Sr. LVN- Santa Monica Allergy and Immunology Clinic

Maintaining Examination/Consult Rooms & Nursing Stations

• Clean and stock exam rooms with both supplies and forms as needed. Inform supervisor/and or employee in charge of ordering supplies when supplies are low.
• Review stored items for expiration dates and discard as appropriate. Dispose of expired supplies from exam tables and other areas were stored per appropriate policies/procedures.
• Prepare instruments for sterilization per appropriate policies/procedures.
• Set-up exam rooms for procedures as indicated but not limited to the following: thyroid biopsy, pap smears, thoracentesis, lumbar puncture, flex signs, bladder catheterization, casting and splinting, cerumen removal, etc.
• Keep patient-care corridors neat and clear of fire hazards per protocols.
• Remove and dispose of sharps containers as per current Joint Commission/CALS policy.
• Keep nursing stations clean and clear of clutter, while maintaining HIPAA guidelines.
• May take the lead to maintaining clinic-based equipment and inform supervisor/and or clinical engineering of problems with equipment.
• May take the lead to inform supervisor on state of the facility as appropriate to patient care (i.e. light bulbs out).
• Accurately record temperatures on all refrigerators and freezers.

Assist physicians/patients for office visits.

• Accurately take and record vital signs in patient's medical record utilizing EPIC/Care Connect system.
• Medications (anesthetic/not anesthetic). Correctly identify patients by using at least two patient identifiers Administer medications and injections as ordered by physician following the proper Rights of Administration and record medications in patient's medical record. Administer TB and skin testing when ordered.
• Recognize symptomatology of common medical illnesses and take proper precautions.
• Respond to and participate in physical and emotional needs of the patient and their families.
• Act as liaison between patient family and all health care providers.
• Respond to observations and entries of the patient's condition or life situations.
• Prepare and assist physicians with the patient requiring special procedures.
• Perform 12 lead EKGs when requested.
• Recognize abnormal lab values and report to the physician.
• Participates in identifying, developing and/or implementing strategies to ensure continuity of effective care between or among contact with health care team, according to critical pathways
• Completes current allergies, updates current medications, reason for visit, chief complaint, family history, mini mental status, PHQ9 for depression, height/weight, BMI, intake/output, temperature, pulse, respiration, blood pressure, pain and/or pulse oximetry, head circumference as directed
• Completes required documentation on flow sheets per clinic protocol
• Assists with sterile/and or non-sterile dressing changes and wound care and specimen collections such as but not limited to sputum, urine, wound, stool, finger sticks, etc.
• Assists in the identification of environmental hazards and reports to appropriate personnel
• As directed, range refills of prescriptions, new prescriptions and or changes to existing prescriptions after obtaining medical records, locating physician. Call the pharmacy with the approval and document all of the above information into the Medical Record.
• Anticipate the needs of physicians based on patient information or physician practice style.
• Document supplies/medications given to patients at the time of service on charge document and submit to billing within 24 hours.
• May take the lead to coordinate safe and timely admission of patients to the hospital if and when necessary.
• Perform wound care including removing sutures/staples and dressing as ordered by physician.
• Perform procedures and tests such as but not limited…