CMA/LPN - Licensed Practical Nurse

Physical Requirements: 

A high degree of digital and manual dexterity required in most aspects of the job. Also, constant standing, walking, frequent bending and stretching, occasional lifting of items weighing up to 75 pounds, and occasional pushing of items weighing up to 200 pounds. Exposure to bodily fluids, communicable diseases, toxic substances, medicinal preparations, and other conditions common to a clinic environment that includes laboratory.

Qualifications: 

Diploma from a Medical Assistant Program and current national certification/registration as a medical assistant. Or a valid LPN License and Diploma from accredited LPN course with most recent CEU's. Must have excellent communication skills with an emphasis on quality customer service.

Basic Function: 

Responsible for assisting providers with direct patient care through clinical duties and telephone care. Assist medical support staff with clerical duties, computer data entry, referrals, procedures within scope of practice, and routine patient communication.

Duties and Responsibilities:

• Demonstrate competency with required trainings through completion of three orientation checklists: MA/LPN job description checklist, phone triage checklist, electronic health record (EHR) documentation and competency checklist validated by an Advanced Practice Registered Nurse for administering medications.
• Perform routine telephone and walk in triage and forward information appropriately to provider/MA/nurse.
• Perform patient assessments, including vital signs, blood pressure, height, weight, BMI, pulse oximetry, pulse, chief complaint, and age-appropriate screenings.
• Review, update, and reconcile patient allergies, medication list, problem list, reminders, family history, and surgical history.
• Perform/complete quality management as applicable per patient, including self-management, goal setting, and follow up. Provide educational material for patients with chronic illness, or in need of prevention education materials.
• Clean and stock nurse's station, lab, patient bathrooms, equipment, and exam rooms daily, as well as other areas of the site as needed.
• Exam rooms are to be cleaned and disinfected between every patient daily. 
• Attend and participate in staff meetings and requested committees.
• Perform additional duties as assigned.

Provider Directed Responsibilities:

• Perform all on-site testing as ordered (or per standing orders) and document results into the EHR and bill, including UA, UPT, strep screen, hemoglobin, blood glucose, Hgb AIC, rapid mono, flu, hemoccult, and drug screens.
• Perform venipuncture (must be certified in phlebotomy), label tubes appropriately, and route all specimens to correct lab according to payer source if needed.
• Perform EKG, oxygen administration, nebulizer administration, pulse oximetry, cryo procedure assistance, and tympanogram.
• Administer adult and childhood vaccines under the direction of the in-house provider and/or per the approved standing orders of the health center.
• Administer medications under the direction of the in-house provider and/or per the approved standing orders of the health center.
  
  Medications such as insulin and Rhogam must be administered by licensed personnel. Injectable medications requiring constitution or adjustment beyond the standard dosing or in a multi-dose vial must be mixed and withdrawn in the presence of the in-house provider, clinician or registered nurse prior to administering to verify proper dosing.
  
  Vivitrol or other medications maintained in a single dose vial or syringe may be administered with documented training.
   
• Perform ordered screening, including hearing, vision and TB testing.
• Obtain prior authorization for prescriptions, durable medical equipment, and other therapies as needed. Forward other appropriate documents.
• Assist providers with routine patient communication including lab and test result notifications, prescription call-ins, and patient call backs.
• Administer routine wound care and dressing changes.
• Monitor patients who are determined by the provider to be stable.