Ambulatory Care Nurse - Urology

  1. Hi everyone,

    Thanks for taking to time to respond to this post. I am a fairly new nurse (2 years) and am sick of the hospital craziness so I recently accepted a position in a Urology clinic and I was wondering if anyone could give me their day to day in the same field.

    I do know that Urology and ENT clinics are the busier of the clinics but that's okay. I will be the only RN and have worked in MedSurg/Tele since I started.

    I want to make this job and office a great place to work (add flow and consistency) Does anyone have any advice for that? I am extremely organized just curious if there are any tips out there.

    Thanks in advance!!!!
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  2. 4 Comments

  3. by   spooky64
    I've worked in a urology clinic for 2 years. I'm now clinical supervisor so my days now are much different than when I started, but I can give you an overview of what I used to do...and sometimes still do if there's a gap in the schedule. Our day often starts at 6:30 when we:
    -set up vas trays
    -set MD up at his workstation (post his pt list, get his jacket and supplies, log him on to EMR)
    -room patients (vitals, HPI, update meds/allergies, urine dips, bladder scans)
    -take triage calls
    -return calls left on voicemail by patients
    -DMSO bladder treatments
    -blood draws
    -injections (Lupron, Eligard, Trelstar, Firmagon, XGEVA, testosterone)
    -assist with pelvics
    -cath insertions/changes including SP tubes
    -RX refills
    -call pts with lab/x-ray results
    -set up microscope for post-vas semen analysis
    -send urine for culture/cytology/fish
    -assist with rare in-office cystoscopies
    -set up for Testopel insertion

    I've been known to get out as late as 8 pm, but that's not the norm. We have our own surgery center so most of our procedures are done there. Our days are busy, but rarely boring.
  4. by   nursenicki14
    Quote from spooky64
    I've worked in a urology clinic for 2 years. I'm now clinical supervisor so my days now are much different than when I started, but I can give you an overview of what I used to do...and sometimes still do if there's a gap in the schedule. Our day often starts at 6:30 when we:
    -set up vas trays
    -set MD up at his workstation (post his pt list, get his jacket and supplies, log him on to EMR)
    -room patients (vitals, HPI, update meds/allergies, urine dips, bladder scans)
    -take triage calls
    -return calls left on voicemail by patients
    -DMSO bladder treatments
    -blood draws
    -injections (Lupron, Eligard, Trelstar, Firmagon, XGEVA, testosterone)
    -assist with pelvics
    -cath insertions/changes including SP tubes
    -RX refills
    -call pts with lab/x-ray results
    -set up microscope for post-vas semen analysis
    -send urine for culture/cytology/fish
    -assist with rare in-office cystoscopies
    -set up for Testopel insertion

    I've been known to get out as late as 8 pm, but that's not the norm. We have our own surgery center so most of our procedures are done there. Our days are busy, but rarely boring.

    Thanks for you input! I am looking into a urology clinic and the work seems fascinating! I was wondering what the rate was for nurses since it is not in a hospital but a specialty clinic right next to it. I am a LVN in Cali. Fingers crossed for an amazing opportunity!

    Thanks in advance!
  5. by   I♥Scrubs
    I am an LPN in a surgical urology clinic. Basically all our MD's are surgeons and we have normal clinic visits although we do have minor surgical procedures such as vasectomies. I started at 13/hr. My day is very much like the poster above. I arrive at 0745 and I leave at 1630 because they HATE giving us overtime. Most of my day consists of getting pt's roomed in and doing their vitals, getting urine samples, dipping the urine and entering the results, sending urine to the lab, setting up for, assisting and cleaning up after a cystoscopy. Cysto's are fairly common in our clinic, some days we have 5 of them! Prostate biopsies are performed in our clinic as well as gold seed implants and urodynamic tests. Also catheter changes, BCG treatments (Bladder cancer treatment), DMSO bladder instillation, Eligard injections and the occasional flu-shot. We also do voiding trials to see if pt's are ready to have their catheters removed and bladder scans to see if they are able to fully empty their bladder.
  6. by   chiomaigah
    how does on get a certification in PTNS?

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