Licensed Vocational Nurse (LVN)

University of California, San Francisco; San Mateo (CA); On-site; USD 80,000 - 110,000; Full time

Job summary

University of California, San Francisco is seeking a Licensed Vocational Nurse (LVN) to deliver ambulatory nursing care across multiple specialties at the San Mateo Primary and Specialty Care Clinic. This 6-month position supports clinic flow, patient outreach, and collaborative care under the Nurse Manager.

The LVN will perform routine clinical functions, document in the EMR, and assist with a wide range of procedures.

Qualifications

• Proficient in taking vitals and documenting data.
• Administer medications and monitor patient responses.
• Respond to emergencies and initiate CPR when needed.
• Assess patient needs and contribute to care plans.
• Coordinate with multidisciplinary team for patient-centered care.

Responsibilities

• Identify patient needs based on symptoms, observations, and background.
• Report concerns to the health care team and alert providers as needed.
• Manage daily clinical operations and clinic flow for efficiency.
• Prepare exam rooms and assist with diagnostic procedures as required.
• Document nursing care and patient responses in the EMR.

Skills

Vital signs

Medication administration

Emergency response CPR

Patient assessment

Team collaboration

Clinical documentation

Education

LVN License

Tools

APEX EMR

Job description

Job Description

Employment Duration: 6 months (w/ potential for extension)

Under the supervision of the Nurse Manager and guided by the procedures of Ambulatory Services, the Licensed Vocational Nurse (LVN) is responsible for providing nursing care to patients in the ambulatory setting. The LVN plays a critical role in the patient experience, including optimizing clinic flow, providing in and outreach to patients, and working collaboratively with the multidisciplinary team to create a patient-centered environment.

In collaboration with the Nurse Manager, Practice Manager, Administrative Director, and Providers, the LVN has clinical responsibility for developing and maintaining a high standard of patient care for patients of all specialties at San Mateo Primary and Specialty Care, including Primary Care, Adult and Pediatric Care, Women's Health OB and GYN, Adult and Pediatric Cardiology, Gastrointestinal, Adult and Pediatric Endocrinology, Neurological and Neurosurgical Care, Hepatology, Pediatric Developmental, and Infectious Diseases.

The LVN is responsible for daily clinical operations and maintaining a safe environment for patients and staff. Nursing care is individualized to meet the patient's physiological, psychosocial, cultural, and developmental level and needs. The LVN consistently projects a professional and courteous demeanor, helps establish and maintain the highest service standards for the practice, and complies with the Medical Center House and Telephone Standards.

The UCSF San Mateo Primary and Specialty Care Clinic is a clinical site that offers both Adult and Pediatric primary and multi-specialty services in one shared location. Sterile Processing and Radiology are also located on site and provide basic plain film services. The staff includes Patient Care/Practice Coordinators, Medical Assistants, Nurses (RNs and LVNs), Sonographers, and Allied Health Professionals.

Key Responsibilities

• Identify the needs and responses of patients to medical regimens and treatment through observation of symptoms, emotional state, and cultural and socio-economic settings and backgrounds.
• Recognize and report specific physical and emotional conditions, needs, and concerns of patients to appropriate members of the health care team.
• Alert providers to unusual patient observations to facilitate immediate attention, including chest pain and shortness of breath.
• Perform routine and clinical functions, including vital signs, height, and weight, and document data in APEX.
• Work cooperatively with the health care team to discuss patient alternatives to health care services and develop short- and long-range goals to meet patient needs and treatment plans.
• Plan for patient needs using knowledge of physical and emotional processes as well as cultural and socio-economic backgrounds.
• Identify appropriate internal and external resources for patient care.
• Order and monitor clinical supplies and equipment for Urology, Orthopedic Surgery, Otolaryngology/Head & Neck Surgery, and Audiology.
• Create weekly nurse visit and procedure assignments and work with Administrative staff to adjust schedules for smooth clinic flow and patient experience.
• Ensure medication and procedure orders are entered accurately and in a timely manner.
• Identify procedures requiring informed consent and communicate to the clinic team and provider.
• Assist with add-on procedure coordination, including checking insurance authorization and ensuring staffing, supplies, and room availability.
• Provide individualized nursing care responsive to the growth and developmental needs of patients.
• Provide appropriate care based on the needs and age of each patient, including pediatric, adult, and geriatric patients.
• Set up exam rooms and perform the intake process while providing physical and emotional privacy.
• Prepare and instruct patients about specific diagnostic and therapeutic procedures and treatments.
• Assist with diagnostic and therapeutic procedures and treatments as needed.
• Use appliances and equipment correctly and maintain safe practice.
• Evaluate and document patient responses to nursing care, including pre- and post-procedure care and treatments.
• Administer and document medications in the electronic medical record while maintaining current knowledge of pharmacology and competency in modes of administration.
• Respond appropriately in emergencies, including initiating and assisting with CPR, and maintain knowledge of code blue carts, emergency kits, medical emergencies, and emergency/disaster procedures.
• Comply with Ambulatory Services and Medical Center policies and procedures for infection control, safety, administrative, and clinical practice.
• Complete annual competency testing as specified by the individual practice.
• Assist patients with limited mobility in transfers from wheelchair to exam table, chair, or toilet, and transport patients safely.
• Order and sign per Ambulatory protocols.
• Document point-of-care test results.
• Enter and pend scripted orders from providers.
• Open telephone encounters and route appropriately.
• Open staff messages and respond appropriately.
• Build dot phrases to assist with templating of charting and messaging.
• Cross-cover nursing in-basket.
• Queue patient orders in advance of patient office visits.
• Organize activities based on patient needs while maintaining effective patient flow through the practice.
• Adjust clinical support activities to reflect changes in priorities during practice sessions.
• Maintain open communication and facilitate continuity of care for patients and/or families with members of the health care team through phone contact, verbal interaction, and written reports.
• Utilize APEX information to document patient care.
• Maintain accurate, legible, current, and properly signed records and documentation, including patient complaints, nursing observations, interventions and care plans, nursing actions and teaching, and patient responses.
• Obtain records and convey information clearly and concisely.