SRS – Urology – LVN- San Diego Main – Full Time – Day Shift

Hours:

Shift Start Time:

Shift End Time:

AWS Hours Requirement:

Additional Shift Information:

Weekend Requirements:

On-Call Required:

Hourly Pay Range (Minimum - Midpoint - Maximum):

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

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

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

• Clinical Skills
  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.
  May act as a clinical resource for assigned area.
  Administers medications safely and accurately per guidelines and written order. Ensures verification by licensed person and documentation of all medications administered including two (2) patient identifier verification. Assists with Medical Assistant medication verification in immediate area. No medication errors.
  Able to prepare patient for examination or procedure. Obtains complete and accurate consent for procedures/surgery. Prepares and labels biopsies in a thorough and accurate manner.
  Accurately documents 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:
• Department Efficiency and Effectiveness
  Organizes and completes daily requirements and responsibilities.
  Telephone Message Management - Ensures prompt and efficient return of messages according to established policy. 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, DataMart, 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.
  Physiologic 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

Knowledge, Skills, and Abilities

• Skills as a Licensed Practical Nurse or Licensed Vocational Nurse.
• Ability to prepare patients for examinations, tests, or treatments and explain procedures.
• Ability to observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
• Ability to collect samples, such as blood, urine, or sputum from patients, and perform routine laboratory tests on samples.
• Assures quality of care by adhering to professional standards, healthcare organization policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards; maintaining cooperative relationships among healthcare team members.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class