RN Outpatient Pediatric Full-time
Driscoll Children's Hospital

Outpatient RN

Driscoll Children's Hospital Corpus Christi, TX, US
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Where compassion meets innovation and technology and our employees are family.

Thank you for your interest in joining our team! Please review the job information below.

General Purpose of Job:

The staff nurse is a professional Registered Nurse (RN) who provides direct nursing care to an assigned patient population, service line or clinic department.  The staff nurse, utilizing the nursing process, plans and delivers effective patient care within the Texas Nursing Practice Act scope of practice and within the framework of Driscoll Health System’s vision and mission of excellence and integrated care delivery.  The staff nurse practices within the established standards of practice, ethical guidelines, policies and guidelines reflective of the American Nurses Association (ANA) and their specialty service line.  The staff nurse completes specific duties and maintains current competence in the skills and nursing practice according to the service line or area of primary work assignment.

Essential functions and Behavioral Expectations:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skills, and/or abilities required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

Standards of Nursing Practice

Assessment

  • Collects pertinent data through initial and ongoing focused assessments to analyze the patient’s condition and follows through with appropriate reporting and actions.  Conducts comprehensive assessments of patients' physical, psychosocial, and emotional needs
  • Utilizes appropriate tools to gather relevant data to inform patient care decisions

Diagnosis/Analysis

  • Analyzes assessment data to determine actual or potential diagnoses, problems, and issues
  • Verifies the diagnoses, problems, and issues with the healthcare consumer and interprofessional colleagues

Outcomes Identification

  • Identifies expected outcomes for a plan individualized to the patient or situation
  • Collaborates with the patient/family to define outcomes integrating culture, values, and ethical considerations
  • Works collaboratively with other healthcare team members which may include other RNs, Licensed Vocational Nurse (LVN), Advanced Practice Nurse Practitioners (NP), Physician Assistants (PA), Physicians and Medical/Nursing Assistants and administrative support staff to address patient needs promptly

Planning

  • Develops, prioritizes, implements, and modifies an individualized evidence-based plan of care in partnership with the person, family and healthcare team
  • Contributes to creating an environment that is patient focused, family centered and is designed to provide continuation of care and patient transition management
  • Advocates for compassion, responsible, and appropriate use of interventions

Implementation

  • Administers medications and therapeutic treatments using appropriate devices per clinical guidelines and orders
  • Recognizes and intervenes to address abnormal responses to medication therapy and initiates corrective therapy
  • Escalates patient care concerns or changing status until resolution is achieved

Coordination of Care

  • Initiates appropriate referrals to the healthcare team based on assessed patient needs
  • Communicates with the patient/family, interprofessional team, and community-based resources for safe transitions in continuity of care
  • Ensures continuity of care by communicating effectively with patients, families, and healthcare providers
  • Acts as a liaison between specialties and sub-specialties, coordinating referrals and follow-up appointments as needed to support the patient continuity of care between inpatient and outpatient care
  • Performs phone triage, manages prescription renewals, and coordinates follow-up appointments and care plans tailored to patients’ needs if working in an ambulatory setting

Health Teaching and Health Promotion

  • Identifies barriers to learning, develops and implements education plan based on assessed patient/family needs
  • that reflects  the patient/family values, beliefs, developmental level, learning needs, readiness and ability to learn, language preference, spirituality, culture and socioeconomic status
  • Uses health promotion and teaching methods, including technologies to communicate health promotion and disease prevention

Evaluation

  • Evaluates and reports pertinent patient response to interventions based on evidence-based best practice
  • Evaluates progress toward attainment of expected outcomes and revises plan as necessary

Standards of Professional Performance

Ethics

  • Integrates code of Ethics for Nurses to guide practice and decision-making in all areas of practice

Advocacy

  • Functions as an advocate, seeking direction as needed to provide safe, effective, efficient, and timely care
  • Demonstrates a willingness to address persistent, pervasive systemic issues
  • Embraces diversity, equity, inclusivity, health promotion for individuals of diverse geographic, cultural, ethnic, racial, gender, and spiritual backgrounds across the life span

Respectful and Equitable Practice

  • Establishes and maintains a therapeutic relationship with patient/family to ensure patient comfort and dignity without bias

Communication

  • Uses clear, closed loop communication that enhances team information sharing and decision making.  Uses language translation resources to ensure effective communication
  • Documents according to policy or guidelines in a timely and accurate manner in the  medical record to communicate with the healthcare team

Collaboration

  • Supports goals through participation and compliance in unit activities, shared governance and decision-making

Leadership

  • Identifies conflict and helps to initiate resolution, seeking assistance when appropriate
  • Demonstrates authority, ownership, accountability and responsibility for appropriate delegation of nursing care to unlicensed assistive personnel
  • Assists by assuming a lead role as needs or schedule variances arise
  • Assumes charge nurse role by completing additional training and competency to support the unit as requested

Education

  • Seeks experiences that reflect current practice to maintain and advance knowledge, skills, abilities, and judgment in clinical practice or role performance
  • Mentors and/or trains new nurses to their roles for the purpose of ensuring successful enculturation, orientation, competence and emotional support
  • Supports the acculturation of nurses new to their roles by role modeling, encouraging, advocating, and sharing pertinent information relative to optimal care delivery

Scholarly Inquiry

  • Participates in clinical research by following specific protocols
  • Uses current evidence-based knowledge, combined with clinical expertise to guide practice

Quality of Practice

  • Complies with and supports regulatory and organizational policies and professional standards
  • Participates in Quality Improvement
  • Identifies trends in patient care outcomes for QI monitoring, practice change, and/or staff education

Professional Practice Evaluation

  • Participates in improving patient care by engaging in reviewing and supporting practice change based on evidence-based practice
  • Completes required ongoing development and education/competency/certifications as required

Resource Stewardship

  • Ensures the correct functioning of equipment, identifies deficits and reports appropriately
  • Integrates connected health technologies into practice to promote positive interactions between patients and care providers
  • Submits required tasks and documentation to support chargeable and billable care activities

Environmental Health

  • Creates a safe and healthy workplace and professional practice environment void of abusive, destructive or oppressive behaviors

Additional Job Responsibilities

Staffing to Demand & Floating

  • Demonstrates flexibility in staffing, scheduling and traveling as needed to meet unit and the hospital system staffing needs for the greater good
  • Willing to float between various care areas, departments, subspecialty clinics or ambulatory clinics as directed by supervisor and according to scope and competency
  • Nurses may be floated, flexed off or to stand-by according to policy based on schedule, volume and patient care needs and/or work activity demands to optimize resource allocation and maintain quality of care
  • Supports staffing needs as deemed necessary by each individual Department or Service line.  May be required to work alternating shifts or flexible hours including days, nights, weekends, or take on-call and/or call-back shifts to support regular and surge volume needs.  These staffing changes will fluctuate with patient volume, acuity and staffing matrices

Travel Requirements

  • May be required to travel to satellite locations to support clinical practice care services as needed to ensure patient access and continuity of care
    • Clinic nursing staff are required to travel to satellite outpatient clinics as needed to ensure patient access and continuity of care. Supports the coordination of patient care and services at these sites

License, Education and/or Experience:

  • BSN preferred.
  • Current RN license in the State of Texas.

Certificates, Registrations:

  • American Heart Association Basic Life Support (CPR) continuously maintained.  May onboard with AHA or Red Cross CPR and then transition to AHA upon first renewal.
  • Advanced Specialty Courses (ASC) according to Attachment A
    • ASC courses should be taken at earliest opportunity, but must be completed within timeframes specified on Attachment A and continuously maintained ongoing.
  • National Certification in specialty must be attempted within 4 years of hire date for eligible role and continuously maintained thereafter.

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Provides leadership, assists and advises Administrators, Medical Directors, in satisfying other regulatory standards. Interprets and implements University and Health System policies and procedures. Assists in the planning and implementation of new or expanded services and programs. Provides interface and liaison communications regarding programs external to the unit which have implications for nursing staff. Represents nursing, Ambulatory Care Services and/or the clinical department(s) or unit(s) on assigned committees Quality Management and Research Participates in and conducts the analysis of data, assists in the development of strategies to improve care management within the area or unit. Participates in and supports the involvement of nursing staff in patient (HEDIS, paid for performance) and ACU quality improvement metrics/activities. Provides leadership to staff in understanding and applying quality improvement principles and adoption of evidence-based changes in practice into daily work. Promotes the integration of research findings into clinical practice. Supports research activities on the unit, as indicated. Works closely with each team to define and measure productivity, holding teams accountable to expectations, and ensuring work performed is within their scope of practice. Professional Development and Education Facilitates the education of health sciences students. Develops self professionally through continuing education, professional reading, participation in professional organizations and networking. Evaluates own performance periodically with the Senior Nursing Director. Required Qualifications* Required Educational Requirements Applicants must meet one of the following: Bachelor of Science in Nursing OR Associate's degree or diploma in Nursing and a master's degree in nursing. Current licensure as a Registered Nurse in the state of Michigan. Minimum of five (5) years RN experience Minimum of two (2) years of recent (within the last 5 years) clinical experience in an ambulatory clinic setting. Nurse Leadership certification or completion of a nursing leadership certification within two (2) years of accepting this position. Certification is expected to be maintained while in this leadership role. Examples include Certified Nurse Manager and Leader (CNML) or, Nurse Executive (NE-BC). The nursing leadership certification must be recognized by the Magnet Recognition Program and the American Nurses Credentialing Center (ANCC), for the list, visit here. NOTE: Required qualifications must be met by the candidate in order to be interviewed and considered for the position. RESUME REQUIRED (for Both Internal & External Applicants) You must attach a complete and accurate resume to be fully considered for this position. Desired Qualifications* Minimum 5-7 Years Of Progressive Clinical Experience, Including High-risk obstetrics / Maternal-Fetal Medicine Antepartum/Postpartum care Fetal diagnostics (ultrasound coordination, invasive procedures support) Experience working with: Perinatologists / MFM physicians Genetic counselors Neonatology/NICU teams Complex maternal comorbidities Minimum of two (2) years of recent (within the last 5 years) clinical experience in an ambulatory pediatric clinic setting. Demonstrated ability to lead and support clinical innovation within a Maternal-Fetal Medicine and women?s health setting, including the identification, development, implementation, and evaluation of evidence-based clinical practices that enhance patient outcomes, safety, access, and care coordination. Must have experience translating emerging research, professional guidelines, and new technologies into standardized clinical workflows, protocols, and care models. Proven track record of collaborating with physicians, advanced practice providers, sonographers, and interdisciplinary teams to pilot and scale innovative approaches in high-risk obstetrics, fetal diagnostics, and prenatal care delivery, while ensuring compliance with regulatory, accreditation, and quality standards. Demonstrated leadership skills including creative and effective problem-solving, ability to effectively collaborate within a multidisciplinary team, and ability to direct nursing practice and apply critical thinking skills/judgment to a variety of situations. Previous supervisory/management experience 2 years or greater experience in a nursing leadership role. Experience in managing budgets, aligning resources Experience with telephone triage Master's in nursing preferred Certification in specialty or ambulatory care. Evidence of demonstrated or potential leadership ability, including charge nurse, team leader or other leadership experience. Active participant in professional organizations Experience with Epic or MiChart Previous experience in the application of evidence-based medicine in a clinical patient care environment is desired. Why Join Michigan Medicine? Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good. What Benefits can you Look Forward to? Excellent medical, dental and vision coverage effective on your very first day 2:1 Match on retirement savings Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Work Schedule Hours per week: 40 hours/week Hours/Shift: Hours and days will be based on unit/clinic need. Location: Michigan Medicine-Ambulatory Care: CW Clinics Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Application Deadline Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended. Selection Process Michigan Medicine seeks to recruit and retain a diverse workforce as a reflection of our commitment to serve the diverse people of Michigan and to maintain the excellence of the University. We welcome applications from anyone who would bring additional dimensions to the University’s research, teaching, and clinical mission, including women, members of minority groups, protected veterans, and individuals with disabilities. The Department of Nursing, like the University of Michigan as a whole, is committed to a policy of nondiscrimination and equal opportunity for all persons and will not discriminate against any individual because of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, height, weight, or veteran status. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.