Licensed Practical Nurse
3 weeks ago
Under the direction of a Registered Nurse and medical orders from a Practitioner, provides direct and indirect nursing care in an outpatient setting.
Key Responsibilities- Reviews and prepares medical records for assigned patients; initiates follow-up for medical records as requested; reviews patients' needs; identifies and prepares orders for needs of patients for authorization by Practitioner and may accept verbal orders per policy.
- Observes, collects, and documents new information on patients; informs RN or Practitioners regarding incomplete data, new observation or abnormal/unusual data.
- Implements basic nursing procedures per plan of care; administers treatments, immunizations, and medications as prescribed by Practitioner; prepares medications for Practitioners to use; performs point of care testing as authorized.
- Provides laboratory, x-ray, and other reports to Practitioner for review; notifies patients of normal results as directed by Practitioner; considers special needs of different age groups when providing care; sets priorities of care based on acuity of patients.
- Documents implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.
- Observes patients/families responses to plan of care; reports unexpected responses to RN or Practitioners; collaborates with RN/Practitioner to revise care plan when needed.
- Demonstrates and applies competency in basic nursing skills and use of equipment; maintains current knowledge and skills needed to perform position; attends and participates in staff meetings as needed; participates in projects as requested.
- Performs efficiently in emergency patient care/clinic situation; 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 resource person to unlicensed staff; follows-up on assigned care to ensure it is given per standards, policies, procedures, protocols, and guidelines.
- Follows discharge plan developed by Practitioner or RN; processes and/or follows-up with referrals as directed by Practitioners; provides instruction and pre-printed information to patients as directed by RN and/or Practitioners, observes and documents patient/family response to instructions and reports any concerns.
- Manages all patient vaccine data, including updating Hawaii Immunization Registry System (HIR), Electronic Health Records (I), and all patient and/or external records at each patient visit.
- Readies any 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 clinic; ordering vaccine and maintaining 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.
- Complete annual VFC enrollment training requirements and forms; maintain 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 plan when needed.
- Participates in orientation of new personnel; demonstrates sufficient knowledge, skills, and abilities in area of specialization.
- Performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope; follows 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.
- Prepares and processes patient forms.
- Experience: N/A
- 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.
- 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.
- Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration and alertness.
- Previous nursing experience.
- Previous clinic experience.
- Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.
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