RN, Urology

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.

 

This position requires some onsite presence with occasional travel to the clinic at Adventist Health Portland

Function/Duties of Position

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

 

Independent nursing practice

Direct and indirect patient care

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 encounters

Assess 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 education

Return calls to patients about lab/test results, check on blood pressure logs, wound care, answer medication and device questions

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 history

Take 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 appointment

Follow up on ED, post-procedure and prior office visits

Meet with patients and present to provider

Be 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 scope

Use templates for documentation

Be able to evaluate urological  issues and understand the management goals and options

Engage in transitions of care

Schedule inpatient admissions as needed

Conduct patient follow up calls after discharge as needed

Understand 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 needed

Identify 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