Senior LVN Lakeshore Primary

UCSF•San Francisco, CA
•$51 - $64

About The Position

The Senior Licensed Vocational Nurse (LVN) joins UCSF Family Medicine Lakeshore ADT and delivers nursing care in an outpatient primary-care setting. The role includes patient assessment, blood draws, assisting with minor procedures, medication and vaccine administration, review and monitoring of laboratory results, treatments, patient education, and collaboration with physicians and other team members to support efficient clinic flow and positive patient experiences. The LVN uses the nursing process to identify patient needs by considering symptoms, emotional state, laboratory reports, cultural and socioeconomic background, and responses to medical treatment. The role applies Patient-Centered Medical Home Standards and the Ten Building Blocks of Primary Care. Clinical responsibilities include pediatric and adult primary-care procedures such as ear irrigation, wound care, and urethral catheterization. The position requires regular communication with patients and other customers by phone, electronic contact, mail, and in person, along with use of ApeX and other UCSF computer programs. The LVN follows practice and Medical Center policies, maintains current pharmacology knowledge and administration competency, and complies with infection-control, safety, administrative, and clinical-practice requirements. The role also adheres to Medical Center Telephone and House Standards and demonstrates UCSF PRIDE values and AIDET communication fundamentals. The primary work location is Family Medicine at Lakeshore, with flexibility to cover multiple UCSF Primary Care Clinic sites.

Requirements

  • Minimum of 3 years of LVN experience.
  • Minimum of 1–2 years of experience in an outpatient primary-care setting, such as primary care and/or family medicine.
  • Minimum of 1 year of experience in a health care setting.
  • California Licensed Vocational Nurse license.
  • Blood withdrawal/venipuncture certification.
  • Current American Heart Association CPR certification.

Nice To Haves

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

Responsibilities

  • Assess patients' needs and responses to treatment through observation of symptoms, emotional state, and cultural and socioeconomic background; report concerning observations to the appropriate care team members.
  • Recognize and report urgent or unsafe patient-care conditions, respond to emergencies, understand code-blue procedures and emergency equipment, and participate in safety drills.
  • Collaborate with the health care team to plan care, discuss service alternatives, identify patient resources, and develop goals based on individual needs.
  • Provide individualized nursing care appropriate to patients' developmental and age-related needs.
  • Prepare and maintain clean, organized exam rooms, including disinfection and removal of expired supplies.
  • Perform patient intake and inreach and outreach activities supporting population management and practice quality initiatives while protecting patient privacy.
  • Prepare and instruct patients for diagnostic and therapeutic procedures; assist with procedures and treatments including vaccines, injections, wound care, and phlebotomy.
  • Obtain specimens, perform directed point-of-care testing, conduct quality assurance and quality control for CLIA-waived tests, and report out-of-range results to a supervisor.
  • Use equipment and appliances correctly and maintain safe practices.
  • Evaluate and document patient responses to care, procedures, and treatments in the electronic medical record; document telephone messages and chart notes clearly and accurately.
  • Administer and document medications while maintaining pharmacology knowledge and competency in methods of administration.
  • Organize clinical activities to support patient flow and adapt to changing priorities.
  • Maintain communication and continuity of care with patients, families, and the health care team by phone and other interactions; complete assigned InBasket tasks, including cross-coverage.
  • Participate in daily huddles and work effectively with providers, nursing staff, supervisors, and clerical and administrative staff.
  • Provide and document patient education, use appropriate interpreting services and educational resources, verify patient understanding, and participate in health coaching and action planning.
  • Participate in performance-improvement activities, health coaching training, health-care maintenance support, and Patient-Centered Medical Home recognition; contribute recommendations and data collection.
  • Report and follow up on environmental and safety issues, use resources effectively, and suggest cost-effective improvements.
  • Attend applicable classes, conferences, workshops, and staff meetings; complete required competencies and training; contribute to the orientation and learning of other care-team members.
  • Comply with work-related policies and scheduling guidelines, including license renewal, annual PPD, CPR certification, benefit-time use, dress and identification requirements, and scheduled work times.
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