RN, Urology at Oregon Health & Science University

Portland, Oregon, United States -

Full Time

Start Date

Immediate

Expiry Date

12 May, 26

Salary

0.0

Posted On

11 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Care, Critical Thinking, Assessment, Care Coordination, Patient Education, Communication, Team Leadership, Documentation, Quality Assurance, Process Improvement, Urological Care, Nursing Standards, Medication Administration, Triage, Clinical Flow Management, Interprofessional Collaboration

Industry

Higher Education

Description

Department Overview The Department of Urology at OHSU is committed to providing the highest quality, state-of-the-art care for adult urology patients. Our physicians are recognized leaders in their fields, have advanced fellowship training in urological subspecialties, and are expert, high-volume surgeons. We consider it a privilege to be able to offer urologic care to our patients and continually strive to provide it with a personalized, patient-centered and compassionate focus. This position is in the Adult Urology clinic in CHH on the South Waterfront. The clinic comprises ten physicians, one nurse practitioner and four physician assistants who treat the spectrum of urologic conditions. Other support staff include patient access specialists and MAs. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position This position requires some onsite presence with occasional travel to the clinic at Adventist Health Portland. The practice specializes in providing urologic care for adults. Services include catheterizations, specimen collections, prostate/testicular biopsies, cystoscopies, cystograms, lupograms, retro urethrograms, calypso beacon, gold seed placements, urodynamics, vasectomies, stent exchanges/removals/placements, voiding trials, medication administration (BCG, Lupron, Trimix, Xiaflex, testosterone pellets, Botox), Foley placement, catheter irrigations, and dilations. A Registered Nurse (RN) working in the Department of Urology is a member of a multi-disciplinary team and has the primary responsibility for and provides direct and indirect professional nursing care for patients. This includes representing the practice both in-person and on the telephone, other OHSU departments, and non-OHSU facilities. The RN assesses patient and family needs, develops a plan of care, implements and evaluates the care delivered. The Registered Nurse is expected to practice in accordance with professional standards, core values, and with a commitment to service excellence. The OHSU RN provides compassionate, evidence-based, and efficient care for individuals, families, communities and patient populations. The RN’s care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics and meets the standards/expectations of a Professional Practice Model. In that model, the RN demonstrates the professional role obligations of scientist, leader, practitioner, and knowledge Professional accountability enriches the RN’s engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork 1. Independent nursing practicea. Direct and indirect patient careb. Apply critical thinking skills and ability to independently, within your scope, perform initial assessment and interpretation of cardiac rhythms, manage patient assessment and planning, My Chart messages, phone calls and routed EPIC encountersc. Assess status of patient both in person and virtually, troubleshooting issues as they arise, coordinating with care team as required. d. Nurse visits with and without a provider for case management, triage and patient educatione. Return calls to patients about lab/test results, check on blood pressure logs, wound care, answer medication and device questionsf. Assess the physical, emotional, social and educational needs of patients who are calling or coming into the urology clinic in a comprehensive and systematic manner, including patient historyg. Take initiative to review patient charts before provider visits in preparation for patient assessment.i. Work with medical assistants to set up labs and other tests prior to patient appointmentii. Follow up on ED, post-procedure and prior office visitsiii. Meet with patients and present to provideriv. Be proactive and prepared2. Tend to most patient care needs in between visits with the provider (phone calls and My Chart messages, etc.)a. Utilize critical thinking skills to assess patient situations, to the best of RN ability based on knowledge transfer within nursing scopeb. Use templates for documentation3. Be able to evaluate urological issues and understand the management goals and options4. Engage in transitions of carea. Schedule inpatient admissions as neededb. Conduct patient follow up calls after discharge as neededc. Understand who to contact and when5. Assist with prior authorizations and FMLA paperwork as needed6. Monitor non-episodic data to meet guideline-directed therapy goals 7. Referral review as neededa. Identify urgency of referral and triage as appropriate 8. Cross coverage of other urology nurses as needed9. Assist with clinical flow and rooming assessment as needed for break and lunch coverage, staffing shortages, and as directed by Nurse Manager10. Comply with regulatory requirements and standards and OHSU policies and procedures11. Program development and implementationa. Engage in continuous process improvementb. Engage in continuous quality assurance directivesc. Maintain a willingness to embrace change with a positive attituded. Engage in workflow and documentation optimization and standardizatione. Active participation in Morbidity and Mortality conference. f. Provide educational support to staff, visiting students and volunteers asg. Actively participate in service excellence, including engaging with patients and their family to understand concerns and problem-solve resolutions12. Communicationa. Effectively communicate to providers, patients and other staff as needed (Epic, Outlook, telephone, in person)b. Be proficient in synthesizing patient information and summarize in a succinct, effective mannerc. Write brief encounter summaries with the main cardiac studies' results (rather than referring provider to read a scanned document) as neededd. Minimize the use of Outlook for patient-related communication as much as possible, and move provider requests that come via Outlook into Epic (when patient is registered and has an active MRN).e. Engage in positive, supportive verbal communication with patients, families, providers and support stafff. Communicate appropriately and timely with other professionals to discuss relevant aspects of patient care13. Provide appropriate education to patients and their familiesa. Provide education, counseling, information and support that is tailored to the patients' needs (medication, disease-specific advice, etc.)b. Confirm patient synthesis of communicated informationc. Ensure that the patient and their family understand the plan of care recommended by the multidisciplinary team and that their questions are fully answeredi. Be able to bridge the patients' understanding and help form the team relationship for continuity of careii. Schedule nurse visits as needed for additional patient educationiii. Meet with provider at end of patient visits to discuss planiv. Maintain an awareness of other OHSU resources to provide support and treatment for urology patients and their families.14. Serve as team leader for medical assistants and other unlicensed assistive personnel (e.x.- device techs) a. Ongoing delegation and direction as per the OHSU Scope of Practice document on MCN15. Responsible for knowledge of what may be delegated and what may not be delegated to MAs as determined by this scope of practice document and OHSU guidelines. Responsible for assessing MAs' level of knowledge, skill and experience and addressing concerns as they arise."a. Guidance on appropriate tasks to delegate to the medical assistantsb. Positive resource and role-model for MA teamc. Work with Lead MA to schedule dedicated admin time to work directly with medical assistants. Required Qualifications Minimum of 3 years of nursing experience with emphasis on adult care BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS at time of hire and must be issued by the American Heart Association (AHA) BLS must not expire during orientation Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications 1 year or more recent experience working in an ambulatory clinic National certification in a relevant nursing specialty 1 year or more recent experience with telephone triage Experience with chemotherapy Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.

Responsibilities

The RN provides direct and indirect professional nursing care for patients in the Urology department, assessing needs and developing care plans. They also engage in patient education and collaborate with a multidisciplinary team.