LPN - Clinic I (MEDS)

Honolulu, Hawaii
Jan 19, 2024
Apr 13, 2024
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.

  • 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/family's 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. In addition, coordinates 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 (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.

  • 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.

  • 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.

  • 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.

  • 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.

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