Licensed Practical Nurse - Outreach

Licensed Practical Nurse

• Outreach Position Summary Under the direction of Neighborhood Health Center (NHC) Provider(s) and Practice Supervisor, the Licensed Practical Nurse-Outreach is the first point of care in the medical practice. This position assists the Provider(s) with patient procedures and will perform routine laboratory tests. This individual works hand-in-hand with the Provider(s) and Practice Supervisor(s) to achieve quality outcomes for the patient in the mobile unit, clinics and outreach events. Schedule: Full-time, 40 hours per week Pay: Beginning at $25.35 Supervisory Responsibilities: No supervisory responsibilities; however, may provide direction to Externs, Medical Assistants, and other clinical support staff. Professional Behaviors and Expectations Maintains strict confidentiality of patient and organizational information. Documents so anyone reading can understand the story; if you didn’t document, it didn’t happen. Embraces change, as change is constant. Has a mindset that is open to new knowledge and perspectives. Never stops learning and growing. Inspires growth in others. Presents a positive attitude. Holds oneself and others accountable. Focuses on doing things right and doing the right things. Supports team by recognizing and celebrating successes and failures, giving credit publicly, actively participating in team activities, treating team members with respect and dignity. Perseveres to the finish. Assists, where needed, to meet the needs of the organization, even if it’s not a task that is part of your normal routine. (Examples: office cleaning, shoveling snow off the sidewalk, attending an outreach event, assisting in another clinic) You will not be requested to complete any tasks outside of your scope of practice. Ensures compliance with all organizational policies, safety standards, and regulatory requirements.

Essential Duties and Responsibilities

The following list describes the essential duties of this role. Individuals in this role may not perform all of these duties, or may perform additional, related duties not listed here. Performs all duties respectful of confidentiality and safety of all patients, employees and Providers. Adheres to established quality principles and standards established by NHC.

Supports clinical staff under the direction of qualified medical personnel within the scope of skills and abilities. Work with all providers and teams throughout the office to ensure smooth daily operations are maintained. Clinical Duties: Prepares exam rooms for patient use by cleaning the rooms between patients and ensuring that each room is stocked with the appropriate supplies.

Prepares procedure trays as necessary. Escorts patients to exam rooms. Collects vital signs and documents appropriately in the EHR per policy. (This is an essential rooming component listed in our patient intake policy) Interviews patients to assess needs. Records reason for visit. Instructs and educates patients on how to prepare for and/or what to expect during visit.

Reconciles patient medications and provides education, as needed. Provides patient education appropriate to patient diagnosis and quality standards established by NHC. Completes routine forms as appropriate (school physical, immunization records, etc.) Ensures chart documentation is completed in a timely manner and in accordance with practice policy and procedure.

Assists Physician/Provider with patient procedures such as suture removal, wart and mole removal, pap smears, minor surgeries, etc. Administers injections and immunizations. Performs ECGs, vision screenings, hearing tests, and venipunctures. Completes nurse visits as needed, ensuring documentation is accurate and meets all billing requirements.

May perform other billable services at mobile visit sites, including but not limited to: immunizations, medication administration, care coordination services, and Medicare wellness visits. Contacts patients to relay test result information; and returns patients phone calls with the physician's recommendations for their care.

Triages pharmacy calls and reviews patient medications. Laboratory Duties: Performs lab tests in accordance with needs of patient and as directed by the Physician, Provider or Practice Manager. Maintains laboratory documentation in accordance with CLIA standards and practice specific protocol. Prepares specimens to be analyzed by an outside lab by packaging specimen appropriately, completing requisition form and contacting testing facility as necessary.

Tracks all labs sent offsite. Submits lab results to physician before contacting patient and filing patient's chart. Reconciles billings from offsite labs by comparing to the daily lab log and patient's chart when necessary. Follow the laboratory’s procedures for specimen collection, handling and processing, test analytes, reporting and maintaining records of patient test results.

Participates in annual laboratory competencies. Adhere to the laboratory’s quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed. Follow the laboratory’s established policies and procedures whenever test systems are not within the laboratory’s established acceptable levels of performance.

Be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the general supervisor, or director. Documents corrective actions taken when test systems deviate from the laboratory’s established performance specifications.

Administrative Duties: Schedules offsite diagnostic tests by providing the patient with appropriate preparation instructions and making the appointment by phoning or faxing to the appropriate testing site. Records procedures ordered and tracks results. Facilitates referrals to other physicians by phoning their offices, making an appointment for the patient and forwarding requested test results, etc.

Reviews and documents all referral updates appropriately in EHR. Begin specialty referral process by faxing order appropriately and/or opening an routing electronic/CERM referrals to the appropriate electronic direct address. Prepares, reviews and completes reports as assigned. Contacts hospital and outside sources regarding lab results, x-ray results and ER reports.

Contacts pharmacies to authorize prescriptions. Contacts nursing homes regarding patient orders. Takes manual inventory of drugs. Checks expiration dates and orders replenishments as needed. Follows practice specific sample management and distribution procedure. Disinfects exam rooms, procedure room and laboratory. Straightens reception area daily.

Disinfects toys as outlined in office protocol. Secondary Function: Supports the front office by answering the phone, scheduling patient appointments, performing check-in and check-out functions and maintaining patient chart. Qualifications-Education Required Graduate of an accredited nursing program and valid Indiana LPN license Preferred N/A Qualifications-Experience Required Must be a Licensed LPN in the state of Indiana Preferred Previous experience in a medical office or health care setting Required Licensure/Certification Licensed Practical Nurse in the state of Indiana / Basic Life Support (BLS) Knowledge, Skills and Abilities Ability to work independently as well as part of a team.

Strong organizational and time management skills. Strong interpersonal skills and ability to communicate effectively. Detail oriented, with focus on accuracy of information. Demonstrates critical thinking skills and the ability to prioritize tasks. Ability to evaluate and decipher clinical records. Working knowledge of medical terminology, healthcare procedures, and insurance practices.

Familiarity with electronic health record (EHR) systems and medical software. Work Environment Setting ☐ Office ☒ Clinic ☒ Outreach Events ☒ Mobile Clinic Overtime ☐ No ☐ Minimal ☒ Occasional ☐ Often as needed to care for patients & outreach events Holidays ☒ No ☐ Minimal ☐ Occasional ☐ Often Weekends ☐ No ☐ Minimal ☒ Occasional ☐ Often as needed to care for patients & outreach events Different Shifts ☐ No ☐ Minimal ☒ Occasional ☐ Often clinics have evening hours 1-3 evenings per week, outreach events could go into evening hours On-Call ☒ No ☐ Minimal ☐ Occasional ☐ Often Travel ☐ No ☐ Minimal ☐ Occasional ☒ Often Consistent travel to care for patients between offices, mobile clinic & outreach events is expected Physical Requirements Heavy Lifting ☒ Yes ☐ No Exposure Limit: not greater than 200 pounds Pushing Pulling ☒ Yes ☐ No Exposure Limit: not greater than 200 pounds Standing ☒ Yes ☐ No Exposure Limit: 90% of shift Sitting ☒ Yes ☐ No Exposure Limit: 20% of shift or less Walking ☒ Yes ☐ No Exposure Limit: 90% of shift Climbing ☒ Yes ☐ No Exposure Limit: stairs, 20% of day at 10th Street Clinic Fine Manipulation ☒ Yes ☐ No Exposure Limit: 75% of day Other Exposures: Communicable diseases (influenza), body substances, sharps, pests, and angry/upset patients.

This description is intended to describe the general nature and most essential duties to be performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required. Management has the right to assign or reassign duties and responsibilities to the job at any time.

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