Job Summary:
Supports practitioner and clinical team to accomplish proactive patient management and effective and efficient clinic operations. Performs a variety of technical, clerical, receptionist, and patient care duties to assist practitioners and other members of the health care team in providing patient care. Collaborates on development and implementation of operational, quality, safety and service strategies and process improvement projects for department and clinic. Assists with scheduling and planning of adequate staff coverage. Assists with coaching, mentoring and monitoring Licensed Practical Nurse and Medical Assistant staff. Monitors and reviews data related to quality, service and safety and prepares reports. Leads and facilitates problem solving and process improvement projects in collaboration with healthcare team. Serves as a role model to staff.
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 use; performs point of care testing; provides laboratory, x-ray, and other reports to practitioner for review; notifies patients of normal results as directed by practitioner; 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/familys responses to plan of care; reports unexpected responses; collaborates with RN 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. In addition, coordinates projects as requested.
- Performs efficiently in emergency patient care/clinic situations; follows established procedures; informs appropriate practitioner/RN; is responsible for taking the lead on implementing the emergency vaccine storage plan, as well as training new and existing LPNs on emergency vaccine storage procedures.
- 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. Ordering vaccine and maintaining appropriate vaccine inventories.
- Utilizes file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system as needed. Assures immunization clinics comply per health plan, federal and state guidelines - i.e., compliance with Health department site visits. Complete annual VFC enrollment training requirements and forms. Maintain all records related to the VFC program per program guidelines. 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. Serves as a liaison with the state to coordinate VFC (vaccines for children) inventory. 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; and 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.
- Provides educational materials to patients and reviews printed instructions with patients; collaborates with RN to revise teaching plan when needed. 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. Orients/precepts and serves as a resource to existing and new LPNs, MAs, Clerical Staff, and students.
- 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. 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.
- Trains new and existing LPNs on emergency vaccine storage procedures. Schedule patients for routine care, acute care, and addressing care gaps. Prepares and processes patient forms.
- OHS only: Certification in Spirometry, Hearing Conservation, & Substance Abuse Specimen Collection or acquire certification within one year of hire.
- Demonstrates knowledge, skills, and abilities necessary to provide care and/or service appropriate to age groups served.
- Demonstrates knowledge, skills, and abilities necessary to provide culturally sensitive care and/or service.
- Performs other duties and accepts responsibility as assigned within scope.
Basic Qualifications:
Experience
- Minimum four (4) years nursing experience in acute and/or clinic setting.
- Minimum three (3) years leadership experience as an LPN.
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:
- Knowledge of Kaiser Permanente and department systems, processes, policies, and procedures.
- 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.
Preferred Qualifications:
- Five (5) years LPN experience in an acute care and/or clinic setting.
- Demonstrated knowledge of and skill in word processing and spreadsheet PC applications.
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