Ambulatory Care Services Nursing Unit

Experience the Benefits of the Iowa Difference

Forbes magazine named University of Iowa Hospitals & Clinics, among the top 10 health care employers in the country for 2018.

UI Hospitals & Clinics was the first hospital in Iowa to be designated a Magnet Hospital (2004) by the American Nurses Credentialing Center (ANCC) and the first hospital in Iowa to be re-designated three times (2008, 2013 and 2018).

Most weekdays, UI Hospitals & Clinics provides care to more than 3,000 adults and children in its ambulatory care services areas. Nurses in these areas work closely with other team members to provide assessments and conduct tests and procedures for care that covers all medical disciplines.

What does this all mean to you? Ambulatory Care Services nursing jobs at UI Hospitals & Clinics come with competitive salaries and outstanding benefits. If comprehensive insurance coverage, tuition reimbursement, generous paid vacation/sick/holiday accruals, and an outstanding professional recognition program sound good to you, come join the team!

We care for the people who care for our patients. Apply today!

Abdominal Transplant Clinic

The abdominal transplant clinic, as a component of the overall Organ Transplant Center, has provided care for solid organ transplant recipients (kidney, pancreas, and liver) since the first kidney transplant at UI Hospitals & Clinics took place in 1969. The University of Iowa was a pioneer in the development of care for transplant recipients and continues to meet or exceed national averages for patient outcomes. The success of the Organ Transplant Center is directly attributable to the highly functional, interdisciplinary team of nurses, doctors, physician’s assistants, social workers, pharmacists, financial counselors, and medical assistants, who together manage more than 2,000 patients.

The patients seeking transplantation or who wish to be a living kidney donor are seen in the Transplant Clinic and/or Pediatric Specialty Clinics (for pediatric candidates). Persons with end-stage kidney disease, certain pancreatic diseases, and end-stage liver disease, as well as other major diseases of the liver that require surgical intervention, are also managed by the Organ Transplant Center staff. The care delivery for our patients is a blend of on-site clinic visits and telehealth along with inpatient care. Nurses are integral to our patient outcomes as they manage the transitions of care and provide intense education to assist patients through their journey of chronic illness to restored health.

Burn/Wound Clinic

The Burn and Wound Clinic provides out-patient services to pediatric and adult patients with burn injuries. Out-patient services continue to care for the physical and emotional needs of our patients following their in-patient discharge. We are verified by the American Burn Association and the American College of Surgeon as a comprehensive burn center. We also serve a wound patient population which encompasses Necrotizing fascitis and Hidradenitis Suppurativa, both pre- and post-operative following debridement and skin grafting procedures.

Digestive Health Center

The UI James A. Clifton Digestive Health Center is a multi-disciplinary center encompassing both an ambulatory clinic and endoscopic procedural area. It provides care to patients with conditions of the gastrointestinal/hepatology system, including complex inflammatory bowel disease, celiac disease, motility issues, liver and biliary tract problems, pancreatitis, bariatric, and colorectal disorders. The procedure suite offers the latest in procedures such as colonoscopy/endoscopy, PEG placement, pill endoscopy, upper motility, lower motility, fibroscan, EUS (endoscopic ultrasound) and ERCP (endoscopic retrograde cholangio pancreatography).

Staff members include experienced gastroenterologists, hepatologists, and surgeons with unique skills and expertise along with nurse practitioners, physician assistants, registered nurses, licensed practical nurses, medical assistants, clinical technicians, and nursing assistants. We offer both medical and surgical options, including minimally invasive surgical procedures, to treat an array of conditions and promote digestive health. The Digestive Health Center is an MBSAQIP Accredited – Comprehensive Center for bariatric surgery.

The clinic on average sees around 100 patients a day. There are 17 exam rooms and a lab to help move patients through their visit quicker. The procedure unit does 50 procedures a day on average. There are six standard procedure rooms and two ERCP rooms. Procedural sedation is used in most procedures, but to assist with quicker access and safer outcomes, endoscopists collaborate with anesthesia to perform some procedures.

Clinical Outreach

Clinical Outreach is a unique department providing specialty services for pediatric and adult populations in communities throughout the state supplementing and supporting care received locally. UI physicians and nurses visit more than 40 communities offering more than 30 specialty clinics in the local area. Such specialties include but are not limited to Cardiology, Endocrine, Hematology/Oncology, Neurology, Psychiatry, Pulmonology, Urology, and Virology.

Outreach physicians and nurses have the opportunity to develop strong relationships with patients at the local level. Our presence, for many, will be the only experience they will have with the University of Iowa Hospitals & Clinics. We strive for excellence as we view ourselves as care ambassadors.

Dermatology Clinic

The Dermatology Clinic serves pediatric and adult patients providing medical and surgical treatment for a wide variety of skin diseases and conditions. Clinical and academic excellence are both hallmarks of a small but dynamic department. A myriad of services are available, including Mohs and excisional surgery; skin biopsies and excision; cosmetic and therapeutic laser treatment; phototherapy for psoriasis and other chronic autoimmune conditions; cosmetic treatments using Botox, fillers, and sclerotherapy; accutane therapy; and treatment of patients with vascular anomalies. The clinic features the region’s only ethnic skin care clinic, which specializes in providing services for patients of color and addressing medical and cosmetic concerns unique to this patient demographic. The dermatology team of faculty, residents, RNs, medical assistants, physician’s assistants, ARNPs, and support staff works together to provide cutting-edge dermatology care. Providers around the state often turn to the UI Hospitals & Clinics Dermatology Clinic staff to successfully treat difficult, complex dermatologic conditions.

Family Medicine Clinic

The Family Medicine Clinic offers primary care services to patients of all ages, from infants to the elderly. Our board certified family medicine physicians and physician extenders provide preventive services, monitor chronic conditions, and address acute conditions in our same day access clinic for acute illness and/or injuries. We also provide specialized services for sports medicine, dermatologic procedures, mental health, maternity care, comprehensive geriatric assessments and have an anticoagulation clinic. We provide basic infusion therapy and hold procedure clinic several days each week. X-ray and laboratory services are conveniently located close-by for additional diagnostic tools.

Heart and Vascular Center Cardiovascular Catheterization Lab

The Heart and Vascular Center Cardiovascular Catheterization Lab provides a wide variety of heart and peripheral vascular services to patients throughout the state of Iowa and surrounding areas. The Cardiac Catheterization Lab provides heart catheterization and angiography services to help determine the anatomy and function of a patient’s heart. These procedures can be diagnostic and interventional. The cardiac interventional services offered include some of the latest procedures, such as coronary lithotripsy, TAVR, Watchman, Mitraclip, retrieval of pulmonary embolism, and many others. The vascular interventional services include infusaport implants, fistulagrams, and complex peripheral interventions with angioplasty and stent placement. The Heart and Vascular Cardiovascular department also takes an active part in advancing treatment options through research and the trialing of promising new cardiovascular procedures.

Heart and Vascular Center Electrophysiology Lab

The Heart and Vascular Center Electrophysiology Lab provides treatments to patients experiencing cardiac rhythm disturbances. These treatments include procedures such as pacemakers, internal cardiac defibrillators, invasive study techniques, and ablation therapy. Patients are provided with access to the latest therapies, procedures, and medical devices, ensuring the best possible treatment options for their condition. The Heart and Vascular Center Electrophysiology department also takes an active part in advancing therapies through research in arrhythmia care.

Holden Comprehensive Cancer Center Clinic

The Holden Comprehensive Cancer Center is a multidisciplinary clinic with services provided by medical oncology, surgical oncology, urology oncology, gynecology oncology, pulmonary oncology, neuroendocrine and bone marrow transplant. Patient visits are coordinated across disciplines. The clinic averages about 240 patients per day, seeing patients in 3 locations: Clinics A and B and the gynecology oncology patient population is seen in Women’s Health Clinic. The clinic is staffed by RNs, MAs, and NAs. Holden Comprehensive Cancer Center is an NCI-designated Cancer Center, the only one in Iowa.

Holden Comprehensive Cancer Center Infusion Suite*

The Holden Comprehensive Cancer Center Infusion Suite provides infusions to all patients in UI Hospitals & Clinics in need of outpatient therapy. This therapy includes chemotherapy, biotherapy, blood products, fluids and antibiotics. The infusion suite has 40 chairs/beds available for infusions. Staffing is primarily RN with assistance from MAs and NAs. Holden Comprehensive Cancer Center is an NCI-designated Cancer Center, the only one in Iowa.

Interventional Radiology

Interventional is a sub-specialty of Radiology that performs minimally invasive procedures for diagnostic and therapeutic purposes. There are three dedicated interventional suites located in radiology and two hybrid rooms located in the operating room. Procedures may be performed with local anesthetic, procedural sedation, or general anesthesia. Certain procedures require patients to be admitted overnight, but the majority of exams are done on an outpatient basis.

Peripheral interventional procedures include:

  • Angiography of thoracic, abdominal, extremity, and visceral arteries
  • Interventions such as angioplasty, stenting, thrombolysis, and embolization
  • Pulmonary angiograms
  • IVC filter placement
  • Venograms and venous recanalization
  • Tube placement, including percutaneous transhepatic cholangiogram, cholecystostomy tube, gastrostomy tube, nephrostomy tube, and drain placement
  • Oncology catheter directed therapy, including Y-90 therapy, chemoembolization, bland embolization, RF ablation
  • Venous access, including tunneled and non-tunneled catheters
  • Dialysis access management

Medicine Specialty Clinic

The Medicine Specialty Clinic serves adult patients through a variety of care delivery models including primary, specialty, and consultative care. Our multidisciplinary teams includes more than 130 providers from the internal medicine specialties of Allergy/Immunology, Endocrinology, Infectious Disease, Nephrology (Renal/Hypertension), Palliative Care, Pulmonary/Occupational Medicine, Rheumatology, Surgical Co-Management, Virology, and Travel. Support services—including phlebotomy, pulmonary function, and DEXA labs—are adjacent to our clinic. Each year the clinic has more then 35,000 patient visits. Our nursing team includes staff nurses, nurse clinicians, and medical assistants who have primary assignment with one or two of the specialty services providing direct patient care and care coordination through telephonic and electronic methods with the goal of assuring continuum of accessible, high quality, and cost-effective health care for our patient populations.

Neurology Clinic

Neurology is the branch of medical science concerned with diagnosis and management of disorders of the brain, spinal cord, peripheral nervous system, and muscle. Founded in 1919, the University of Iowa Department of Neurology was one of the first academic departments of neurology in the nation and the first to be established west of the Mississippi River.

This clinic sees adult patients 18 years and older for general neurology and disorders of movement, memory, sleep, balance, multiple sclerosis, autonomic, neuromuscular, stroke, and epilepsy. In addition, there are multidisciplinary clinics for ALS, myotonic dystrophy, Charcot-Marie-Tooth, and Parkinson’s disease. Establishment of multidisciplinary clinics allows for comprehensive care of the patient in an ambulatory setting. The clinic takes a team pod approach with MAs, RNs, and support staff working together to meet the needs of the various patient populations.

Neurosurgery Clinic

Neurosurgery Clinic provides services to pediatric and adult patients that are concerned with diagnosis as well as management of diseases and physiology of the nervous system. Our care is patient focused in the surgical treatment of: head and spine trauma; vascular disorders; tumors of the brain and spinal cord; peripheral nerve abnormalities; degenerative spine pathology; epilepsy; and movement disorders. Our team approach to patient care emphasizes compassion, convenience and comfort, as well as the most advanced technical expertise in an academic medical center. Patients seen by departmental faculty are referred by a physician.

This clinic sees patients from birth and older for brain tumor, spinal tumor, brain injury, spinal cord injury, vertebral and/or spinal cord abnormalities, hydrocephalus, aneurysms, arteriovenous malformations, intracranial hemorrhage, craniovertebral junction abnormalities (CVJ), craniostenosis, craniofacial injuries and anomalies, pain/spasm control, chiari malformation, laminectomy, discectomy, spinal fusion, myelomeningocele, syringomyelia, shunt, trans-sphenoidal, rhizotomy, tethered cord release, placement of intrathecal pumps for baclofen therapy, deep brain stimulators, spinal cord stimulators, vagal nerve stimulators and transoral surgeries. Establishment of multidisciplinary clinics allows for comprehensive care of the patient in an ambulatory setting. The nursing team in the clinic is very experienced in the care of neurosurgical patients. Our medical team (MD/ARNP/PA), MAs, RNs, and support staff work together to meet the needs of these various patient populations.

Ophthalmology and Visual Sciences Clinic

The Department of Ophthalmology and Visual Sciences sees 300+ patients per day and has 15 sub-specialty services to care for those with complex ocular diseases and conditions. It also includes the F.C. Blodi ocular pathology laboratory and the University of Iowa Vision Research Institute, which specializes in ocular genetics. The ophthalmic procedure suite consists of 4 minor surgery rooms which are able to address patient surgical needs, often on a same day basis. 

Oral Surgery Clinic

This clinic offers medical and surgical management for both adult and pediatric patients with oral and maxillofacial problems including onsite procedural sedation for multiple procedures.

Orthopedic Clinic

There are 10 subspecialties that treat patients of all ages dealing with disease, deformities, and injuries to the spine and extremities. Our nurses and medical assistants work collaboratively with the providers, trainers, orthotists, and rehabilitation staff to treat various patient conditions ranging from club foot deformities, scoliosis correction, fracture management, oncology, sports injuries, joint replacement, foot and ankle deformities, spine deformity and fracture, and hand and upper extremity. Our nurses take pride in assuring best practice. They have participated in evidenced based research dealing with Penicillin Allergy, MRSA/MSSA culture prior to joint replacement and, Ketamine use in postoperative pain control. The clinic sees an average of 300 patients a day and has 68 rooms to accommodate the patients, including exam rooms, procedure rooms, and cast rooms. 

Otolaryngology-Head and Neck Surgery Institute

Otolaryngology- Head and Neck Surgery Institute is a large ambulatory outpatient clinic seeing more than 30,000 patients annually. We evaluate and treat head and neck cancer, ear skull-based surgery, sinus/nasal/throat conditions, and facial plastic conditions for pediatric and adult populations. Important aspects of care include pre- and post-operative procedure care, medication administration, procedural sedation monitoring, and patient and family education. The clinical teams are multidisciplinary and collaborative, and we work closely with speech pathologists and audiologists. We also provide unique genetic testing for hearing loss and therapy for balance issues. The UI Hospitals & Clinics Department of Otolaryngology was ranked 6th in the nation by U.S. News & World Report in 2019-20.

Pain Clinic

The Pain Clinic provides consultation services for diagnosis, management, and treatment for adult patients with long-term, treatment-resistant pain. Appointments are by referral only. Providers support a multidisciplinary approach that may include recommendations for medication management of pain, interventional procedures, and/or referral for behavioral and physical therapies. Interventional procedures currently offered include ultrasound-guided nerve blocks, spinal steroid injections, radiofrequency ablations, neuro stimulator trials and implants, vertebroplasties, and discograms. A clinical pharmacy specialist is available. Our staff nurses and medical assistants provide direct patient care in our clinic and procedure suite and care coordination through telephonic and electronic methods with the goal of assuring a continuum of accessible, high quality, and cost-effective health care for our patient populations.

Adult Psychiatry Clinic

The UIHC Adult Psychiatry Clinic provides a full range of mental health services. Services include diagnostic evaluations, medication management, neuropsychological testing, electroconvulsive therapy, individual therapy, group therapy, Mindfulness programs, and Women’s Wellness services for individuals suffering from a range of mental illness. Our multidisciplinary team includes psychiatrists, psychologists, nurse case managers, social workers, neuropsychologists who design individualized treatment plans to meet each patient's needs. We coordinate both inpatient and outpatient care for a full range of psychiatric disorders

Child and Adolescence Psychiatry Clinic

UI Child and Adolescence Psychiatry Clinic provides a full range of mental health services to child and adolescents. Services include diagnostic evaluations, medication management, educational consultation and testing, psychological testing, individual therapy, and family counseling. The child clinic team includes psychiatrists, psychologists, social workers, therapists, nurse case managers, and educators dedicated to helping our patients achieve and maintain good mental health as they and their families move their lives forward.

Pulmonary Diagnosis and Intervention

Pulmonary Diagnosis and Intervention is a clinic managed by the Department of Respiratory Care. Respiratory therapists in the clinic facilitate pulmonary function, arterial blood gas, cardiopulmonary exercise testing, and provide education on COPD, asthma, and cystic fibrosis. Respiratory therapists in the clinic also work with Internal Medicine/Pulmonary to provide both inpatient and outpatient bronchoscopy procedures for patients with complex pulmonary disease, pulmonary cancer, and lung transplant.

Quad City Cancer Center

The Quad City Cancer Center provides care for oncology and hematology patients with services provided by medical oncologist/hematologist providers. This office serves patients from a wide geographical area in eastern Iowa and western Illinois. Patient visits are coordinated with multiple local providers as well as staff and providers from Holden Comprehensive Cancer Center. An onsite CLIA certified lab is utilized to perform limited lab testing and assisting with bone marrow biopsy and/or aspiration procedures.  Each day a courier transports additional laboratory samples to the UI Hospitals & Clinics Core or Pathology Lab. The clinic is staffed by RNs and MAs.

Quad City Cancer Center Infusion Suite

The Quad City Cancer Center Infusion Suite provides infusions to patients in need of outpatient therapy. This therapy includes chemotherapy, biotherapy, antibiotics, and fluids. The infusion suite has nine chairs available for infusions. Staffing is primarily RN with assistance from MAs. The Quad City Cancer Center utilizes the BD CATO system for preparation of hazardous and non-hazardous infusions by supply chain coordinators. Using innovative technology, the supply chain coordinators communicate directly with Holden Comprehensive Cancer Center pharmacists to verify each product.

Radiation Oncology

Radiation Oncology is an outpatient clinic that sees pediatric and adult patients with many different types of cancer diagnosis and at various stages of their disease and treatment. Patient services include treatment of cancer and other diseases with ionizing radiation and treatment of symptoms and side effects of the disease and treatment process. Patents are seen as new consultations, and weekly during the time they are receiving their treatment. The nursing team works together with a multidisciplinary team that includes the RN, MA, Dietician, Social Worker, Therapist, Medical Physicists, Dosimetrists, Advanced Practice Nurse and Medical Staff.

Sports Medicine Clinic

The clinic team delivers comprehensive care for competitive and recreational athletes of all ages. Each day it sees about 100 patients for conditions that affect the feet, anklea, hips, knees, shoulders, and elbows. Nurses and medical assistants provide patient education and triage, surgical workups, phlebotomy, suture and staple removal, casting, wound care, and assistance with ultrasound-guided procedures. Nurses and medical assistants work collaboratively with providers, trainers, orthotists, and rehabilitation staff. 

Surgery Specialty Clinic

The Surgery Specialty Clinic is home to five clinical services: Vascular Surgery, Plastic Surgery, Acute Care/Trauma Surgery, Transplant and Presurgical Evaluation Clinic (PEC). Each service is unique yet all have specialized multidisciplinary teams of providers, nursing and support staff.

The Plastics service provides aesthetic/cosmetic services and surgeries, reconstructive surgery for trauma injuries, congenital abnormalities, cancer and more, and non-surgical skin care procedures such as Botox and fillers. Lasers will soon be available for cosmetic and therapeutic treatments. The Vascular service provides evaluation and treatment of patients with arterial and venous problems excluding those of the coronary and intracranial circulation. The Acute Care/Trauma service provides comprehensive pre and post-operative care to patients with traumatic injuries, and acute and chronic general surgical problems. A variety of minor surgical procedures are also performed in the clinic, The location of PEC in Surgery Specialty Clinic provides excellent convenience for pre-op surgical patients. The Transplant service is described separately. All services treat adult patients. Plastics treat both adult and pediatric patients.

University Employee Health Clinic

The mission of the University Employee Health Clinic is to provide surveillance services to University staff to prevent occupational injury and disease through recognition and management of risk. UEHC serves all UI employees and provides a variety of services based on the employee's workplace tasks and potential exposures. In addition, UEHC offers blood pressure monitoring services.

The University Employee Health Clinic (UEHC) provides over 50,000 services per year for staff, with an average of 2000 visits per month. All staff with potential exposure to blood or body fluids are managed through UEHC, with the UI Emergency Department covering acute management during off hours. Other work related injuries are seen at UI HealthWorks. Injuries after hours or those requiring urgent care should be evaluated in the UI Emergency Department.

Urology Clinic

Urology is the branch of medical science focusing on the diagnosis and management of disorders of the genitourinary system comprising of the kidney, ureter, bladder, urethra, penis and scrotum. Founded in 1915, the University of Iowa Department of Urology experts provide comprehensive evaluation and treatment in the clinic setting as well as surgical interventions for all urologic system diseases and disorders.

The clinic treats adult male and female patients 18 years and older for general urology disorders such as incontinence, hematuria, and urinary tract infections. In addition, our health care team excels in the diagnosis and treatment of kidney stones and cancer involving the kidney, bladder, prostate, penis and testicles. We bring together board-certified fertility specialist to offer a full range of fertility treatment options, our services include a male infertility clinic and male sexual dysfunction clinic.

Within the clinic, there is an onsite operating area where adult and pediatric patients receive treatment under anesthesia, including sedation and general anesthesia. Also available, is a procedure suite for Urodynamics which measures bladder function, this specialized procedure is offered to both the adult and pediatric population along with Urogynecology patients.

The University of Iowa Health Care Urology team is a national leader in diagnosing and treating bladder and urinary disorders in both adults and children. Our multidisciplinary teams are formed from medical and surgical specialties across the institution to provide patient-centered care.

Women’s Health Center

The Women’s Health Center provides care throughout a woman’s lifespan—early gynecological exams, delivering babies, through menopause. Our multidisciplinary team includes providers specializing in general obstetrics/gynecology, midwifery, high risk obstetrics, fetal diagnosis and treatment, urogynecology, vulvar and vaginal disease, reproductive endocrinology and infertility, in vitro fertilization, pediatric/adolescent gynecology, menopause, and sexual health. 

Each day the clinics see an average of 450 patients. The center includes four locations, 40 exam rooms, two procedure rooms, and an IVF procedure suite. 

In-office prcedures include:

  • IUD/Nexplanon insertions
  • Pap smears
  • Pelvic exams
  • Intrauterine inseminations
  • Endometrial biopsies
  • Colposcopies

Some procedures require procedural sedation and involve collaboration with anesthesiologists. These procedures include:

  • Dilation and curettage
  • Polypectomies
  • Loop electrical excision procedures (LEEP)
  • Hysteroscopy
  • Intrauterine blood transfusions
  • Endometrial ablations

The clinic offers the latest in technology, including the TruClear Hysteroscopic Tissue Removal System, which is used to visualize the uterus and remove polyps and small fibroids in an outpatient setting.