Registered Nurse I - Outpatient Center

Greenwich, CT
Jul 15, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


Schedule: Monday-Friday with rotating Fridays; no weekend requirements

The Outpatient Center is currently a hospital based facility.
Primary care services are provided by our residents and nurse
practitioner. We serve a diverse patient population with a multitude of
medical conditions and from different social and economic backgrounds.
Our nurses become the one constant in our patient\u2019s visits at the Outpatient
Center. Community specialists that have privileges at Greenwich Hospital also
proved a broad range of sub specialty services to our patients. The nurse
is an important part of the care team and they work very closely with the
primary care doctor and the specialists to coordinate care for the patients.
Every day the nurse is asked to use their clinical knowledge and skills to
triage and schedule patients. Patient education is a big part of their

  • 1. Nursing Practice/Nursing Process
  • 1.1. Delivers and coordinates safe, competent, and effective patient focused care demonstrating knowledge and clinical proficiency within their practicing specialty area.
  • 1.2. Performs individualized, age specific, population specific and culturally sensitive patient focused care through the use of the nursing process.
  • 1.3. Communicates patient's condition and the initial and revised plan of care with nurses and other members of the multidisciplinary team using SBAR techniques and bedside shift reporting assuring continuity of care.
  • 1.4. Develops plan of care upon admission and reviews/updates daily based on multidisciplinary findings and physician orders.
  • 1.5. Manages decision making situations by recognizing the acuity and complexity of patient condition and their environment.
  • 1.6. Evaluates and directs care during hospitalization, and assists in designing a comprehensive discharge plan for patients with the multidisciplinary team.
  • 1.7. Documents nursing care in the electronic medical record according to professional standards of documentation and Greenwich Hospital policy.
  • 1.8. Respects and preserves patient/designated surrogate rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent care; informed decision making regarding daily/end-of-life care; dignity; privacy, confidentiality; and accountability).
  • 1.9. Identifies needs of patient/family for support systems/resources and make appropriate referrals.
  • 1.10. Demonstrates responsibility and accountability for ensuring best practices and delivery of nursing care according to ANA standards.
  • 1.11. Administer medications, calculate doses when appropriate and maintain current knowledge of medications and IV therapy.
  • 1.12. Assess and reassess pain, intervening with appropriate pain management therapies.
  • 1.13. Initiate and maintain oxygen therapy per physician orders, non-invasive blood pressure and oximetry.
  • 1.14. Provides patient and family education specific to their needs and appropriate to the care, treatment, and services provided.
  • 1.15. Assess and reassess patient's risk for falls, initiating approprate fall prevention monitoring.
  • 1.16. Performs staging of wounds and treatments for patients with acute and chronic wounds.
  • 1.17. Completes annual skills competency validation.
  • 1.18. Completes mandatory hospital education and training.
  • 2. Professional Integration
  • 2.1. Serves as a positive professional role model demonstrating accountability and responsibility through professional behavior.
  • 2.2. Demonstrates respect of others beliefs and values in a diverse workplace.
  • 2.3. Acknowledges each individual's dignity and value to the unit/organization.
  • 2.4. Demonstrates commitment to offering nursing services of superior quality and value.
  • 2.5. Continues to update knowledge on current national trends and evidenced-based practice.
  • 2.6. Effectively and efficiently allocate resources, including cost management activities.
  • 2.7. Understands the role of nursing within Greenwich Hospital
  • 2.8. Provides mentoring of new staff member to promote effective team relationships.
  • 2.9. Projects a professional demeanor.
  • 2.10. Maintains 8 hours of continuing education each year (not including mandatory education).
  • 2.11. Maintains a consistent record of punctuality.
  • 2.12. Maintains an acceptable record of attendance for a professional nurse.
  • 3. Leadership
  • 3.1. Uses effective communication, time management and prioritization skills.
  • 3.2. Accountable for decision making related to patient and staff safety.
  • 3.3. Acts as a charge nurse in the absence of nurse manager/clinical coordinator.
  • 3.4. Delegates work assignments to nursing staff and allied healthcare workers appropriately.
  • 3.5. Provides feedback to nursing staff and allied healthcare workers when appropriate.
  • 3.6. Uses problem-solving skills within the work environment.
  • 3.7. Supports nurse manager's leadership and management style.
  • 4. Communication/Collaboration
  • 4.1. Demonstrates a commitment to honor and respect the dignity of each person within their department/unit
  • 4.2. Uses effective communication skills when working with others to create an atmosphere of collaboration.
  • 4.3. Promotes teamwork and cooperation through open communication skills and problem-solving techniques.
  • 4.4. Expresses self clearly, courteously, concisely and intelligently.
  • 4.5. Accepts suggestions and feedback from others.
  • 4.6. Seeks opportunities for continuous professional development.
  • 4.7. Attends 75% of staff/department meetings per year.
  • 4.8. Remains informed about Staff/department communication and events through meeting minutes and posted communications.
  • 5. Quality/Performance Management
  • 5.1. Contributes to department effectiveness by offering suggestions and ideas that improve performance.
  • 5.2. Collaborates with co-workers to improve department efficiency.
  • 5.3. Uses creativity and originality to create an environment of service excellence.
  • 5.4. Recognized as a model of excellence as described in the Seven Standards of Exceptional Service.
  • 6. Support of Unit Goals
  • 6.1. Dedicates work time in the areas of leadership, education, nursing practice or performance management to support advancement of unit goals in agreement with the Nurse Manager.

    Other information:


    Graduate from an accredited school
    of nursing; BSN strongly recommended.


    3-5 years experience in outpatient setting.


    RN in State of Connecticut or Permit; Basic Life Support (BLS)



    Participates in the coordination of patient care services.
    Demonstrates ability to plan, organize and evaluate using good judgement. Is dependable and accountable.

    Approachable, objective, collaborative relationships with all levels of staff and clients.

    May be exposure to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care.
    Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds.

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    Job Info

    Job: 9534

    Department: Outpatient Clinic
    Category: Nursing-staff
    Sub Category: AMB/CLINICS/COMMUN
    Status: Full Time
    Shift: DAYS
    Hours: 37.50

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