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LPN - Homeless Services

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Brockton, United States Brockton Neighborhood Health Center Full time
Job DescriptionJob Description


LPN - Homeless Services$26.25 - $31.00POSITION SUMMARY:
  • This position is located in the BNHC satellite clinic at Father Bill’s and Mainspring Homeless Shelter in downtown Brockton, MA. Many patients of this clinic are experiencing homelessness, actively using substances, and have complex psychiatric needs.
  • Ideal candidates must maintains a professional environment in a multi-provider, multidiscipline organization and foster a patient-centered environment including but not limited to:
    • Provision of care and advocacy for patients of all ages and their families based on prudent nursing judgement and acceptable standards of practice.
    • Efficient patient flow, assisting providers and other staff.
  • Performs tasks and procedures within the scope of a medical assistant (M.A.) or LPN
  • Performs nursing tasks in all clinical areas.
QUALIFICATIONS:
  • Graduate of a medical assistant program or LPN certificate program
  • Must be a graduate of phlebotomy training program and state or national certification in
  • phlebotomy
  • Cardio-pulmonary resuscitation (C.P.R.) certified.
  • Bilingual required.
MINIMAL KNOWLEDGE BASE:
  • Demonstrates knowledge of:
    • Medical terminology.
    • Commonly encountered medications
    • Commonly encountered tests and procedures.
    • Basic Clinical Procedures.
    • OSHA Guidelines.
    • First Aid.
    • Moderate computer skills.
POSITION CHAIN OF COMMAND:
  • Reports to Homeless Services Program Manager for program supervision and the Director of Nursing for clinical supervision.
PRINCIPAL DUTIES AND RESPONSIBILITIES:PROFESSIONAL BEHAVIOR:
  • Maintains an understanding of the transient and chaotic nature of the lives of patients experiencing homelessness, mental health disorders, and substance use disorder and adjusts approach to offering medical care according to this understanding.
  • Demonstrates characteristics of accountability and responsibility as evidenced by completion of daily tasks, adherence to job description, and compliance with policies and procedures.
  • Maintains patient confidentiality at all times including HIPAA and 42 CFR Part 2.
  • Maintains discretion of conversation in work areas.
  • Exhibits professionalism by collaborating with patients and co-workers in a pleasant, courteous and considerate manner.
  • Demonstrates ability to prioritize demands, work with distractions, adapt to change, exercise efficient time management, and work independently.
  • Demonstrates initiative by accomplishing tasks with minimal prompting.
  • Demonstrates dependability and reliability in reporting to work and attendance. As
  • Performance of job description with minimal correction of assigned tasks.
  • Attends meetings as directed
TASKS – including but not limited to:
  • Patient preparation for visit.
    • Appropriately prepare patient for either a complete physical, sick visit, follow up visit; or a gynecological exam.
    • Vital Signs: blood pressure, temperature, pulse (all points), orthostatic blood pressure and pulse.
    • Obtain interpretation when needed.
    • Chart documentation in EHR. Documentation of progress note including reason for visit, review of medication, allergies, smoking status, and pain status.
Completes information on physical form of tasks done/reviewed by the Medical Assistant. Documents other pertinent information as needed.
  • Measurements: Height, Weight, and (other measurements as needed).
  • Documentation of reason for visit, medication review, allergy review.
  • Patient tests/treatments.
    • Must be certified in phlebotomy in order to draw labs within shelter clinic
    • Point of care tests including:
      • Rapid strep tests
      • Rapid COVID-19 tests
      • AIC
      • Blood glucose
    • Audio acuity testing.
    • Ear irrigation.
    • Electrocardiogram (EKG).
    • Visual acuity testing.
    • Peak flow meter.
    • Oxygen saturation.
    • Assists with Nebulizer treatment.
    • Oxygen administration.
    • Laboratory Tests
    • Pap Smear Handling
    • Venipuncture – collect and process specimens.
    • Maintains specimen refrigerator: temperature, cleaning, defrosting.
  • Patient Procedures – Assists with:
    • Physical and emotional assessment.
    • Wound care.
    • Assisting providers.
    • Maintaining sterile field and sterile technique.
    • Ace wraps/splints/slings/braces.
    • Colposcopy.
    • Biopsies.
  • As part of the patient care team under the Patient centered Medical Home Structure:
    • Review of patient care at each visit.
    • Review and update preventative care measures such as Diabetic Preventative Measures, Pap Tests, Mammograms, Complete Physicals, Colonoscopies, and any other age appropriate preventative testing.
    • Participate in Patient Self-Management Goals.
    • Assess patients for depression using the appropriate screening tool.
    • Assist providers with patient hospital discharge issues
    • Appropriately document all of the above in the Electronic Medical Record (EMR).
    • Pre planning preparation for each daily session and daily huddle.
  • Other Patient Services.
    • Patient education.
    • Prescription refill.
    • Related phone calls.
    • Referrals.
    • Appointments.
    • Documentation.
    • Interprets as needed.
    • Serves as chaperone as needed.
  • Care of Environment.
    • Proper handling, cleaning, and storage of all equipment.
    • Maintains exam rooms and utility rooms in proper working condition. Assures proper functioning of equipment, adequate medical supplies, and adequate paperwork.
    • Care of equipment- proper handling, cleaning and storage of all equipment, sterilization of equipment as instructed.
  • Other tasks as needed.
QUALITY ASSURANCE/IMPROVEMENT:
  • Quality assurance monitoring – participates in the betterment of the health center through studies and reviews as necessary.
  • Goal setting – assess personal, team, and organization goals.
  • Participates in devising, reviewing, and revising policies, procedures and protocols.
TEAMWORK ORIENTATION:
  • Maintains and encourages teamwork approach.
  • Demonstrates flexibility in employee time schedule, duties, and procedural functions.
  • Exerts consistent effort to further goals by modifying and/or improving individual procedures and tasks.
  • Conflict Management –
    • Demonstrates and implements effective problem solving.
    • Identifies task and operational problems.
*Generates solutions, discuss solutions with charge nurse or nurse manager and implements as directed by charge nurse or nurse manager.
  • Manages conflict with staff appropriately.
  • Maintains and encourages good communication skills.
  • Participates in orientation and training of new staff and/or students.
WORKING CONDITIONS:Works for a busy community health center in a downtown business district in a satellite clinic located in a homeless shelter. Long hours are sometimes required.PHYSICAL REQUIREMENTS:Physical demands requiring lifting of small pieces of equipment, boxes, and /or patients not to exceed forty (40) pounds. Mostly standing and walking required. Visual acuity sufficient for frequent reading. Hearing acuity sufficient for holding conversation with or without audio devices.About us: BNHC is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care. We are committed to health promotion and disease prevention. BNHC began providing services in 1994 in a mobile medical van operating out of a church parking lot. Since then, the center has rapidly grown to provide desperately needed services to low-income and marginalized populations in the greater Brockton area. BNHC is committed to providing care that is responsive to community health needs and is linguistically, culturally and financially accessible. BNHC serves an extremely diverse patient population including Brazilian, Cape Verdean, Haitian, Latino, Portuguese, African American and Caucasian, 77% of whom live in poverty.BNHC is committed to providing a safe and heathy environment for patients and staff. As a condition of employment, employees, to include new hires, are required to be fully vaccinated to include the most recent COVID 19 booster and annual flu vaccines, with the exception of those who have documented medical or religious exemptions, that must be approved by BNHC according to its protocols. Additional vaccines may be required based on the recommendation of the CDC. New hires who are not yet vaccinated for flu or COVID can arrange to be vaccinated on site.