Registered Nurse- 360 Positive Care/ Women’s Specialty Clinic

The Registered Nurse (RN)and guided by the policies and procedures of Ambulatory Services, the Registered Nurse works in collaboration with the clinical team in delivering high quality care to patients in the 360 Positive Care/ Women’s Specialty Clinic and the  Transgender Care Program. Patients treated in the 360/Women’s Specialty Clinic receive primary and consultative care for HIV and PrEP. Patients treated in the transgender clinic include patients who are receiving primary care or consultative services for surgical interventions (gender affirming surgery), and other gender affirming services. The Registered Nurse is responsible for providing nursing care to patients in the ambulatory setting. All components of nursing care will be individualized to meet the patient’s physiological and psychosocial developmental level and needs. Works collaboratively with Clinic Manager and Provider Staff and provides nursing supervision that is within the scope of practice to Medical Assistants and LVN Staff. The Registered Nurse supports the clinical team that consists of physicians, nurse practitioners, registered nurses, social workers, medical assistants, outreach coordinators, and program coordinators.

UCSF Transgender Care is a growing multidisciplinary group of providers and services at UCSF Health offering gender affirming medical and surgical interventions for adults.  Services currently include primary care and hormone therapy, chest surgery, gynecology and gynecologic surgery, vocal health, and reproductive health. Genital surgery (vaginoplasty and phalloplasty) are planned to launch in the near future. UCSF Transgender Care’s mission is to provide high quality, evidence-driven, patient-centered gender affirming medical and surgical care to all transgender, gender non-binary, and gender non-conforming people, to conduct cutting edge research on transgender medical and surgical care, guided by community participation, and to teach our key principles of evidence-based, community-informed transgender care and research to the next generation of medical providers.  The program’s vision is to eliminate disparities in access to transgender medical care, and improve the quality and quantity of transgender medical and surgical research.

Responsibilities

General duties and responsibilities include clinical and administrative functions. Supports the nursing duties and follows the nursing process. Clinical duties include managing patient flow, obtaining vital signs, review health maintenance status, immunizations, laser hair removal, monitoring and maintaining exam room supplies, enter and review patient information in the electronic medical record (Apex) as appropriate and assist with emergencies as outlined in the department Emergency Manual. The Registered Nurse supports administrative functions as required that includes but not limited to patient registration, verifying patient health insurance, appointment scheduling, telephone triage, MyChart Triage and messaging, insurance authorization management, new patient coordination. Demonstrate outstanding customer service skills with patients and staff. The Registered Nurse must be proficient with the use of electronic medical record system. The Registered Nurse must comply with all organizational policies pertaining to HIPPA and the safeguard of all patient health information. The Register Nurse must comply with organizational nursing policies and state laws pertaining to scope of practice and adheres to professional standards as a licensed nurse. Adheres to Infection Control and Safety policies at all times. Must maintain current licensure at all times and complete all required initial and annual trainings. Notifies the Administrative Nurse and clinical team of problems in the clinic.

%  of time	Essential Function (Yes/No)	Key Responsibilities (To be completed by Supervisor)
20	Yes	Screening Identifies the needs and responses of patients to medical regimen and treatment through observation of symptoms, emotional state, and cultural and socioeconomic backgrounds and response to medical regimen and treatment.  Telephone Triage, MyChart Triage of patient inquiries and in person assessment and treatment  Recognizes and reports specific physical and emotional conditions/needs/concerns of the Patient to appropriate members of the health care team.  Alerts a provider of unusual observations of patients to facilitate immediate attention, e.g. chest pain, shortness of breath.
20	Yes	Planning Works cooperatively and participates with the health care team to discuss patient’s alternatives to health care services and to develop short and long range goals to meet the patient’s needs.
25	Yes	Implementation/Evaluation Provides individualized nursing care 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.  Adult (19 – 64 years) Geriatric (65+ years) Sets up exam room and performs intake process.   Provides for physical and emotional privacy. Prepares for and instructs patients about specific diagnostic and therapeutic  procedures and treatments. Assists as needed with diagnostic and therapeutic procedures and treatments. Uses appliances and equipment correctly and maintains safe practice. Administers medication and documents accurately. Maintain current knowledge of pharmacology and competency in modes of administration. Willing to be trained in laser hair removal procedures under the supervision of a certified Medical Doctor. Approves medication refill requests within scope of practice as outlined by UCSF. Accurately documents in the patients electronic medical record following the nursing process which include patient complaints, nursing observations, interventions and care plan, nursing actions/teachings performed  and patient response to the action. 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. Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative and clinical practice.   Complies with activities mandated by JCAHO/Title 22/NCQA. Completes annual competency testing as specified by the individual practice. Assists in reviewing in-basket messages and assists in completing messages as appropriate
20		Advocacy/Education Provides patients with the necessary information to make informed decisions utilizing available resources and making referrals appropriately.  Informs patients/families about services available at UCSF Medical Center and in the community.  Utilizes and maintains updated educational resources. Provides and reinforces patient health teaching by utilizing language which patient and family can understand. Verifies patient/family understanding through return demonstration, verbal, physical or written.
5		Performance  Improvement Participates in Performance Improvement (PI) activities. Makes recommendations regarding PI topics or problems; and assists in data collection.  Reports and follows up on issues that affect environment and safety.
10		Self-Development/Professionalism Attends classes, conferences, workshops and staff meetings applicable to practice needs.  Shares information from programs attended. Attends and participates in staff meetings. Complies with work related policies, including license renewal, annual PPD, CPR certification, use of benefit time, and dress code including identification policy. Contributes to the orientation and learning experiences of other members of the health care team. Complies with departmental staff scheduling guidelines and HBS timekeeping policy; i.e. starts work as scheduled, completes work in a timely manner, notifies Administrative Nurse of time off requests as prescribed in the organizational policy.
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LIVING PRIDE STANDARDS

Service Excellence

• Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior.  These standards and expectations convey specific behavior associated with the Medical Center’s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency.   
• Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards. 
• Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices
• Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.
• Demonstrates an understanding of and adheres to safety and infection control policies and procedures.
• Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets. 

Work Environment

• Keeps working areas neat, orderly and clutter-free, including the hallways.  Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.
• Picks up and disposes of any litter found throughout entire facility. 
• Surveys area and ensures patient confidentiality is maintained at all times
• Monitors for any patient/staff safety concerns
• Posts flyers and posters in designated areas only; does not post on walls, doors or windows.
• Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments. 
• Protects the physical environment and equipment from damage and theft.

OTHER FUNCTIONS AND RESPONSIBILITIES

Perform other duties as assigned;

Qualifications

REQUIRED QUALIFICATIONS

• Graduated from an accredited nursing program with the ability to perform phlebotomy

• Minimum recent 6 – 12 months of RN experience in an ambulatory setting, preferably in a medical specialty setting 

• Familiarity with process of prior authorizations to obtain specialty biologic medications. 

• Must have worked in a medical team consisting of several providers and an administrative assistant, knowing in-basket management, assisting with medication refills, coordinating services and scheduling of appointments and procedures

• Strong computer skills and use of Microsoft Office.

• Ability to prioritize work efficiently and  independently, demonstrating strong self initiative 

• Excellent communication to patients and all levels of personnel with excellent writing skills.

• Excellent organizational and problem-solving skills.

• Ability to use electronic medical record.

• This position requires flexibility to orient and work at all UCSF Medical Center locations.

PREFERRED QUALIFICATION

• 3-6 months experience working with LGBTQ patients.

REQUIRED LICENSES/CERTIFICATIONS

• Current California Registered Nurse Licensure
• CPR