Phlebotomist, Externship Lead en Lyon-Martin Community Health Services

Job Title: Phlebotomist, Externship Lead
Pay: $34.01 per hour ($70,730.40 annually at 40 hrs/week)
Hours: 32-40 hrs/week
FSLA Status: Non-Exempt
Primary Location: Lyon-Martin Community Health Services
Address: 1735 Mission Street San Francisco, CA 94103
Reports To: Medical Assistant Manager

Organization Mission

The mission of Lyon-Martin Community Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to LGBQ sexual orientation, disability, size, race, ethnicity, and language, regardless of immigration status or ability to pay.  

We aim to address and eliminate health inequities for our communities by rooting our clinical practice in core foundational intersectional frameworks of anti-racism, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development are central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.

Job Summary

The Phlebotomist, Externship Lead is an essential clinical team member who provides high quality, client-centered care to our clients. They support the flow of our clinical care by providing skilled phlebotomy, urinalysis, point of care lab tests, and injections to Lyon-Martin patients. The Phlebotomist is also cross-trained in Medical Assistant duties: front desk check-in and check-out, patient rooming and performing vitals, patient education, and clinician support. They participate in quality control and infection control by leading QA activities relating to the lab. They ensure timely following up on lab results and lab errors. As the Phlebotomy Externship Lead, this position has the additional responsibility of contributing to the selection, on-boarding, precepting and evaluation of Lyon-Martin's Phlebotomy Externship students.

The Phlebotomist is expected to provide all patient care in a sensitive and non-judgmental manner, to maintain a high degree of professional competence and the highest possible ethical standards, and to function as part of a care-giving team. They, along with all staff at Lyon-Martin, are also expected to uphold and imbue in others a commitment to addressing racism, ableism, gender and sexual discrimination within the organization and our clinical practice.

Key Responsibilities

Phlebotomy

• Responsible for providing phlebotomy, urinalysis, point of care tests and injections for all appropriate appointments scheduled on the lab schedule.
• Responsible for complying with all state and federal laws and regulations and Lyon-Martin policies and procedures, but especially with regards to following provider orders, obtaining verification of dose prior to injection by licensed staff, and following Lyon-Martin’s Medical Emergencies, Rapid Response, and Incident Reporting protocols.
• Clean and sterilize lab and medical equipment using impeccable infection control technique.
• Treat all patients using trauma-informed care skills and de-escalation skills as needed.
• Maintain professionalism and complete visits in a timely manner, documenting all patient interaction and closing notes same day.
• Respond to all routine in basket messages within 72 hours, urgent messages same day.
• Package labs appropriately, store them according to appropriate temperature requirements, and ensure lab specimens are put out in time for Quest pick up.
• Maintain confidentiality and HIPAA standards at all times.
• Respect names and pronouns of clients and staff at all times, ensure this information is communicated to the team and entered appropriately in the chart.
• Perform daily chart preparation.
• Ensure timely lab result delivery by coordinating with Quest, and other third-party labs, to promptly resolve specimen and order issues.
• Assist with in-reach to schedule patients due for lab work, tests, or injections.
• With the assistance of the Charge RN, triage walk-in appointments.  

Phlebotomy Externship

• Contribute to the selection, on-boarding, precepting, and evaluation of Phlebotomy Externship Students.
• Model best practices in phlebotomy techniques and compliance.
• Mentor phlebotomy externs in phlebotomy skills.
• Serve as a designated “sign-off” authority for phlebotomy externs, verifying competency and ensuring adherence to quality and safety standards
• Collaborate with supervisory staff of externs to report on phlebotomy progress and training needs without holding formal supervisor responsibilities.

Quality Assurance and Quality Improvement

• Responsible for completing and maintaining lab supply inventory, including refrigerated vaccines and medications, checking expiration dates, re-stocking as needed, and communicating with management when low on supplies well in advance so supplies may be replenished before out of stock.
• Responsible for maintaining the utmost infection control standards in the lab, including changing out sharps containers when full, ensuring no dirty instruments are left in the sink, cleaning the lab between each patient, and at the beginning and end of each day.
• Responsible for completing point of care test control tests for Quality Assurance each month.

Medical Assisting

• Provide coverage as needed as a Medical Assistant which includes:
• Manage daily schedule and clinic flow for assigned primary care provider.
• Room clients, take vitals, gather medical history and chief complaint.
• Accurately enter all relevant clinical information into Electronic Health Record.
• Perform electrocardiograms (EKG), visual testing, peak flow meter, administer nebulizer treatments with provider direction.
• Assist with gynecological procedures such as pap smears, colposcopy, IUD insertions, Nexplanon insertions, endometrial biopsies, ultrasounds, etc.
• Assist with primary care procedures such as incision & drainage, joint injections, ear lavage, etc.
• Provide health education and materials to clients, including health-related issues such as sexual health, preventative care, chronic care management, insurance coverage, referrals, follow-up care.
• Draft letters of accommodation, letters of diagnosis, letters to help update identity documents to reflect gender identity, etc. as directed by primary care provider.
• Support clinicians with client follow up care as needed.
• Cross-training with front office, and other duties, is required as needed.

Competencies: 

Communication, Written: Delivers written communications that have clarity and impact including emails.

Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.

Time Management: Organizes and establishes priorities; gets the job done in a timely manner.

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. 

Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism. Asks for help when needed.

Tolerance for Stress, Ambiguity and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.

Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact. 

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.

Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.

Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.

Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.

Education, Knowledge, Skills:

Required:

• Phlebotomy Certificate (CPTI or CPTII) with at least two years’ experience as a Medical Assistant
• Knowledge of clinical documentation, treatment plans, and terminology.
• Experience working with lesbian, bisexual, transgender, non-binary, gender non-conforming, and intersex clients 
• Experience working with people with varying disabilities, racial, ethnic and cultural backgrounds and economic statuses, 
• Experience working with clients who do sex work, those experiencing homelessness, people who have challenges with mental illness and/or are using substances, those of with a history of incarceration, people of varying ages.
• Proficient in data entry and Microsoft Office programs; handles sensitive information in a confidential manner
• Strong communication, organizational, multitasking, and follow-through skills
• Works effectively independently and in interdisciplinary teams
• Provides compassionate, patient, and professional customer service, maintaining composure under stress
• Sensitive to and patient with the interpersonal anxieties of others, especially needlephobia. Puts in extra effort to put others at ease. Warm, pleasant, and gracious.

Preferred:

• Spanish fluency (verbal)
• Basic life support (CPR) certification
• Blood Born Pathogens training completed within the past year
• Experience providing birth control, abortion, and STI counseling/education
• Experience with trauma-informed and harm-reduction models of care 
• Experience using Epic