Licensed Practical Nurse

Nurse

Department : Clinical

Manager Title : Director of Team Nursing

FLSA Status : Non-exempt

Job Summary : Provides and coordinates high-quality, patient and family centered, trauma-informed care to achieve mutually established patient goals with a team-based approach consistent with the mission and vision of PCC. LPN responsibilities and duties are overseen by the Registered Nurse Team Lead.

Essential Duties and Responsibilities :

• Provides individualized, culturally sensitive and trauma-informed nursing care to medically complex and underserved patient population with multiple co-morbidities including behavioral health and chemical dependency related diagnoses.
• Triages emergent, urgent and routine patient phone calls, messages and walk-in patients both PCC and non-PCC using evidence-based triage guidelines; provides appropriate direction to patients and consultation / report to providers / EMS / 911 based on critical thinking and nursing process.
• Reviews, triages and relays to provider all lab / procedure results ordered by multi-specialty providers; and incoming from external specialties based on established emergent, urgent and routine criteria and nursing assessment.
• Maintains / updates knowledge in multiple content areas including family practice, pediatrics, OB / GYN, midwifery, cardiology, behavior health, chemical dependency, school-based care and care of those with housing insecurity.
• In response to acute lab results assessment, initiates PCC Standing Orders to treat patients over the phone and / or in office. Notifies patient by telephone or certified mail of any abnormal test results as directed by provider, provide and assess understanding of results-related counseling and education and next recommended steps for patients with multiple comorbidities. Outreaches to patients lost to follow-up regarding important test results.
• Assesses and documents past medical history, family medical history, past treatments, medication reconciliation, social and sexual history and other screenings for new and return patients when indicated.
• Obtains and assesses vital signs and performs routine functions to prepare patients for examinations or procedures during nurse-driven visit and / or provider visit, as indicated.
• Assists providers with in-office treatments and procedures; may perform laboratory and diagnostic tests ordered by the provider, when indicated.
• Directs and supports clinical and non-clinical staff in need of assistance to maintain patient flow.
• Leads (and identifies need for) nurse-driven visits for but not limited to : blood pressure check; diabetic teaching (device and concepts); insulin titration; wound care; medication reconciliation and adherence support; urinary symptom screening; point of care testing, including pregnancy test and INR monitoring; STI screening, testing, treatment, counseling, education. Consults with and collaborates with onsite provider per nursing assessment and PCC policy.
• Administers oral and long-acting injection medication / treatments as indicated in PCC Standing Orders and as prescribed by multi-specialty providers per PCC policies, procedures and workflows.
• Counsels, orders, administers and monitors for side effects of COVID-19 vaccines; complete rapid / PCR COVID-19 patient and employee testing and provide detailed / individualized results notification / counseling; ensures COVID-19 test result reporting for patient / employee; prepares test results notification letters as indicated by PCC policy / workflow.
• Tracks and ensures ongoing patient adherence to Coumadin therapy and indicated PT / INR monitoring.
• Ensures notification and treatment of all patients with positive STI results; ensure IDPH notified of disease diagnosis and treatment for reportable infectious diseases.
• Assesses all incoming chronic, specialty and acute medication refill requests and facilitates renewals based on established PCC workflows, consulting with provider as needed / indicated. Initiates and facilitates medication prior authorization request process with provider.
• Assesses the patients condition and learning needs in regards to health care and provides targeted individualized teaching / education plans for patients with multiple comorbidities based on nursing assessment and provider direction. Utilizes teach back method to provide necessary patient education.
• Accurately updates and maintains medical record; documents and reports to provider pertinent information regarding patients condition and care plan according to PCC policy and procedures.
• Keeps providers informed of changes in assignments or patient flow that affect working conditions.
• Cross-covers other clinic sites to ensure continuity of high-quality nursing care across the organization, when indicated.
• Learns and implements new evidence-based clinical practices into existing nursing practice.
• Assists Nurse Team Lead and other clinical staff with the orientation of new staff. Functions as a resource for all clinical and non-clinical support staff.
• Assesses educational needs of clinical staff, provides additional training as needed. Initiates and pursues own plan for continued professional growth. Attends evidence-based educational sessions from external and internal content experts.
• Adheres to PCC customer service guidelines and protocols. Maintains patient confidentiality.
• Complies with PCC policies, procedures, and safety- and equipment-related events and practices.
• Drives continual quality improvement through participation in organizational quality improvement efforts that may include but are not limited to patient satisfaction, clinical and operational quality improvement initiatives.
• Ensures work area is stocked with necessary supplies / materials. Maintains a neat, orderly clinic work area.
• Attends nurse and other staff meetings as scheduled.
• Performs other duties as assigned.

Qualifications

Experience / Training :

Certifications / Licenses :

Physical Demands :

Must be able to transport from one site to another.

Must be able to cover other shifts and sites as necessary.

Other Skills :