Licensed Vocational Nurse

Website La Maestra Family Health Center

Starting Pay: DOE
Location: National City
Hours of work: TBD
Status/Hours: Full time/ Non-Exempt

Summary:
Under the supervision of the Director of Nursing, the Licensed Vocational Nurse performs the designated nursing procedures within the clinic, assists and carries out the physician’s orders and executes vital clinical tasks in a professional and efficient manner.

Responsibilities
Clinical Responsibilities:
1. Moves the patient from the waiting room to an examination room in a timely manner.
2. Takes the patient’s vitals, documents the results in NextGen and informs the RN or physician of any abnormalities.
3. Records the patient’s medications and performs medication reconciliation, if applicable.
4. Perform and records a hearing and vision test, when necessary, and records in NextGen.
5. Records patient complaint details, allergies, smoking status, smoking cessation, family, social, and medical history as part of intake in NextGen.
6. Administers standing orders as they pertain to patient concerns.
7. Updates immunization records in NextGen, if applicable.
8. Scans the necessary lab, x-ray, emergency room forms, or other important documents within the medical chart for the physician to be evaluated during the examination.
9. Records all phone calls electronically within NextGen.
10. Prepares needed equipment and supplies within the examination room.
11. Checks the examination room for cleanliness.
12. Administers and documents treatments, procedures and injections.
13. Assists physicians with examinations and treatment procedures
14. Translates between the physician and the patient by explaining diets, treatments or special instructions to be followed by the patient. Translations must be verbatim to what has been stated by the physician, unless instructed otherwise.
15. Gathers and performs necessary lab, x-ray, immunization, etc., for the patient, as instructed by the physician.
16. Collects non-blood specimens such as urine, sputum, and throat swabs for laboratory testing and logs specimen as directed. Ensures specimen requirements are met at the time of collection. (Depending on specialty)
17. Performs skillfully in an emergency situation, including preparing for an IV administration, being knowledgeable of contents of crash cart and the emergency protocol of clinic and being able to initiate CPR. (Depending on specialty)
18. Administers medications by mouth, IM and subcutaneous, as instructed by the physician.
19. Performs treatments as ordered by provider and supervised by the RN.
20. Explains procedures and treatments to patients to gain cooperation and understanding.
21. Prepares equipment and aids Physician during treatment and examination of patients.

22. Cleans specialty areas to provide back-up coverage and assist as necessary (Pediatrics, OB/GYN). The
LVN must be knowledgeable of specialty services, instruments, supplies and equipment.
23. Removes all contaminated items in the examination rooms before exiting.
24. Soaks instruments as needed in special solutions. (Depending on specialty)
25. Obtains consent before minor surgical procedures.
26. Monitors patient flow and assigns and directs other ancillary personnel as needed
27. Assist in the triage process, such as interview, observation, collection of objective and subjective data and present information to RN or physician to determine the priority level given to each patient
28. With physician or RN approval, assists in the implementation of the nursing care plan and the assessment of the effectiveness of the nursing interventions.
29. With a physician order, the LVN may perform nursing tasks that are within their scope of practice.

Clerical Responsibilities:
1. Maintains a clean, safe, and functional nursing station.
2. Maintains adequate quantities of patient supplies and forms.
3. Calls and/or sends a letter for all no show patients and records the phone call within NextGen.
4. Obtains patient’s signatures on permission/consent forms.
5. Generate referral note in NextGen when referral is ordered by a provider
6. Follows-up on the patient’s referral appointment, if applicable.
7. May rotate or be assigned to other areas in the clinic as needed at the discretion of the clinic coordinator.
8. Attends and participate in clinic staff meetings.
9. Calls no show appointments and re-schedules the appointment and documents on NextGen
10. Case manages patient physicals.
11. Other duties as assigned.

Patient Centered Medical Home Essential Responsibilities (Principals)
• Utilizes the Primary Care Medical Home model to provide coordinated Team Care that addresses current diseases and provides panel management for preventative and health maintenance follow-up for the maximum number of patients per day.
• Schedules patients with chronic conditions for follow-up appointments per preventative & maintenance care schedules. Performs population management tasks such as appointment scheduling, recalls, and addressing telephone encounters.
• Makes outreach calls to patients missing appointments based on preventative and chronic disease guidelines.
• Implements actions for increasing productivity such as, scheduling patients for PCP follow up visits, anticipating open slots for Same Days and proactively maintaining full provider schedules.
• Meets daily with the Care Team to identify and implement actions for improving population management outcomes.
• An action plan and healthy behaviors forms given yearly to all patients that are diabetic, hypertensive or smokers (family practice Medical Assistants) or asthmatic, obese or smokers (pediatrics Medical Assistants). An action plan goal must be inputted within i2i tracks and be updated at every patient visit.
• Collaborate with individual patients, their personal physicians, and when appropriate the patient’s
family to ensure accessible, comprehensive, compassionate, and culturally competent care
• Facilitate care by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
• Ensure all decisions respect patients’ wants, needs, and preferences and that patients have the education and support they require to make decisions and participate in their own care.

• Continually strive to attend to each patients “whole person,” in the context of the patient’s personal and medical history and life circumstances, rather than focusing on a particular disease, organ, or system.

Teaching & Education:
1. Uses the health coaching model when teaching skills.
2. Uses positive reinforcement and encouragement.
3. Uses a flexible approach with a diverse population.
4. Attends both mandatory in-service trainings and related meetings, providing feedback to staff on the
content of educational programs attended.
5. Coaches patients to address critical issues using motivational interviews and helps patients develop
achievable self-management care plan goals

Quality Management
1. Display knowledge of normal signs of human development and ability to assess and provide age appropriate care.
2. Contribute to the success of the organization by participating in quality improvement activities

Customer Relations
1. Respond promptly and with caring actions to patients and employees. Acknowledge psychosocial, spiritual and cultural beliefs and honor these beliefs.
2. Maintain professional working relationships with all levels of staff, clients and the public.
3. Be part of a team and cooperate in accomplishing department goals and objectives.

Safety
1. Maintain current knowledge of policies and procedures as they relate to safe work practices.
2. Follow all safety procedures and report unsafe conditions.
3. Use appropriate body mechanics to ensure an injury free environment.
4. Be familiar with location of nearest fire extinguisher and emergency exits.
5. Follow all infection control procedures, including blood-borne pathogen protocols.

HIPAA/Compliance
1. Maintain the privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes.
2. Comply with all regulations regarding corporate integrity and security obligations. Report unethical, fraudulent or unlawful behavior or activity.

Job Requirements
Education: Certificate or Diploma in Vocational Nursing from a state approved nursing program.
Certification required: Current valid California Vocational Nurse license and current valid CPR certification
Experience: 1-2 years’ experience in physician office or hospital setting as a Licensed Vocational Nurse preferred.
Verbal and Written Skills to perform the job: Bilingual preferred. Familiarity with basic word processing, spreadsheet, and database applications. Accurate keyboarding skills.

Technical knowledge and skills required to perform the job: Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups. Demonstrate high levels of self-initiation and direction. Knowledge of communities we serve. Knowledge and experience working in medical settings and interacting collaboratively with medical teams. Skill in analyzing situations and making timely decisions.

Physical and Mental Requirements: Work involves sitting, talking, hearing, using hands to handle, feel or operate objects, tools, or controls, and reaching with hands and arms. The employee may be required to push, pull, lift, and/or carry up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment: The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

La Maestra Community Health Centers is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.

I acknowledge that I have read and understand the attached job description. My signature below certifies
that I am able to perform the essential duties and responsibilities of this position. I have also discussed any
accommodations that I feel I might need to allow me to perform these essential functions. I agree to abide by all
administrative and medical policies and protocols of La Maestra Community Health Centers.

To apply for this job please visit lmfc.quickbase.com.