SRS – Urology – LVN – Full Time – Day Shift

What You Will Do

Urology is a procedural based, high acuity department. Assists patients, staff and physicians as needed to maintain a high level of efficiency of operations and customer service while providing quality care to a designated patient population. Serves as a technical nursing expert for the department, including ability to safely assist/perform a multitude of highly skilled procedures with the providers in office as well as autonomously per guidelines and written physician orders.

Required Qualifications

• California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians - REQUIRED
• AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association - REQUIRED
• 1 Year LVN experience in related clinical area.
• Ambulatory care experience.
• ACLS Certification (Advanced Cardiac Life Support) - American Heart Association - PREFERRED
• Vocational Nurse IV Therapy/Blood Withdrawal Certification - Various - Employee provides certificate - PREFERRED

Preferred Qualifications

• 1 Year LVN experience in related clinical area.
• Ambulatory care experience.
• ACLS Certification (Advanced Cardiac Life Support) - American Heart Association - PREFERRED
• Vocational Nurse IV Therapy/Blood Withdrawal Certification - Various - Employee provides certificate - PREFERRED

Essential Functions

• Demonstrates clinical knowledge and skill in assigned area and within scope of practice.
• Fully successful in performing/assisting with all tests and procedures in assigned department.
• Makes sure to act as a clinical resource for assigned area.
• Able to administer medications safely and accurately per guidelines and written order.
• Able to prepare patient for examination or procedure.
• Able to obtain complete and accurate consent for procedures/surgery.
• Able to accurately document patient care per protocol.
• Partners with physicians to continuously learn and expand clinical knowledge base.
• Listens to patients, collects pertinent information, recognizes the urgency of the patient's problem and routes to physicians.
• Returns phone calls according to physician instruction.
• May schedule patient appointments.
• In partnership with physician, provides specific educational material and individual teaching.
• Uses universal precautions and demonstrates knowledge of infection control policies and procedures.
• Provides assistance to PSRs in resolving issues related to front desk responsibilities including scheduling and telephone management.
• Acts as a positive role model and ensures appropriate service delivery.
• Participates in clinical projects as directed by the physician or manager.

Department Specific Requirements

• Organizes And Completes Daily Requirements And Responsibilities.
• Troubleshoots and resolves problem calls.
• Daily Organization - Monitors patient flow, physician schedules and completes daily tasks to ensure quality and meet service standards.
• Follows policy and procedure for entering of OCM and utilization of IDX.
• Completes work within assigned hours.
• Able to respond to changing circumstances and prioritize patient needs.
• Responds to urgent and emergent situations in a calm and capable manner.
• Utilizes good judgment and problem solving ability.
• Ensures readiness of reports and information to maximize patient visit.
• Maintains appropriate supply levels.
• Cost conscious in usage.
• Participates in and prepares for site inspections and inventories.
• Completes department inventories per guidelines.
• Enters authorizations and schedules surgeries and procedures in a timely and accurate manner.
• Assists in other departments as assigned to meet staffing needs and travels to other sites as business needs arise.

Nursing Competencies

• Successfully completes Nursing Competencies with a score of 90% or greater in each section = GREAT.
• Successfully completes Nursing Competencies with a score of 90% or greater on all but one section. PASSED ON RETESTING = GOOD.
• UNSUCCESSFUL IN PASSING MORE THAN ONE SECTION OF NURSING COMPETENCY TESTING AND/OR FAILED TO PASS TESTING ON SECOND ATTEMPT = NEEDS IMPROVEMENT.

Quality Initiatives

• Completes Quality Assurance (QA) assignments and ensures overall department compliance with requirements.
• QA scores: 96-100% = GREAT; 90-95% = GOOD; 90% and below = NEEDS IMPROVEMENT.
• Maintains narcotic control procedures including key management and inventory.
• Assists with prescription reconciliation at the end of month.
• SUPPORT AND COMPLETION OF QUALITY INITIATIVES: P4P, BMI, DATA MART, ETC.

Technical Skills

• Demonstrates knowledge of equipment and Information Systems applications.
• Able to activate emergency procedure per protocol - code, fire, etc.
• Documents patient care events in a thorough and accurate manner.
• Manages and completes AEHR tasks per prescribed time lines.
• Support and knowledge of new applications and policies: AEHR, Abbreviations, etc.
• Demonstrate typing skills proficiency by: Using a keyboard, required to type proficiently and accurately; Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work.
• Knowledge of insurance, utilization review, scheduling requirements and support of front desk responsibilities.
• Able to operate and maintain department equipment.

Clinical Expertise

• Exhibits superior critical thinking skills.
• Pysiologic monitoring of patients undergoing urologic examination via cystoscope and prostate examination via trans rectal ultrasound.
• Isolation techniques.
• Accurate documentation of all patient encounter data.
• Pre-procedure preparation of patients.
• Post-procedure monitoring and discharge of patients.
• Preparation of room and equipment.
• Preparation, use and proper handling, dismantling, cleaning and sterilization of cystoscopes and ultrasound probes including: High level disinfection Sterile processing Trophon processing.
• Prepare, assist, recovery, and patient/family teaching of patients undergoing in-office procedures along with the physicians: Cycstoscopy Stent removal Prostate biopsy Bladder Botox Urethral dilation Vasectomy Circumcision Prostate measurement Penile frenectomy Penile cyst removal Dorsal slit.
• Able to autonomously perform procedures without provider oversight.
• Uroflowmetry Bladder scan ultrasound Urinary catheterization Supra-pubic catheter change BCG (chemotherapy) bladder installation.