Urology Rn Jobs in Oregon (NOW HIRING)

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.

Department Specific Working Conditions:

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

• 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

Care Management and Navigation

• Serve as the primary care manager and navigator for patients receiving intravesical bladder cancer treatments (BCG, mGem/DOCE, and related regimens)
• Ensure patients are scheduled appropriately for treatments in alignment with provider orders and clinical protocols
• Verify that the infusion/treatment plan is signed and current prior to treatment initiation
• Assist Patient Access Services (PAS) with scheduling questions and concerns specific to intravesical treatments
• Make sure that post-treatment surveillance visits are booked at the start of intravesical therapy

Patient Assessment and Readiness

• Assess patient readiness prior to each treatment visit, including clinical status, tolerance of prior treatments, and psychosocial factors
• Conduct pre-treatment patient education including treatment rationale, expected side effects, medication instructions, and follow-up expectations
• Identify and troubleshoot treatment barriers on an individualized basis
• Screen patients to determine stay in clinic vs discharge post instillation categorization, identifying needs in the following domains:
• Medical social work referral needs
• Mobility and transportation accommodations
• Schedule accommodation and patient preference considerations
• Financial, language, or literacy barriers

Coordination of Pre-Treatment Medications

• Coordinate pre-treatment medication requirements in accordance with provider orders and institutional protocols
• Communicate medication instructions clearly to patients and caregivers prior to scheduled treatments

Policy, Procedures, and Competency

• Manage, develop, maintain, and update urologic oncology nursing policies and procedures
• Develop, maintain, and update RN clinical competencies specific to intravesical therapy administration and nursing care
• Ensure nursing practice remains current with evidence-based guidelines and institutional policy
• Attend Tumor Board meetings as clinically indicated and when attendance adds value to patient care coordination

Patient Resources and Support

• Provide patients and families with curated resources including support group information and disease-specific reference materials
• Connect patients with OHSU Patient and Family Services and community-based oncology support organizations as appropriate

Research Nurse Liaison

• Serve as the clinical nursing liaison for urology oncology research protocols and clinical trials
• Collaborate with the research team to support patient identification, enrollment, and protocol adherence
• Provide nursing education to research staff and clinical team members as required by active protocols

Research Nursing Competency and Procedures

• Develop, maintain, and update RN competencies specific to research nursing activities within the urology division
• Develop, maintain, and update RN procedures to support research protocol compliance
• Assist with RN clinic scheduling as it relates to research visit requirements and protocol-mandated timing

ADT and Interdepartmental Coordination

• Serve as the departmental liaison for interdepartmental coordination of Androgen Deprivation Therapy (ADT) orders and fiducial placement
• Coordinate pre-ADT laboratory work and medication preparation in accordance with provider orders
• Assist with scheduling needs on a PRN basis for ADT and fiducial-related visits

Procedure Support and Clinic Offload

• Provide procedural support that offloads RN clinic capacity, improving scheduling efficiency for the broader nursing team

Preoperative Communication

• Assist with perioperative anticoagulation and other drug management under provider direction, including patient education and protocol compliance

Urgent Care Coordination

• Assist with urgent care coordination for oncology patients under provider direction and with appropriate orders
• Serve as a clinical resource for urgent clinical questions, triage support, and care escalation in collaboration with the care team

Postoperative Support

• Conduct postoperative calls as capacity permits, supporting patient recovery, answering clinical questions, and identifying early concerns requiring provider follow-up

Referral Review Support

• In collaboration with oncology APPs, evaluate incoming patient referrals to ensure clinical appropriateness, medical necessity, and insurance compliance
• Consult with oncology providers and patients to make informed referral decisions with regards to appropriate clinic venue, need for additional testing, requests for additional records, pathology and or imaging review.

Comply with regulatory requirements and standards and OHSU policies and procedures

Program development and implementation

• Engage in continuous process improvement
• Engage in continuous quality assurance directives
• Maintain a willingness to embrace change with a positive attitude
• Engage in workflow and documentation optimization and standardization
• Active participation in Morbidity and Mortality conference.
• Provide educational support to staff, visiting students and volunteers as
• Actively participate in service excellence, including engaging with patients and their family to understand concerns and problem-solve resolutions

Communication

• Effectively 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 manner
• Write brief encounter summaries with the main cardiac studies' results (rather than referring provider to read a scanned document) as needed
• Minimize the use of Outlook for patient-related communication as much as possible