Job 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 at Adventist Health Portland. 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.
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.
Function/Duties of Position
Department Specific Working Conditions:
This position requires some onsite presence with occasional travel to the clinic at Adventist Health PortlandDepartment Specific Requirements:
Independent nursing practiceDirect and indirect patient careApply 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 encountersAssess status of patient both in person and virtually, troubleshooting issues as they arise, coordinating with care team as required. Nurse visits with and without a provider for case management, triage and patient educationReturn calls to patients about lab/test results, check on blood pressure logs, wound care, answer medication and device questionsAssess 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 historyTake initiative to review patient charts before provider visits in preparation for patient assessment.Work with medical assistants to set up labs and other tests prior to patient appointmentFollow up on ED, post-procedure and prior office visitsMeet with patients and present to providerBe proactive and prepared
Tend to most patient care needs in between visits with the provider (phone calls and My Chart messages, etc.)Utilize critical thinking skills to assess patient situations, to the best of RN ability based on knowledge transfer within nursing scopeUse templates for documentation
Be able to evaluate urological issues and understand the management goals and options
Engage in transitions of careSchedule inpatient admissions as neededConduct patient follow up calls after discharge as neededUnderstand who to contact and when
Assist with prior authorizations and FMLA paperwork as needed
Monitor non-episodic data to meet guideline-directed therapy goals
Referral review as neededIdentify urgency of referral and triage as appropriate
Cross coverage of other urology nurses as needed
Assist with clinical flow and rooming assessment as needed for break and lunch coverage, staffing shortages, and as directed by Nurse Manager
Comply with regulatory requirements and standards and OHSU policies and procedures
Program development and implementationEngage in continuous process improvementEngage in continuous quality assurance directivesMaintain a willingness to embrace change with a positive attitudeEngage in workflow and documentation optimization and standardizationActive participation in Morbidity and Mortality conference. Provide educational support to staff, visiting students and volunteers asActively participate in service excellence, including engaging with patients and their family to understand concerns and problem-solve resolutions
CommunicationEffectively communicate to providers, patients and other staff as needed (Epic, Outlook, telephone, in person)Be proficient in synthesizing patient information and summarize in a succinct, effective mannerWrite brief encounter summaries with the main cardiac studies' results (rather than referring provider to read a scanned document) as neededMinimize 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).Engage in positive, supportive verbal communication with patients, families, providers and support staffCommunicate appropriately and timely with other professionals to discuss relevant aspects of patient care
Provide appropriate education to patients and their familiesProvide education, counseling, information and support that is tailored to the patients' needs (medication, disease-specific advice, etc.)Confirm patient synthesis of communicated informationEnsure that the patient and their family understand the plan of care recommended by the multidisciplinary team and that their questions are fully answeredBe able to bridge the patients' understanding and help form the team relationship for continuity of careSchedule nurse visits as needed for additional patient educationMeet with provider at end of patient visits to discuss planMaintain an awareness of other OHSU resources to provide support and treatment for urology patients and their families.
Serve as team leader for medical assistants and other unlicensed assistive personnel (e.x.- device techs) Ongoing delegation and direction as per the OHSU Scope of Practice document on MCN
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."Guidance on appropriate tasks to delegate to the medical assistantsPositive resource and role-model for MA teamWork 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 from AHA required. New hires will be enrolled and required to complete during orientation.
- Must be able to perform the essential functions of the position with or without accommodation
Preferred Qualifications
- Experience with telephone triage
- Experience in an ambulatory clinic setting
- National certification in a relevant nursing specialty
- Highly effective verbal and written communication skills in a variety of collaborative settings
- Demonstrated experience in patient and family education, including development of teaching materials
- Previous experience working with patients with implanted cardiac devices and other advanced cardiac therapies
- Excellent organizational skills
- Current competency with EPIC EMR
Why apply to OHSU?
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu
