Senior Licensed Vocational Nurse (LVN) - Dermatology

Employment Duration: 2 months (w/ potential for extension)

The LVN utilizes the nursing process to assess and identify the individual needs of patients through observation of disease symptoms, emotional state, laboratory reports, cultural and socio-economic background, and response to medical regimen and treatment.

In collaboration with health care providers, nurses, and medical assistants, the LVN will assume clinical responsibility for administration of medications/vaccines, lab result review and monitoring, treatments and procedures, as well as patient education.

This individual will utilize good customer service and communication skills daily via phone/electronic contact, mail correspondence, and personal contact with both internal and external customers. This employee will utilize computer skills in ApeX and other UCSF computerized programs.

This individual supports the standards of the policies and procedures of the practice and is responsible for maintaining current knowledge of pharmacology and competency in modes of administration. They comply with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, and administrative and clinical practice. They are required to adhere to the Telephone and House Standards as adopted by the Medical Center, as well as demonstrate UCSF's PRIDE values and the AIDET fundamentals of communication in all patient care and stakeholder interactions.

Key Responsibilities:

Assessment

• Identifies the needs and responses of patients to medical regimen and treatment through observation of symptoms, emotional state, and cultural-socioeconomic backgrounds.
• Recognizes and reports specific physical and emotional conditions, needs, and 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 and shortness of breath.
• Learns how to respond in a code blue scenario and understands use of emergency equipment.
• Reports emergency or unsafe patient care conditions on the Incident Reporting System and to the management team.

Planning

• Works cooperatively and participates with the health care teamlet to discuss patients' alternatives to health care services and to develop short- and long-range goals to meet patients' needs.
• Plans as appropriate for the needs of patients using knowledge of physical and emotional processes as well as cultural and socioeconomic backgrounds.
• Identifies appropriate resources, including family, significant others, monetary resources, community organizations, and online or written teaching tools, in planning for patient care.

Implementation and Evaluation

• Provides individualized nursing care that 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 the individual's age.
• Sets up and maintains cleanliness of exam rooms, including periodic exam room disinfection and organization and removal of expired supplies.
• Performs the intake process and engages in inreach and outreach to support practice quality initiatives and the model of population management. Provides for patients' 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, including vaccines, injections, wound care, and phlebotomy.
• Obtains specimens and performs Point of Care Testing as directed. Performs QA/QC on CLIA-waived tests and reports any tests out of QA range to the supervisor.
• Uses appliances and equipment correctly and maintains safe practice.
• Evaluates and documents patients' responses to nursing care in the electronic medical record, including pre/post procedures and treatments. Uses knowledge of cognitive, physical, emotional, and chronological maturation processes in evaluating care for all ages of patients.
• Administers and documents the administration of medication while maintaining current knowledge of pharmacology and competency in modes of administration.
• Documents telephone messages and chart notes in a thorough and grammatically correct manner.
• Responds appropriately in emergencies. Is knowledgeable about the contents of the code blue cart and/or emergency kits and can initiate and assist in CPR. Understands procedures for medical emergencies, code blue, and other emergency/disaster situations. Participates in safety drills.
• Complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, and administrative and clinical practice. Complies with activities mandated by TJC/Title 22/NCQA.
• Completes annual competency testing as specified by the individual practice.

Coordination, Continuity, and Communication

• Organizes activities based on the needs of patients while maintaining the effective flow of patients through the practice. Adjusts clinical support activities to reflect changes in priorities during practice sessions.
• Maintains open communication and facilitates continuity of care for patients and/or families with members of the health care team through phone contact and verbal interaction.
• Maintains accurate records and documentation, including patient complaints, nursing observations, interventions and care plans, nursing actions/teaching performed, and patient responses to the action.
• Obtains, records, and conveys information clearly and concisely.
• Demonstrates courtesy, common sense, and follow-through in all telephone/electronic communications, maintaining the Telephone Standards established by the Medical Center.
• Completes all tasks within assigned InBasket, including cross-coverage of InBaskets.
• Fosters and maintains positive public relations with patients, families, visitors, and staff. Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; shows sensitivity to differences of culture; and demonstrates a positive and supportive manner.
• Demonstrates ability to work as a team member with providers, supervisors, fellow nursing staff, and clerical/administrative staff, with the practice team, and in cross-organization relationships.
• Participates in daily huddles to support efficient and patient-centered care.
• Demonstrates Everyday PRIDE values and the AIDET fundamentals of communication in all patient care stakeholder interactions.

Advocacy and Education

• Participates in identifying and documenting the educational needs of patients.
• Provides patients with the necessary information to make informed decisions, utilizing available resources and making referrals appropriately.
• Informs patients and 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 that patients and families can understand.
• Utilizes and documents interpreting services as appropriate.
• Verifies patient/family understanding through return demonstration, either verbal, physical, or written.
• Participates in review and/or revision of educational materials.
• Participates in patient action planning and health coaching activities.

Performance Improvement

• Participates in Performance Improvement activities.
• Makes recommendations regarding Performance Improvement topics or problems and assists in data collection.
• Reports and follows up on issues that affect environment and safety.
• Maximizes resources by seeking assistance from appropriate support, effectively using supplies, making suggestions for improved approaches, and assisting in cost-effective practices.

Self-Development and Professionalism

• Attends classes, conferences, workshops, and staff meetings applicable to practice needs and 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, dress code, and identification policy.
• Completes all required local and Ambulatory competencies as well as online training.
• Refrains from using the internet or cell phone during normal work hours.
• Contributes to the orientation and learning experiences of other members of the health care team.
• Complies with departmental scheduling guidelines, including starting work at scheduled times and completing work in a timely manner.
• Demonstrates service excellence by following the Everyday PRIDE Guide and UCSF Medical Center standards and expectations for communication and behavior.
• Uses effective communication skills with patients and staff, demonstrates proper telephone techniques and etiquette, shows sensitivity to differences of culture, and exhibits teamwork.
• 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 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 the department/unit and meeting organizational/departmental targets.
• Keeps working areas neat, orderly, and clutter-free and adheres to cleaning processes.
• Protects the physical environment and equipment from damage and theft.
• Performs other duties as assigned.
• Maintains flexibility to orient and work at all UCSF Medical Center locations.

N/A

Required Qualifications

• Minimum of 2-3 years LVN experience.
• California Licensed Vocational Nurse.
• Experience in an outpatient care setting.
• Current American Heart Association CPR Certification.
  

Preferred Qualifications

• Epic experience.
• Experience assisting in minor procedures in a clinic setting.

Required Qualifications

• Minimum of 2-3 years LVN experience.
• California Licensed Vocational Nurse.
• Experience in an outpatient care setting.
• Current American Heart Association CPR Certification.
  

Preferred Qualifications

• Epic experience.
• Experience assisting in minor procedures in a clinic setting.