Mohs Surgical LPN or RN

Heartland Dermatology Center•Wichita, KS

About The Position

The Mohs Surgical LPN or RN provides compassionate, efficient, and high-quality patient care as a member of the Mohs medical team. Under the direction of the Mohs surgeon or provider, the nurse assists with surgeries, procedures, examinations, documentation, patient education, and follow-up care, while advocating for patients and helping maintain clean and prepared clinical areas. The role involves taking and updating patient histories, preparing patients and supplies for procedures, assisting with Mohs surgery and repairs, documenting care, handling prescriptions and pathology results, coordinating referrals and authorizations, and communicating with patients, providers, pharmacies, laboratories, billing staff, and other specialties. The position also includes sterilizing instruments, maintaining supplies and equipment, performing room and work-area cleaning, and completing other duties as assigned. Staff access patient charts and, when necessary, demographic and financial information to support care. All staff must preserve the integrity and confidentiality of protected health information and sign a Confidentiality Agreement before receiving access.

Requirements

Hold an active Kansas Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in good standing.
Graduate from an accredited nursing program and successfully pass the nursing state board exam.
Have active CPR certification.
Be willing to use nursing skills and learn numerous dermatologic procedures.
Work independently while collaborating closely with others as a team player.
Demonstrate initiative and strong attention to detail.
Communicate effectively, verbally and in writing, with patients, providers, and staff.
Be able to learn and perform the procedures and tasks listed in the job description.
Be capable of lifting and carrying 20 pounds and occasionally up to 50 pounds.
Be proficient in basic medical math.
Use problem-solving and reasoning skills to make discriminating judgments and determine right from wrong.
Have legible handwriting.
Dress according to the personnel manual guidelines.
Maintain regular routine attendance.
Be capable of using an EHR for medical documentation on desktop and tablet platforms.
Preserve the integrity and confidentiality of protected health information and sign a Confidentiality Agreement before receiving access to it.

Responsibilities

Deliver efficient, high-quality, compassionate patient care as a member of the Mohs medical team and act as a patient advocate.
Assist the Mohs surgeon or provider with surgeries, procedures, examinations, consultations, biopsies, and excisions.
Escort patients to examination rooms and obtain or update their history of present illness, concerns, review of systems, pre-operative history, and past, family, and social history.
Update medical history, medications, and medication allergies.
Prepare patients for examinations and procedures.
Assist with Mohs layers, hemostasis, patient comfort between layers, Mohs repairs and suturing, and application of dressings.
Complete patient charting and notes, including chief complaint, review of systems, examination, assessment, and procedure or treatment documentation.
Educate patients about medications and post-operative care; review prescriptions and answer patient questions.
Write prescriptions, contact pharmacies as necessary, and manage prescription refill requests.
Obtain pathology results from labs, distribute reports to providers, and call patients with pathology results.
Perform wound checks, suture removals, and additional patient education, including post-operative wound-care instructions.
Give injections as needed.
Take phone calls, return phone messages, make referrals, and coordinate with other specialties.
Set up medical supplies and equipment for surgeries and procedures; enter biopsy numbers and complete pathology paperwork and Mohs maps.
Prepare and fill surgery anesthetic vials and syringes.
Complete refrigerator and other designated equipment temperature checks in accordance with CLIA requirements.
Verify inventory and add needed items to the order list.
Clean and prepare examination rooms after each patient visit; restock examination, surgical, and treatment areas; and keep countertops organized and clean.
Prepare instrument and gauze packs and sterilize them using an autoclave; clean and maintain the autoclave.
Empty and wipe down contaminated and non-contaminated trash receptacles in accordance with OSHA guidelines, and check and change biohazard bags and boxes as needed.
Vacuum carpet outside examination rooms and wash, fold, and put away laundry.
Monitor work and project status for the Mohs team and Clinic Operation Manager-Mohs.
Attend assigned meetings or conferences and report on major points and actions resolved or to be taken.
Handle matters involving communication among staff, clinicians, the lab, and the pathologist.
Initiate prior authorizations with patient insurance when requested.
Communicate with billing regarding correct charges for Mohs services and consultations.
Prepare documents or correspondence and handle confidential matters in accordance with Heartland Dermatology policies and procedures.
Ensure equipment is operational, call for repairs, maintain equipment inventories, and evaluate new equipment and techniques.
Perform other duties as assigned.