Licensed Practical Nurse
4 weeks ago
Job Summary:
Under the direction of a Registered Nurse and medical orders from a Practitioner, this position provides direct and indirect nursing care in an outpatient setting. The Licensed Practical Nurse - Clinic II (Meds) is responsible for reviewing and preparing medical records for assigned patients, initiating follow-up for medical records as requested, and reviewing patient needs. They identify and prepare orders for patient needs for authorization by the Practitioner and may accept verbal orders per policy. The LPN observes, collects, and documents new information on patients, informs RNs or Practitioners regarding incomplete data, new observations, or abnormal/unusual data.
Essential Responsibilities:
Implementing basic nursing procedures per plan of care, administering treatments, immunizations, and medications as prescribed by the Practitioner, preparing medications for Practitioners to use, performing point-of-care testing as authorized, and providing laboratory, x-ray, and other reports to the Practitioner for review. Notifying patients of normal results as directed by the Practitioner, considering special needs of different age groups when providing care, and setting priorities of care based on the acuity of patients.
Key Responsibilities:
- Documents implementation of orders/interventions, records findings, instructions, and patient responses on appropriate forms or online records using department and/or JCAHO standards.
- Observes patients/family responses to the plan of care, reports unexpected responses to RNs or Practitioners, and collaborates with RN/Practitioner to revise care plans when needed.
- Demonstrates and applies competency in basic nursing skills and the use of equipment, maintains current knowledge and skills needed to perform the position, attends and participates in staff meetings as needed, and participates in projects as requested.
- Performs efficiently in emergency patient care/clinic situations, follows established procedures, informs appropriate Practitioner/RN, assigns basic nursing tasks to unlicensed personnel as appropriate and according to department/unit standards, provides clear directions, acts as a resource person to unlicensed staff, and follows up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
- Follows discharge plans developed by Practitioners or RNs, processes and/or follows up with referrals as directed by Practitioners, provides instruction and pre-printed information to patients as directed by RNs and/or Practitioners, observes and documents patient/family responses to instructions, and reports any concerns.
- Manages all patient vaccine data, including updating the Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and/or external records at each patient visit.
- Readies available immunization information prior to the time of visit with the provider, stores and administers immunizations according to Health Plan and VFC guidelines, identifies patient immunization requirements in accordance with age-specific guidelines per CDC, fills out appropriate immunization paperwork for recording purposes, facilitates vaccine Health Plan and VFC inventory control at assigned clinics, orders vaccine, and maintains appropriate vaccine inventories.
- Utilizes file maintenance to ensure newly arrived vaccines are entered in the I lot manager system as needed, assures immunization clinics comply per Health Plan, federal, and state guidelines, completes annual VFC enrollment training requirements and forms, and maintains all records related to the VFC program per program guidelines.
- Trains new and existing LPNs on emergency vaccine storage procedures, serves as a liaison with the state to coordinate VFC (vaccines for children) inventory, generates reports on patients and contacts them for immunization compliance and updates as needed, assists in ensuring compliance with infection control policies and protocols, and follows medication administration, storage procedures, Health Plan CDC, State, and federal VFC program guidelines.
- Provides educational materials to patients and reviews printed instructions with patients, collaborates with RN/Practitioner to revise teaching plans when needed, participates in orientation of new personnel, demonstrates sufficient knowledge, skills, and abilities in the area of specialization, performs clean/sterile technique, sets up for procedures, assists with clinical procedures within department scope, follows the recommended process for handling point-of-use instruments as outlined by the High-Level Disinfection Committee, maintains, orders, organizes, rotates, and stocks supplies, schedules patients for routine care, acute care, and addressing care gaps, prepares and processes patient forms, and performs other duties and accepts responsibility as assigned within scope.
Basic Qualifications:
Hawaii State Board of Nursing-approved curriculum for LPN licensure, Licensed Practical Nurse (Hawaii) required at hire, Basic Life Support from American Heart Association, demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem-solving, teamwork, and written communication, reading, writing, speaking, and understanding English, training/giving and receiving instructions, mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration, and alertness.
Preferred Qualifications:
Previous nursing experience, previous clinic experience, demonstrated knowledge of and skill in word processing and spreadsheet PC applications.
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