LVN - OBGYN

Job Description

As a patient-focused organization, UCSF Medical Center exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. UCSF Medical Center seeks faculty and staff that are committed to the values of professionalism, respect, integrity, diversity, and excellence that are integral to our mission.

Under the Direction of the Nurse Manager and guided by the policies and procedures of Ambulatory Services, the Licensed Vocational Nurse (LVN), provides care to OBGYN patients and uncomplicated and high-risk OB patients at both the Obstetrics Services and Perinatal Medicine Specialties practice, and GYN Surgical Specialties, UCSF Department of Women’s Health. The LVN will play a critical role in the patient experience including optimizing clinic flow, providing in and outreach to patients and working collaboratively with the team to create a patient centered environment.

In collaboration with the physician and nursing staff, the LVN has the clinical responsibility for maintaining a safe environment for patients and staff, and for daily operations. The LVN is a team player who works closely with others and who is flexible in dealing with the changing priorities. S/he is a self-reliant individual who synthesizes his/her knowledge of practice operations in order to problem-solve, prioritize and facilitate complex transactions in the course of his/her daily activities. S/he is responsible for administering medications, assisting with a variety of procedures, practicing basic assessment of patient medical and psycho-social needs, participating in patient education, and assisting medical providers in a variety of ways. All components of nursing care will be individualized to meet the patient’s physiological and psychosocial developmental level and needs.

The Licensed Vocational Nurse has excellent oral and written communication skills; can work well with minimal supervision in a complex, fast pace and challenging environment. S/he is sensitive to the needs of patients, staff, and providers at all times. This position makes a difference for patients in an outpatient care unit by providing excellent nursing care and customer service, facilitating and ensuring the accuracy of the information flow between medical, hospital staff and departments to maximize unit efficiency. S/he consistently projects a professional and courteous demeanor and as well as demonstrating UCSF’s PRIDE values and the AIDET fundamentals of communication in all patient care and stakeholder interactions.

The LVN 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, and complies with all Ambulatory Services and Medical Center policies and procedures for infection control, safety, and administrative and clinical practice. S/he is required to adhere to the Telephone and House Standards as adopted by the Medical Center. This job requires the flexibility to work at any UCSF location.

Responsibilities

DUTIES & ESSENTIAL JOB FUNCTIONS

%

of time

Essential Function (Yes/No)

Key Responsibilities

20%

Assessment

• Identifies the needs and responses of patients to medical regimen and treatment through observation of symptoms, emotional state, and cultural and a socioeconomic backgrounds. Able to collect, process, and analyze data.
• Recognizes and reports specific physical and emotional conditions/needs/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. obstetrical emergencies, chest pain, shortness of breath.
• Reports emergency or unsafe patient care conditions on the Incident Reporting System and to the management team.
  
  

10%

Planning

• Works cooperatively and participates with the health care team to discuss patient’s alternatives to health care services and to develop short and long range goals to meet the patient’s needs.
• Plans as appropriate for the needs of patient using knowledge of physical and emotional processes as well as cultural and socioeconomic backgrounds.
• Identifies appropriate resources (e.g. family, significant others, monetary, community organizations) in planning for patient care.
  
  

40%

Implementation/Evaluation

• Provides individualized nursing care which 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 that individual’s age. Check age-specific group(s):
  
  

Neonatal (Birth – 1 year)

Pediatric (1 – 12 years)

Adolescent (13 – 18 years)

Adult (19 – 64 years)

Geriatric (65+ years)

• Sets up and maintains cleanliness of exam rooms including periodic exam room disinfection and organization and removal of expired supplies.
• Performs intake process and engages and provides for patient’s physical and emotional privacy.
• Provides in in reach and outreach to support practice quality initiatives and to support the model of population management.
• Prepares for and instructs patients about specific diagnostic and therapeutic procedures and treatments.
• Assists as needed with diagnostic and therapeutic procedures and treatments, such as vaccines and injections.
• Assists in complex medical procedures such as office Manual Uterine Aspiration, hysteroscopy, cystoscopy, and urodynamics testing.
• 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 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 process in evaluating care for all ages of patients.
• Practices basic assessment and applies communication skills for the purpose of patient care and education.
• 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 the emergency kits, and can initiate and assist in CPR. Understands the 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, administrative and clinical practice. Complies with activities mandated by JCAHO/Title 22/NCQA.
• Completes annual competency testing as specified by Ambulatory and the individual practice.
  
  

10%

Coordination/Continuity/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 family with members of the health care team through phone contact, verbal interaction.
• Maintains accurate, records and documentation which include patient complaints, nursing observations, interventions and care plan, nursing actions/teaching performed and patient response 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 as established by the Medical Center.
• Completes all tasks within assigned InBasket to include cross-coverage of InBaskets of other care team and other practices across Obstetrics & Gynecology.
• Fosters/maintains positive public relations (patients, family, visitors and staff). Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients perceive interactions as positive and supportive.
• Demonstrates ability to work as a team member with providers, supervisors, fellow nursing staff and clerical/administrative staff within the care team structure, 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.
  
  

5%

Advocacy/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/families about services available at UCSF Medical Center and in the community. Utilizes and maintains updated educational resources.
• Assists providers with providing patients with EMMI and other educational materials.
• Provides and reinforces patient health teaching by utilizing language which patient and family can understand.
• Utilizes and documents interpreting services as appropriate.
• Verifies patient/family understanding through return demonstration, either verbal, physical or written.
• Utilizes available educational resources. Participates in review and/or revision of educational materials.
  
  

10%

Performance Improvement

• Participates in Performance Improvement (PI) activities to include ongoing health care maintenance support
• Makes recommendations regarding PI 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, assists in cost effective practices.
  
  

5%

Yes

Self-Development/Professionalism

• Attends classes, conferences, workshops and staff meetings applicable to practice needs. 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, and dress code including 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; i.e. starts work at times scheduled, completes work in a timely manner.
  
  

Daily Duties

• Open rooms - turn on warmers.
• Fill all rooms with instruments in AM, replenish as needed.
• Review provider schedules and pull all instruments needed for the day.
• Review LVN schedule make sure all orders for medications are current and patients are within parameters.
• Set-up rooms for procedures and make sure all supplies available.
• Enter info from existing records for patients who transfer care to UCSF into APeX chart.
• Review State Genetic Testing results and record them in APeX.
• Plan labs needed for visit.
• Set up GBS including requisitions.
• Room patient – gather info on reason for visit
• Complete APeX psycho-social assessment and medication review for the new OB patients.
• Act as a OB Team CPSP program lead for patients, including completing necessary assignments.
• Take BP and weight.
• Obtain urine samples for patients who require it
• Take all specimens and pair them up with completed requisition forms. Note in specimen log what was sent and initial.
• Clean rooms and equipment per infection control procedures.
• Use APeX board and DOT system to track patient in office.
• Empty used instruments buckets after each patient and hand-wash.
• Wrap and tag instruments.
• Check refrigerator and e-meds daily and record in log.
• Restock rooms of items used or depleted.
• Keep a running log of items that need to be reordered.
• Check all temp logs.
• Put away supplies in cabinet at the end of the day.
  
  

Weekly Or Bi-weekly As Needed

• Check all medication and liquids for expiration and discard.
• Check all expiration dates of swabs, thin preps, charo, Chlamydia, formalin, etc.
• Make list for reorder.
• Restock entire room --- drapes, gowns, restock entire cabinet.
• Restock nurses station drawers.
• Restock Wound Box supplies.
• Check all blood tubes for expiration dates.
• Make list of thing that need to be ordered from pharmacy and PMM.
• Clean refrigerators (medication and specimen) every week.
• Restock any needed paper forms in patient rooms.
• Fax temperature log to Nursing Administration.
  
  

Monthly As Needed

• Practice Self-Assessment audits
• SPD audits
• POCT audits
• POCT testing as needed
• Check specimen refrigerator for expired tubes
• Go through lab back office supplies and look for expired items
• Reorder any items needed
  
  

Clean area

Qualifications

Required qualifications:

• Experience working in a fast-paced OBGYN setting
• Experience providing injections and drawing labs
• One to three years of related experience in an ambulatory environment
• Knowledge and abilities essential to the successful performance of the duties assigned to the position
• Excellent communication skills
  
  

Preferred Qualifications

• Obstetrics & Gynecology experience
• LEAN methodology
• Ambulatory/outpatient experience
  
  

License/Certifications

• Current Licensed Vocational Nurse in the State of California
• Current American Heart Association BLS