LVN​/LPN - Kidney Acquisition Non-Exempt; Union

The Licensed Vocational Nurse (LVN) is an individual with specific knowledge and technical skills to assist the Registered Nurse in providing care for a designated group of patients. The LVN utilizes the Nursing Process to provide therapeutic care to a specific population of patients, under the direction of the Registered Nurse.

Under the direction of the RN Transplant Coordinator, the clinical transplant LVN assists in the assessment, data collection, and management of the transplant candidate and transplant recipient. The clinical transplant LVN assists other personnel to ensure high quality delivery of patient care and services to this patient population. Will participate in transplant clinics in conjunction with the physicians and transplant coordinators.

Prepares charts for clinics, anticipating MD orders, follow up on labs and diagnostic studies in advance, and seeing patients in clinic in conjunction with the MD/ provider. Follow up on medications ordered, diagnostic studies, and therapeutic procedures related and track results timely following each patient encounter. Maintains records in OTTR accordingly. Works closely with Coordinator to tightly manage Awaiting Review and Pending Actions lists daily.

Works with Coordinator to ensure patients are presented to transplant selection committee as appropriate. Communicates patient s admit orders to intake team and discharge needs to discharge planner at Keck Hospital of USC and USC Norris Hospital and/or inpatient coordinator. Attends transplant selection committee and other multi-disciplinary conferences as needed. Monitors compliance of protocols. Acts as a liaison between patient and multiple medical/surgical disciplines involved in the care of these patients;

communicates plan of care with referring physicians as appropriate. Works to maintain and establish new relationships with referring physician office staff.

• Maintains communication with transplant coordinators, patient, family, medical staff, referring physicians, financials counselors, transplant case managers, insurance companies and other health care providers.
• Under the supervision and direction of the transplant coordinator will assist in the coordinating care of the patient in transplant evaluation, candidate awaiting transplant, and post transplant recipient. Demonstrates knowledge of the care provided the patients with end stage liver or kidney failure, and the postoperative liver or kidney transplant recipient.
• Orders studies as directed by transplant surgeon, or physician or and obtains results. Will recognize abnormal and significant changes and communicates results of tests or procedures to the transplant coordinator or M.D.
• Monitors and tracks the patient who needs studies done, facilitating the studies getting done in a timely manner at either the transplant center or outside facility by updating and keeping abreast of the candidate s appointments. Elicits help from transplant team as required.
• Provides accurate and timely data entry regarding test results, and documents any patient issues or status changes such as demographics, insurance carrier, primary care physician, dialysis unit, or hepatologist/nephrologist.
• Communicates with patient, referring physician, medical plan, transplant team members and other necessary health care providers by phone, mail fax in a timely manner and documents all correspondence. Communicates the listing status to the patient, dialysis unit, referring physician, PCP or medical group.
• Will participate in clinics by preparing charts, following up on labs and diagnostic studies in advance; ensuring the chart has updated progress notes dictations, etc. Will see patients in clinic as necessary in conjunction with the transplant coordinator and M.D.
• Utilizes assessment data to identify and state obvious changes and deviations from normal testing and results, identifies psychosocial issues and problems and notifies transplant coordinator or team. Notifies transplant team of candidate s noncompliance, or of changes in the candidate s medical or social condition, and provides and maintains comprehensive documentation of the candidate s progress.
• Assists in orienting the patient to the transplant process, discusses with the patient the transplant process and provides teaching materials. Documents patient understanding of the transplant process.
• Attends and participates in specific department meetings and other multi-disciplinary conferences. Communicates the listing status to the patient, dialysis unit, referring physician, PCP or medical group, and assists in the transition of the patient back to the referring MD as directed and per protocol.
• Ordering and providing MELD labs to transplant coordinator per protocol for liver transplant candidates.
• Working with dialysis units and immunology lab to ensure that a candidate serum is available for necessary screening tests and cross match for kidney transplant candidates.
• Initiates waitlist candidate clinic…