LPN - Clinic I (MEDS)

Job Summary

Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting. In addition, orients and serves as a resource to LPN Clinic/Meds I as needed.

Essential Responsibilities

• Reviews and prepares medical records for assigned patients; initiates follow-up for medical record as requested; reviews patients needs; identifies and prepares orders for needs of patient for authorization by practitioner and may accept verbal orders per policy; observes, collects, and documents new information on patient; 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 practitioner 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.
• 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.
• In addition, coordinates projects as requested. Performs efficiently in emergency patient care/clinic situation; follows established procedures; informs appropriate practitioner/RN.
• Sets priorities of care based on acuity of patients.

Documents Implementation

• Documents implementation of orders/interventions; records findings, instructions, and patient responses on appropriate forms or on-line records using department and/or JCAHO standards.

Observations and Reporting

• Observes patients/familys responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed.

Emergency Patient Care

• Manages 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.
• 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.
• Utilizes file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed.
• Affirms immunization clinics comply per health plan, federal and state guidelines - i.e., compliance with Health department site visits.
• Completes 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.

Orients and Resources

• Orients and serves as a resource to LPNs and unlicensed personnel as needed; demonstrates and instructs other team members in use of vendor specific products and /or department/unit standards and procedures.

Other Duties

• Performs clean/sterile technique, sets up for procedures, assists with clinical procedure within department scope. 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. Prepares and processes patient forms.

Additional Requirements

• Twelve (12) months (2080 hours) LPN experience.
• Hawaii State Board of Nursing approved curriculum for LPN licensure.
• Licensed Practical Nurse (Hawaii) required at hire.
• Basic Life Support from American Heart Association.

Knowledge, Skills, and Abilities

• 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.
• Mathematical ability, attention to detail (e.g., organization, prioritization, proofing), concentration and alertness.