,screeningfor

emergenciesandroutingallmessagestophysiciansor administrative team as appropriate.

CoversApexin-basketsandphonemessagesaspartof routine role.
Maintains open communication and facilitates continuity of care for patients/and or family with members of the healthcare team through phone contact, verbal interaction.
Maintains accurate, records and documentation which includepatient complaints, nursingobservations, interventions andcareplan,nursingactions/teaching performed andpatient response to theaction.
Obtains,records,andconveysinformation,clearlyand concisely.
Demonstrates courtesy,commonsense,andfollow-through in all telephone/electroniccommunications, maintainingtheTelephoneStandardsasestablished by the Medical Center.
CompletesalltaskswithinassignedInBasketto include cross- coverage of lnBaskets where needed.
Fosters/maintainspositive public relations (patients, family, visitors and staff}.
Uses effective communicationskills withpatients and staff; demonstrates proper telephone techniques and etiquette; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients perceive interactions as positive and supportive.
Demonstrates abilityto work asateammember with providers,supervisors,fellownursingstaffand clerical/administrative staff within the care team structure, withthepractice team andincross-

organizationrelationships.

		Participatesindailyhuddlestosupportefficientand patient-centeredcare. DemonstratesEveryday PRIDE values andtheAIDET fundamentals of communication in all patient care stakeholder interactions.
5%		Advocacy/Education Participates inidentifying and documenting the educational needs of patients. Provides patientswiththenecessaryinformation to makeinformeddecisions utilizingavailable resources and making referrals appropriately.Informs patients/familiesabout services available atUCSF MedicalCenter andinthecommunity.Utilizes and maintainsupdatededucational resources. AssistsproviderswithprovidingpatientswithEMMI andother educational materials. Provides andreinforces patient healthteachingby utilizing language which patient and family can understand. Utilizesanddocumentsinterpretingservicesas appropriate. Verifies patient/familyunderstanding through return demonstration,either verbal, physical or written. Utilizesavailableeducationalresources.Participates in review and/or revision of educational materials.
5%		PerformanceImprovement ParticipatesinPerformance Improvement (Pl)activities to include ongoing health care maintenance support Makes recommendationsregardingPltopics or problems; and assists in data collection. Reports andfollows uponissuesthat affect environment and safety. Maximizes resources by seeking assistance from appropriate support,effectively usingsupplies, making suggestions for improved approaches, assists in cost effectivepractices.
2%		Self-Development/Professionalism Attendsclasses,conferences,workshopsandstaff meetings applicable to practice needs.Shares information from programs attended. Attendsandparticipatesinstaffmeetings. Complies with work related policies, including license renewal,annualPPD,CPR certification,useofbenefit time, and dress code including identification policy. Completes allrequired localandAmbulatory competencies as well as online training. Refrainsfromusingtheinternetorcellphoneduring normal work hours. Contributes to theorientation andlearningexperiences ofother members of the health care team. Complieswithdepartmentalschedulingguidelines, i.e. startswork attimes scheduled, completes work ina timely manner.

Budgeted Job Salary Range: 93.47-121.11

About the Company

UCSF

Public health sciences university in San Francisco

UC San Francisco is a public research university in San Francisco focused solely on health sciences, combining professional education with biomedical research and patient care. Its schools of dentistry, medicine, nursing and pharmacy train clinicians and scientists, while teams investigate cancer, immunology, genomics and neuroscience. UCSF Medical Center and Benioff Children's Hospitals connect clinical care with faculty research and training, and university clinics serve patients across Northern California. Founded in 1864, UCSF is the University of California campus dedicated to graduate and professional education and biomedical research, based in San Francisco.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: 1864

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