Licensed vocational nurse - pediatric dermatology

Under the supervision of the LVN Supervisor/Nurse Manager, the Licensed Vocational Nurse - Pediatric Dermatology provides direct nursing care for pediatric patients in Ambulatory Pediatric Specialties practices, with primary assignment supporting Pediatric Dermatology. Coordinates outpatient care, performs patient intake, obtains vital signs, reconciles medications, administers medications and immunizations, performs laboratory procedures, assists providers during examinations and procedures, coordinates care between patients, families and the interdisciplinary team, documents care in Epic, and promotes safe, high-quality patient care while adhering to UCSF policies and Living PRIDE standards. This position is 100% in-person onsite and requires flexibility to work at the following campuses: Oakland, San Francisco, and satellite clinics.

The Pediatric Dermatology clinic cares for infants, children, and adolescents with common and rare skin disorders. Our team of board-certified pediatric dermatologists and experienced clinicians are specially trained and certified to care for children. They have a deep knowledge of treating pediatric skin, hair, and nail disorders and understanding of how different procedures affect children’s health, appearance, and skin healing. The clinic offers diagnosis and care for atopic dermatitis, psoriasis, disorders of keratinization, inherited skin conditions (i.e. ectodermal dysplasia), birthmarks, moles with atypical appearance, and many other skin, hair and nail conditions.

RESPONSIBILITIES

DUTIES & ESSENTIAL JOB FUNCTIONS

Identify the functions or tasks that employees in the job perform. The essential functions should state the purpose of the work and the results to be accomplished, rather than how the function is performed. Of the tasks listed, what percentage of time is devoted to each? The more time employees spend on a function, the more likely it is that the function is essential. Generally, include those functions that account for 10% or more of the work, i.e., key items that contribute significantly to the achievement of the job. The functions should add up to 100%.

% of time

Essential Function (Yes/No)

Key Responsibilities (To be completed by Supervisor)

20

Yes

Provides comprehensive outpatient nursing care including intake, vital signs, medication review, specimen collection, medication/vaccine administration, patient assessment, documentation, patient privacy, room preparation, assistance with procedures and treatments. Provides developmentally appropriate nursing care.

20

Yes

Assists with procedures. Prepares sterile field, preps site (skin antisepsis), position, and drapes patient, collects specimen from providers. For dressings, applies, cleans, or removes dressings/bandages for closed surgical incision or stage 1 and 2 wounds. Applies dressings for compression or vascular compression. May remove suture and staples per policy and provides written post-removal care instructions.

20

Yes

Coordinates continuity of care through Epic documentation, telephone communication, patient follow-up, coordination with providers, obtaining outside records, referrals, and communication with patients, families, pharmacies, and community resources. Administrative tasks include reconciling medication records from outside institutions, updating the care team, coordinating DME, processing prior authorization requests for non-medication orders.

10

Yes

Review/reinforce patient and family pre-printed and approved instruction/information regarding medications, treatments, procedures, follow-up care and available resources; verify understanding using teach-back or return demonstration.

10

Yes

Maintain exam rooms, clinic space(s), supplies and equipment; ensures infection prevention, environmental safety, safe patient handling, regulatory compliance, Joint Commission standards and emergency preparedness. Complies with soiled instrument handling guidelines and policies.

5

Yes

Participates in quality improvement activities, safety initiatives, competency validation, CPR readiness, and departmental performance improvement.

5

Yes

Attend staff meetings, complete required education, maintain licensure/certifications, contribute to onboarding/orientation of staff, and demonstrate professional communication and teamwork.

5

Yes

Performs department approved “Point of Care” waived tests and quality control.

5

Yes

Performs safe handling of liquid nitrogen including, preparation and readiness for use in clinics.

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, team work, 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 team work 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 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

Duties listed in this section are not essential or intrinsic to the job but are performed at times.

Included in this section should be a general statement such as. “Perform other duties as assigned.” This phrase allows the supervisor to assign sporadic or one-time tasks as needed.

Please list:

• Performs other duties as assigned.

POPULATIONS SERVED

Employees who routinely provide direct patient care require a statement concerning Populations Served Competencies. Typically, a statement such as “Demonstrated ability to provide appropriate care based on the needs of a specific individual, including the patient’s age.” is sufficient. Select from the following patient age categories.

• Infant
• Child
• Adolescent
• Adult
• Geriatric

MEDICATION ACCESS AND STORAGE

The “Medication and Auxiliary Staff Competency” must be successfully completed for Level I, Level II or Level III staff PRIOR to performing duties requiring medication access (including access, transport, and/or stocking activities OR access to medication storage areas for cleaning).

LEVEL 1: Access Med Storage Areas for Cleaning

LEVEL 2: Access & Transport

LEVEL 3: Access, Transport & Stocking

Environmental Service Personnel

Drivers

Patient Support Assistants (PSAs)

Hospital Assistants (depending on specific duties; ask HR if unsure)

Hospital Unit Service Coordinators

Material Services Personnel

Volunteers

Medical Assistants

Nuclear Medicine Technologists

Ophthalmology Technician

Patient Care Assistants (PCAs)

Pharmacy Storekeepers

Radiology Technologists (all modalities, Ultrasound, Mammo, etc.)

Instructions:

After employee successfully completes the level-appropriate competency, please check the corresponding box below. Obtain the employee’s and manager’s signatures to attest that the competency was completed and send the signed job description to HR for the employee’s personnel file.

_____ Level 1 As a part of his/her daily activities, employees may have access to medication storage areas for cleaning only. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 1.

_____ Level 2: As part of his/her daily activities, employee may access and transport medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 2

___X__ Level 3: As part of his/her daily activities, employee may access, transport and stock medications. These activities must be in compliance with the Medications and Auxiliary Staff competency for Level 3.

QUALIFICATIONS

Required Qualifications:

• Recent pediatric ambulatory or acute care experience.
• Two (2) years of related healthcare experience
• Demonstrated proficiency in phlebotomy
• Demonstrated ability to provide highly personalized patient care
• Demonstrated ability to work as an integral part of a patient care team.
• Demonstrated communication skills, both verbal and written.
• Strong customer service orientation.
• Proficient in APEX.
• Demonstrated knowledge with Windows-based software including Microsoft word, Excel, Outlook.
• Epic electronic health record proficiency.
• Excellent written and verbal communication skills.
• Strong customer service, organizational and interpersonal skills.
• Ability to work effectively as a member of an interdisciplinary team.
• This position requires flexibility to orient and work at all UCSF Medical Center locations.

Required Licenses/Certifications:

• Current California Licensed Vocational Nurse (LVN) license.
• Current Basic Life Support (BLS) certification.

Preferred Qualifications:

• One year of recent LVN experience.
• Ambulatory care experience.
• Dermatology experience.
• Recent Medical Assistant experience.