Mohs Surgical LPN or RN

Mohs - LPN or RN

RESPONSIBILITIES: Deliver patient care as a Mohs medical team member providing the most efficient and

highest quality care possible while maintaining compassion for the patient’s needs. As directed, assist the

Mohs Surgeon/Provider with surgery, procedures, exams and documentation. Act as a patient advocate.

Assist with clean up of exam rooms and commons areas.

PHI ACCESS AND DISCLOSURE: It is the policy of our practice that all providers and staff preserve the

integrity and confidentiality of protected health information (PHI) pertaining to our patients. To ensure that a

staff member has the necessary medical and PHI to provide the highest quality medical care possible, staff

members will have access to the patient’s medical chart, demographic information, and, when necessary

financial information. All staff members must sign a Confidentiality Agreement before receiving access to

this information.

PRIMARY JOB RESPONSIBILITIES

1. Escort patients to examination rooms

2. Obtain a history of present illness/concerns, obtain HPI and any updates

3. Do a review of systems with the patient

4. Perform Mohs pre-op history with patient

5. Take past, family, and social history

6. Update medical history, medication, and medication allergies

7. Prepare patients for examination and/or procedures

8. Assist the Mohs surgeon/provider in completing Mohs layers and obtaining hemostasis as well as patient comfort between layers

9. Complete Mohs repair and suturing with the Mohs surgeon/provider and apply dressings to the surgical site(s)

10. Complete patient charting/note, chief complaint, and review of systems, exam, assessment, and procedure/treatment

11. Educate patients, so they understand the use of medications and post-op care

12. Write prescriptions, review the medication with a patient and answer any questions

13. Contact pharmacy as necessary

14. Obtain pathology results from abs and distribute reports to providers

15. Perform wound checks and additional patient education as necessary

16. Perform suture removals, and provide instructions on post-op wound care

17. Give injections as needed

18. Take phone calls and return phone messages

19. Call patients with pathology results

20. Make referrals and coordinate with other specialties

21. Manage prescription refill requests

22. Set up medical supplies and equipment for surgeries and procedures

23. Enter biopsy numbers, and complete path paperwork

24. Assist provider with patient consultations

25. Assist provider with biopsies, excisions, and surgeries

26. Prepare and fill surgery anesthetic vials and syringes

27. Complete Mohs maps

28. Complete temperature checks for refrigerators and other equipment as designated by CLIA

29. Verify inventory, and if needed, place the item(s) on the order list

30. Clean and prepare the exam room after each patient visit

31. Prepare instrument packs/gauze packs and sterilize using autoclave

32. Restock exam, surgical, and treatment areas

33. Pick up and keep countertops organized and cleaned

34. Empty and wipe down trash receptacles, both contaminated and non-contaminated, following OSHA guidelines

35. Vacuum carpet outside exam rooms

36. Clean and maintain autoclave

37. Wash, fold and put away laundry

38. Check and change biohazard bags and boxes as needed

39. Monitor the current status of the work and projects for the Mohs team and Clinic Operation Manager-Mohs

40. Attend meetings or conferences as assigned and reports on major points and actions resolved or to be taken

41. Handle various matters involving contact with various staff that occurs between the clinician, lab, and Pathologist

42. Initiate prior authorizations with patient insurance when requested

43. Communicate with billing regarding the correct charges for Mohs services and any consults

44. Prepares various documents or correspondence and handles confidential matters in accordance with Heartland Dermatology policy and procedures

45. Ensure equipment operation, calls for repairs, maintains equipment inventories, and evaluates new equipment and techniques.

46. Performs other duties as assigned.

JOB QUALIFICATIONS

• Licensed Practical Nurse or Registered Nurse holding an active Kansas license in good standing

• Graduate of an accredited nursing program, successfully passing the nursing state board exam
• Active CPR certification
• Willing to use nursing skills
• Willing to learn numerous dermatologic procedures
• Willing to work independently yet closely with others as a team player
• Able to take initiative
• Possess strong attention to detail
• Able to communicate effectively (verbally and in writing) with patients, providers, and staff
• Able to learn and perform procedures and tasks as listed in the job description
• Must be capable of lifting and carrying 20 lbs, and occasionally up to 50 lbs
• Must be proficient in using basic medical math skills
• Problem-solving and use of reasoning skills to make discriminating judgments knowing right from wrong
• Have legible handwriting
• Dress according to guidelines in personel manual
• Adhere to regular routine attendance
• Must be capable of utilizing EHR for medical documentation on both desktop and tablet platforms