Description

• Under the supervision of the Registered Nurse, Nurse Practitioner, Physician, the Licensed Practical Nurse provides direct patient care for the patient and evaluates outcomes.
• Demonstrates ability to provide direct patient care, evaluates and adjusts nursing care processes as directed by the Registered Nurse, Nurse Practitioner, or Physician.

• Communicates clearly and tactfully with patient and/or families. Communicates and ensures understanding of instruction in a manner appropriate for the intended audience.
• Documents patient teaching and learned information.

• Assist physicians with examinations, procedures and other processes related to direct patient care as directed
• Explains procedures to patients thoroughly, provides assistance when necessary, monitors patients comfort and alleviates anxiety.
• Provides appropriate assistance to physicians during various medical procedures.
• Monitors the medical condition of patients and reports changes to the Registered Nurse, Nurse Practitioner, or Physician.

• Demonstrates knowledge of growth and development appropriate to the ages of patients served.

• Identifies emergency situations and provides immediate care under the supervision of the Registered Nurse, Nurse Practitioner, or Physician.
• Recognizes changes in patient condition and asks appropriate questions to clarify the situation. Reports changes to Registered Nurse, Nurse Practitioner, or Physician.
• Communicates pertinent information regarding patient progress and needs to appropriate staff.

• Ensures accurate maintenance of patient’s medical records and that patient records are treated as confidential information both paper records and electronic
• Following departmental standards, completes records promptly, recording all necessary information.

• Prepares patient for scheduled visit, assists in patient assessment under the direction and supervision of the Registered Nurse, Nurse Practitioner, or Physician.
• Effectively identifies predictable problems and plans and provides patient care.
• Completes vital signs, medication reconciliation, patient family and social history, chief complaint
• Reviews patient history on initial visit and updates as needed

• Administers medications/injections to assigned patient as ordered by physician/midlevel provider within the scope of Licensure
• Follows established protocols for medication/injection administration and patient observation.

• Documents to update patient records.
• Prepares written paper and electronic documentation as required by the profession

• Reviews medical record to assure all previously ordered test results, lab/x-ray findings are present in record.

• Make referrals as directed by RN, NP, or Physician

• Obtains lab specimens per Physician/NP orders.

• Functions independently and assumes responsibility for actions in clinical procedures

• Ensures compliance with quality improvement policies, procedures and studies.

• Assists in maintaining a safe, comfortable and therapeutic environment for patient/families in accordance with office standards.

• Exhibits expertise and skill in understanding, meeting and satisfying the specific needs and behavior of the patient in all age groups.
• Communicates effectively based on the age of the patients.

• Demonstrates attitude of cooperation and professionalism. Promotes positive customer relations and maintains a professional appearance.

• Maintains harmonious relationship with unit and co-workers, providing support and assistance to co-workers to ensure quality patient care.

• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops where applicable

• Attends continuing education courses related to area of specialization to remain current in the field where applicable

• Performs successfully all skills assigned to this positions Competency Skill Checklist.

• Understands and demonstrated knowledge of the New York State Nurse Practice Act per licensure and scope of practice

• Attends meetings as required, and participates on committees as applicable

• Orients, instructs, and trains assigned personnel working in the Primary Care Center as directed by Office Manager
• Assists with the orientation, instruction and training of assigned personnel.
• Serves as a resource to co-workers

• Ensures an adequate stock of supplies and proper functioning of equipment as directed by office manager
• Assists in the containment of costs through the appropriate ordering and conserving of supplies and equipment

• Communicates appropriately with patients, visitors and co-workers

• Demonstrates sensitivity to cultural diversity

• Exhibits excellent Customer Relations skills

• Exhibit patience, professionalism to instill confidence
• Able to present self in a confident and professional manner to public, maintaining a positive and courteous relationship with others.

• Properly identifies self upon entering room or greeting outpatient

• Verifies patient identification

• Exhibits appropriate interpersonal skills across all age groups

• Attendance/Reliability
• Complies with Attendance Policy and reports to work on time
• Meets requirements for attendance at department meetings as requested

• Demonstrates understanding of HIPAA

• Assures patient confidentiality to include securing of patient PHI

• Performs other related duties as assigned or requested.