Senior LVN Lakeshore Primary

University of California, San Francisco•San Francisco, CA

21h•Onsite

About The Position

The Regents of the University of California San Francisco seeks a Senior Licensed Vocational Nurse to join the Family Medicine Lakeshore ADT team. The LVN delivers nursing care in an outpatient primary-care setting, including blood draws, assistance with minor procedures, and collaboration with physicians and staff to support efficient clinic flow and positive patient experiences. The role uses the nursing process to identify patient needs through observation of symptoms, emotional state, laboratory reports, cultural and socioeconomic background, and response to treatment. The LVN is expected to learn and apply Patient-Centered Medical Home Standards and the Ten Building Blocks of Primary Care. In collaboration with providers, nurses, and medical assistants, the LVN assumes clinical responsibility for medication and vaccine administration, laboratory result review and monitoring, treatments and procedures for pediatric and adult primary care, and patient education. Procedures may include ear irrigations, wound care, urethral catheterization, injections, and phlebotomy. The role also includes point-of-care testing, documentation, patient intake and outreach, and use of UCSF computer programs, including ApeX. The LVN maintains current pharmacology knowledge and administration competency and follows applicable infection-control, safety, administrative, and clinical policies and procedures. The position requires customer-service and communication skills in phone, electronic, written, and in-person interactions. The LVN follows Medical Center Telephone and House Standards and demonstrates UCSF PRIDE values and AIDET communication fundamentals. The primary location is Family Medicine at Lakeshore, with flexibility to cover multiple UCSF Medical Center primary-care clinic sites.

Requirements

At least 3 years of LVN experience.
At least 1–2 years of experience in an outpatient primary-care setting, in primary care and/or family medicine.
At least 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 patient needs and responses to treatment by observing symptoms, emotional state, and cultural and socioeconomic background; report concerns and unusual observations to the health care team and alert providers to urgent conditions.
Learn how to respond to code blue situations, understand emergency equipment, report unsafe conditions, and participate in safety drills.
Work with the health care team to plan care, establish patient goals, and identify appropriate family, community, and educational resources.
Provide individualized care appropriate to patients’ growth, development, and age-specific needs.
Prepare, disinfect, organize, and maintain examination rooms and remove expired supplies.
Perform patient intake, inreach, and outreach to support practice quality initiatives and population management while protecting patient privacy.
Prepare and instruct patients about diagnostic and therapeutic procedures and treatments, and assist with procedures including vaccines, injections, wound care, and phlebotomy.
Obtain specimens, perform directed point-of-care testing, complete quality assurance and quality control for CLIA-waived tests, and report out-of-range results.
Use equipment correctly and maintain safe practice; evaluate and document patient responses to care, procedures, and treatments in the electronic medical record.
Administer and document medications while maintaining current pharmacology knowledge and competency in administration methods.
Document telephone messages and chart notes thoroughly and accurately.
Respond appropriately to emergencies, understand emergency procedures and equipment, and initiate or assist with CPR as appropriate.
Comply with Ambulatory Services and Medical Center infection-control, safety, administrative, and clinical policies and procedures, including applicable TJC, Title 22, and NCQA requirements; complete annual competency testing.
Organize clinical support activities to meet patient needs and maintain clinic flow; adjust priorities as needed.
Communicate with patients, families, and the health care team to support continuity of care; maintain accurate records of complaints, observations, interventions, care plans, teaching, and patient responses.
Complete assigned InBasket tasks, including cross-coverage for other teamlets and primary-care practices; participate in daily huddles and work effectively with team members and other departments.
Use courteous, clear, culturally sensitive communication and maintain positive relationships with patients, families, visitors, and staff; follow Telephone Standards and demonstrate PRIDE values and AIDET fundamentals.
Identify and document patient education needs, provide understandable teaching, share information about UCSF and community services, use interpreting services when appropriate, and verify patient or family understanding.
Use and maintain educational resources, participate in reviewing or revising materials, and support patient action planning and health coaching.
Participate in performance-improvement activities, health coaching training, health-care maintenance support, and Patient-Centered Medical Home recognition; recommend improvement topics and assist with data collection.
Report and follow up on environmental and safety issues; use supplies and support resources effectively and contribute suggestions for cost-effective practices.
Attend relevant classes, conferences, workshops, and staff meetings; share information from programs attended and contribute to the orientation of other health care team members.
Maintain license renewal, annual PPD, CPR certification, required competencies and training, and compliance with work policies, scheduling guidelines, and dress and identification requirements.