JOB SUMMARY

A Licensed Vocational Nurse (LVN) is a vital part of the clinical team and provides the highest courtesy, respect, and customer service to Urology San Antonio's patients. This position is responsible for meeting and exceeding patient expectations and adhering to established practices while assuring the best possible care for patients. The LVN works closely with Physicians, manages the treatment rooms, and must be an excellent multitasker, dependable, adaptive, and a self-motivator. The LVN performs a variety of tasks, including phlebotomy, urinary catheterization, and catheter care/changes, foley catheter care, medication administration and injections, bladder irrigations and installations, dipstick urinalysis with microscopic analysis (includes sending for cultures), pessary care and cleanings, EKGs, as well as overall patient assessment.

DUTIES AND ESSENTIAL JOB FUNCTIONS

• Prepares patients for a visit by accompanying them to the exam room Introduces self-using AIDET skills
• Provides instruction on specimen collection and takes vital signs
• Verifies patient information and medical history
• Maintains patient confidence and protects patient information according to HIPAA standards
• Takes blood pressure and weights patient, and documents inpatient EMR
• Elicits and documents medical history, surgical history, present medications, allergies, allergic response, consents, and tests results
• Completes MIPS assessment on all patients
• Follows all office policies, procedure guidelines, and protocols for the collection of urine, and urinalysis under physician supervision
• Supports patient care delivery by assisting providers during examinations & procedures, performing necessary laboratory tests on-premises, sterilizing medical instruments, drawing blood, authorizing drug refills as directed, and preparing rooms for exams procedures, and tests
• Handles voiding trials, catheterizations, Catheter Changes, CMGs, Uroflows, teach self-catheterization, and give injections
• Collects blood samples for requested lab, applies appropriate labeling and preparation for transport to the appropriate lab
• Follows rights of medication administrator prepares medications for administration
• Conducts bladder instillations and bladder irrigations and completes documentation of procedure and patient response
• Facilitates the removal of urethral catheters and nephrostomy tubes as ordered
• Administers the removal of sutures and staples as ordered...
  • 1) Performs pessary care,
  • 2) PTNS procedures,
  • 3) assists with InterStim reprogramming
• Obtains Prior Authorizations for required medications (such as Prolia, Xgeva)
• Ensures that scheduled procedures have appropriate equipment and supplies available, such as Botox, Testopel, bladder biopsies, and fulgurations
• Facilitates completion of FMLA paperwork

Chart Preparation:

• Reviews notes in EMR of patients coming into the clinic to ensure that all necessary tests and x-ray results are on hand
• Ensure that diagnostic tests are scheduled and completed prior to the next patient appointment
• Evaluates diagnostic studies and has the Physician sign reports by documenting and sending a copy of the note to the Physician in EMR
• Reviews notes in charts of patients returning to the clinic to ensure that all necessary equipment and medications are available
• Reviews patient EMR for appropriate insurance authorizations for procedures and high dollar medication (cystoscopes, bladder Scans installations, sonograms, etc.)

Patient Safety:

• Assists patients in undressing and get onto the exam table and positions patient properly
• Clears the exam room of obstacles and slippery areas
• Examines instruments for proper cleaning, disinfection, and sterilization
• Knows and follow aseptic and clean techniques appropriately

Handles patient phone calls:

• Relay calls to physicians for complaints, adverse reactions, and requests for refills in a timely manner.
• Reassure, provide information, or relay the message as appropriate in a timely manner
• Documents all calls as a progress note in EMR
• Routes all test or procedure reports to physicians for signature through EMR.
• Checks drug samples for the expiration date
• Calls in Physician approved refill prescriptions and documents in the patient EMR

Other functions and Responsibilities

This job description does not cover or contain a comprehensive listing of activities, duties, or responsibilities required. In addition, duties, responsibilities, and activities may change at any time with and without notice.

COMPETENCIES

• Patient & Customer Focus
• Ethical Conduct
• Flexibility
• Personal Effectiveness/Credibility
• Stress Management/Composure
• Ability to work in a team-oriented environment with a positive attitude and willingness to take initiative
• Ability to multi-task in a high-volume environment
• Keen attention to details
• Ability to empathize with patients in need of care
• Maintain a neat, professional appearance

QUALIFICATIONS

Required

• Current LVN License
• Graduate of an LVN program from an accredited college or technical school
• Minimum of two years experience as an LVN

Preferred

• LVN with two years of Urology experience
• Bilingual/Spanish