Registered Nurse - Urology

The Redwood Shores Urology Practice is a high-volume specialty clinic that focuses on a variety of urological diagnoses. The Urology Clinic treats adults with a wide range urinary tract conditions. These include common problems such as kidney and bladder stones, urinary tract infections, and urinary incontinence, and less common ones, such as obstructions of the urinary tract and painful bladder syndromes. In men, we provide treatment for benign conditions of the prostate gland, erectile dysfunction, and male infertility. Our team is also nationally known for expert repair of traumatic injuries to the genitals and urinary tract. Redwood Shores Urology Practice additionally provides pediatric urologic care.

•Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care

•Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required

•Performs nursing care for patients with more complex needs with assistance and supervision

•Assists with the management of patient care administered by other members of the nursing team

Responsibilities

%   of time	Essential Function (Yes/No)	Key Responsibilities (To be completed by Supervisor)
40	Yes	Provides nursing care to all Urology patients.  Reviews with patients and families, the disease process, the treatment options, as well as the potential outcomes. Provides emotional and psychological support to the urology patient and the      family.  Acts as a liaison between the patient and a variety of medical disciplines as well as other facilities. Communicates by phone, fax, email, or mail.  Fosters continuity of care within the healthcare system.  Serves as a patient advocate within the health care system.  Provides telephone teaching, triage, and advice. Documents all nursing actions taken in APEX Obtain insurance authorization for urology medications  Respond to clinic emergencies (Code Blue, acute symptoms during clinic visit, etc.)
15	Yes	Pend all orders appropriately to providers (medications, refills, imaging, procedures, referrals, etc.)  Develop patient education materials for the teams. Participates in the weekly RN and Procedure Team meeting. Represents the UCSF (University of California, San Francisco) Department of Urology in community activities.
40	Yes	Support Urology Procedures  Cystoscopy Urodynamics RUG VCUG Botox instillations Stent removals Nephrostoomy tube removals Circumcisions Vasectomies Other procedures as needed Complete Nurse Visits PVR Checks Catheter changes (Foley, SPT, etc.) CIC Teaching ICI Teaching Other nurse visits as needed Work with other service lines at Redwood Shores Specialty Clinic as needed to support clinical operations including but not limited to the following procedures: PRP Allergy testing and immunotherapy
5	Yes	Has completed Apex training and Utilizes Electronic Health Record (APEX) for documentation within the scope of practice of an RN. Open telephone encounters. Open staff messages. Demonstrate the ability to communicate with patients both by telephone, in person and in writing using MyChart in clear, easy to understand and grammatically correct language as an essential function of their job. This includes being able to write clinical instructions that may not be possible using APeX smart phrases and other technical shortcuts. Copies CRM messages to the telephone encounter and follows-up with patient by telephone with more detailed documentation of patient problem(s) Review and oversight of staff documentation within APeX
100%%		(To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

LIVING PRIDE STANDARDS

Service Excellence

• Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior.  These standards and expectations convey specific behavior associated with the Medical Center’s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, teamwork, cultural sensitivity, and competency.   

• Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits teamwork skills to positively acknowledge and recognize other colleagues and uses personal experiences to model and teach Living PRIDE standards. 

• Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices

• Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information.

• Demonstrates an understanding of and adheres to safety and infection control policies and procedures.

• Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets. 

Work Environment

• Keeps working areas neat, orderly, and clutter-free, including the hallways.  Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture.

• Picks up and disposes of any litter found throughout the entire facility. 

• Posts flyers and posters in designated areas only; does not post on walls, doors, or windows.

• Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments. 

• Protects the physical environment and equipment from damage and theft.

OTHER FUNCTIONS AND RESPONSIBILITIES

• Performs other duties as assigned.

• PRP with Orthopedic and OHNS (Otolaryngology Head and Neck Surgery) departments, as necessary.

Qualifications

REQUIRED QUALIFICATIONS

• At least two years of Registered Nurse experience
• Minimum of two years full-time RN experience in an adult ambulatory clinical setting or Emergency Department (ED) setting
• Minimum of two years full-time RN experience in a pediatric ambulatory clinic setting or Emergency Department (ED) setting.
• Minimum of two years of procedural experience with adult or pediatric patients in an ambulatory clinic or ED setting.
• Experience with Urologic procedures (i.e. cystoscopy, urodynamics, uroflow / PVR)
• Current CPR/BLS certification
• Knowledge and ability are essential to the successful performance of the duties assigned to the position. Recent experience in the use of electronic medical record documentation
• Experience in multi-disciplinary setting
• Prior experience working on process/quality improvement projects
• This position requires flexibility to orient and work at all UCSF Medical Center locations and all service lines at Redwood Shores.

PREFERRED QUALIFICATION

• Bachelor of Science in Nursing

• 5 years or more of pediatric and adult clinical procedural experience

• At least 10 years of RN experience

• Knowledge of UCSF and APEX

• Proficiency in handling sterile equipment

• Knowledge of sterile processing

• Experience with Urological patient population in inpatient and/or outpatient setting

• Experience with PRP procedures

• Ambulatory Care Nursing Certification (AMB-BC) or other applicable certification
• Current Registered Nurse as defined by California Board of Registered Nursing
• Current CPR through the American Heart Association 

REQUIRED LICENSES/CERTIFICATIONS

• Current Registered Nurse as defined by California Board of Registered Nursing
• Current CPR through the American Heart Association