Licensed Practical Nurse

5 days ago

Wailuku, Hawaii, United States Kaiser Permanente Full time
Job Summary:

As a Licensed Practical Nurse (LPN) in our Clinic I (Meds) team, you will provide direct and indirect nursing care to patients in an outpatient setting. You will work under the direction of a Registered Nurse and medical orders from a Practitioner, and will be responsible for orienting and serving as a resource to LPN Clinic/Meds I as needed.

Essential Responsibilities:
  • Review and prepare medical records for assigned patients, and initiate follow-up for medical records as requested. Identify and prepare orders for patient needs for authorization by Practitioner and may accept verbal orders per policy. Observe, collect, and document new information on patient, and inform RN or Practitioner regarding incomplete data, new observation, or abnormal/unusual data.
  • Implement basic nursing procedures per plan of care, administer treatments, immunizations, and medications as prescribed by Practitioner, prepare medications for Practitioner to use, perform point of care testing as authorized, provide laboratory, x-ray, and other reports to Practitioner for review, notify patients of normal results as directed by Practitioner, and consider special needs of different age groups when providing care. Set priorities of care based on acuity of patients.
  • Document implementation of orders/interventions, record findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards. Observe patients/family responses to plan of care, report unexpected responses to RN or Practitioner, and collaborate with RN/Practitioner to revise care plan when needed.
  • Demonstrate and apply competency in basic nursing skills and use of equipment, maintain current knowledge and skills needed to perform position, attend and participate in staff meetings as needed, participate in projects as requested, and coordinate projects as requested.
  • Perform efficiently in emergency patient care/clinic situation, follow established procedures, inform appropriate Practitioner/RN, and assign basic nursing tasks to unlicensed personnel as appropriate and according to department/unit standards. Provide clear directions, act as resource person to unlicensed staff, follow-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
  • Follow discharge plan developed by Practitioner or RN, process and/or follow-up with referrals as directed by Practitioners, provide instruction and pre-printed information to patients as directed by RN and/or Practitioners, observe and document patient/family response to instructions, and report any concerns.
  • Manage all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and/or external records at each patient visit. Ready any available immunization information prior to the time of visit with the provider.
  • Store and administer immunizations according to Health plan and VFC guidelines, identify patient immunization requirements in accordance with age-specific guidelines per CDC, fill out appropriate immunization paperwork for recording purposes, facilitate vaccine Health Plan and VFC inventory control at assigned clinic, order vaccine, and maintain appropriate vaccine inventories.
  • Utilize file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed, assure immunization clinics comply per health plan, federal, and state guidelines, complete annual VFC enrollment training requirements and forms, and maintain all records related to the VFC program per program guidelines.
  • Train new and existing LPNs on emergency vaccine storage procedures, serve as a liaison with the state to coordinate VFC (vaccines for children) inventory, generate reports on patients and contacts them for immunization compliance and updates as needed.
  • Assist in ensuring compliance with infection control policies and protocols, follow medication administration, storage procedures, Health plan CDC, State, and federal VFC program guidelines, provide educational materials to patients, and review printed instructions with patients. Collaborate with RN/Practitioner to revise teaching plan when needed.
  • Participate in orientation of new personnel, orient and serve as a resource to LPNs and unlicensed personnel as needed, demonstrate and instruct other team members in use of vendor-specific products and/or department/unit standards and procedures, demonstrate sufficient knowledge, skills, and abilities in area of specialization, perform clean/sterile technique, set up for procedures, assist with clinical procedure within department scope, and follow the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee.
  • Maintain, order, organize, rotate, and stock supplies, schedule patients for routine care, acute care, and addressing care gaps, and prepare and process patient forms.
  • OHS only: Certification in Spirometry, Hearing Conservation, & Substance Abuse Specimen Collection or acquire certification within one year of hire.
  • Demonstrate knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served, and demonstrate knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
  • Perform other duties and accept responsibility as assigned within scope.
Basic Qualifications:
  • Twelve (12) months (2080 hours) LPN experience.
Education:
  • Hawaii State Board of Nursing approved curriculum for LPN licensure.
License, Certification, Registration:
  • Licensed Practical Nurse (Hawaii) required at hire.
  • Basic Life Support from American Heart Association.
Additional Requirements:
  • Demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication.
  • Talking to co-workers, customers, outside vendors, and on the telephone.
  • Reading, writing, speaking, and understanding English.
  • Training/giving and receiving instructions.

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