LPN - Clinic II; MEDS

Job Summary

Under direction of Registered Nurse and medical orders of the Practitioner, provides direct and indirect nursing care in outpatient setting.

• Reviews and prepares medical records for assigned patients; initiates follow-up for medical records as requested; reviews patients’ needs; identifies and prepares orders for patient needs 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 practitioners 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 online records using department and/or JCAHO standards; observes patient/family responses to plan of care; reports unexpected responses to RN or practitioners; collaborates with RN/Practitioner to revise care plan when needed.
• Performs efficiently in emergency patient care/clinic situations; follows established procedures; informs appropriate practitioner/RN; assigns basic nursing tasks to unlicensed personnel as appropriate and in accordance with department/unit standards; provides clear directions; acts as a resource for 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; 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 (I), and all patient and/or external records at each patient visit; readies 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 per age‑specific guidelines from CDC; fills out appropriate immunization paperwork; facilitates vaccine health plan and VFC inventory control at assigned clinic; orders vaccine and maintains appropriate vaccine inventories.
• Utilizes file‑maintenance to ensure newly arrived vaccines are entered in the I lot manager system; assures immunization clinics comply with health plan, federal and state guidelines, including health department site visits; completes annual VFC enrollment training requirements and forms; maintains all records related to the VFC program per program guidelines.
• Trains new and existing LPNs on emergency vaccine storage procedures; serves as liaison with the state to coordinate VFC 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, and 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; demonstrates sufficient knowledge, skills, and abilities in area of specialization; performs clean/sterile technique, sets up for procedures, assists with clinical procedures within department scope; follows recommended processes for handling point‑of‑use instruments as outlined by the High‑Level Disinfection Committee.
• Maintains, orders, organizes, rotates, and stocks supplies;…