Licensed Practical Nurse - Outpatient - Pain Mgmt Sleep Medicine
Arnot Ogden Medical Center
 Corning, NY

MAIN FUNCTION:

Office Nurse I assumes the responsibility and accountability for a group of patients under the supervision of a registered nurse or provider. The Office Nurse I -Travel is required to travel to all Outpatient Services office locations as scheduled weekly, noting office location may change on short notice due to staffing needs. There may be a rare occasion to cover the urgent care offices with variable working hours. This position reports to Outpatient Services Director of Nursing and Clinical Services.

DUTIES AND RESPONSIBILITIES:

  • Nursing Process
  • Cares for patients under the direction of a Registered Nurse or Provider.
  • Collects data in an ongoing and efficient manner focusing on the patients physical and cognitive needs.
  • Prioritizes and recognizes change in patient status and reports them appropriately to the RN/Provider.
  • Implements an established plan of care in a knowledgeable, skillful and consistent manner.
  • Provides age appropriate care to patients.
  • Patient Education - Demonstrates awareness, sensitivity and knowledge of patient/family learning needs and implements appropriate measures to meet their rights and safety.
  • Utilizes educational information with explanation/directions regarding upcoming test/procedure, new medications and documents appropriately in the EMR.
  • Is aware of referral sources to Disease Management Programs as per order of provider.
  • Documentation/Office Procedure - Documents accurate, concise information in the patients EMR record in a timely manner.
  • Vital signs
  • Problem list
  • Allergy list
  • Medication list / medication reconciliation
  • Fall assessment / pain assessment/ learning evaluation/functional limitation
  • Communicable Disease history
  • Other modules : PMH/FMH, Tobacco/Alcohol/Supplements, Substance abuse, Mental health history; as per provider preference
  • Prescription refills (either electronically or paper)
  • Schedules follow-up visits, consultations, referred testing and surgeries as per provider orders.
  • Forwards appropriate information requested by consult providers.
  • Is responsible for handling incoming and outgoing telephone calls in a timely and courteous manner.
  • Is responsible for contacting the patient regarding lab/test results, phoned in issues, etc. after being reviewed by, initialed/signed off by provider and documented in EMR.
  • Obtains pre-authorizations in a timely manner for medical testing, medications etc.
  • Is responsible for coding/billing preparation for billing dept., medical necessity and insurance referrals.
  • Processes and directs laboratory specimens in an appropriate and timely manner, submitting necessary billing information to the laboratory.
  • Performs / documents POC laboratory controls/testing as per protocol and reports results in a timely manner to the provider.
  • Assists with clerical duties such as chart preparation, filing and floor stock inventory/ordering in the office when required.
  • Communicates with the triage nurse if appropriate, making her aware of available appointment times for sick calls or of any changes in the providers schedule.
  • Maintains a system to ensure receiving copies of consultation reports and test results in a timely manner with a follow up system for tracking missing information.
  • Keeps rooms stocked with appropriate medical supplies and instruments, maintaining current expiration dates and removes excess, unused supplies.
  • Is responsible for maintaining and documenting:
  • daily seal intergrity of office Emergency
  • monthly AED battery check
  • Safety - Demonstrates and functions with awareness of safety issues as identified by the institution towards patients, co-workers and self.
  • Emergency Situations - Performs efficiently and appropriately in emergency situations.
  • Is aware of location of Emergency Box in their office setting.
  • Is current in CPR certification.
  • Profession - Maintains professional conduct and appearance.
  • Is courteous and respectful to patients/families and co-workers.
  • Is aware of dress code and dresses accordingly.
  • Education - Participates in the annual mandatory education as required by position:
  • Merit Fair
  • Aseptic Technique
  • Mandatory inservices
  • Independently participates in continuing education courses to meet own professional growth
  • Maintains a record of all educational activity
  • Legal Issues - Demonstrates awareness of basic legal issues in all aspects of patient care, office functions and strives to minimize risks.
  • Out-Patient Office – Is competent to perform/assist provider with patient diagnostic testing, procedures as below, if required in the office setting, but not limited to:
  • Phlebotomy
  • EKG
  • Pulmonary Function Screening / spriometry
  • Holter monitoring/30 Day Event monitoring
  • Dermatologic procedures
  • Ear lavage
  • Pap smear
  • Staple removal
  • Specific offices only – Colposcopy, IUD insertion, Endometrial biopsy, Urodynamic study

Foley insertion/removal

Casting/Removal of cast

Allergy testing

EMG/NCS

  • Medication Competency - Demonstrates competency in medication administration with provider order:
  • oral medications
  • intramuscular injections
  • subcutaneous injections
  • nebulizer treatments
  • Medication Policy and Procedure
  • Follows policy and procedure regarding medication administration.
  • Performs immunizations according to the providers instructions andaccurately documents information in the patients EMR.
  • Responsible for maintaining clean, orderly drug sample cabinets containing only drugs withcurrent expiration dates, by documenting on monthly samplecabinet check sheet.
  • Logs all sample medications appropriately according to policy (Sample dispensing log, Sample Receipt log ) and uses sample labels appropriately.

Family practice office only– Nurse is familiar with:

  • State mandated ( NY, Pa )VFC programs/age requirements/documentation
  • Vaccine Refrigerator Setup
  • Monthly care of vaccine storage units and required documentation
  • Maintains current Outpatient Services/VFC required temperature/problem logs
  • Infection Control Performs all aspects of universal precautions when in patient careand maintains current Infection Control Certification as required by New York State (not a requirement for nurses practicing in Pennsylvania).
  • Is responsible for attending all annual mandatory educational programs as required by position.
  • Employee understands and demonstrates the importance of satisfying theneeds of the patient by interacting with him/her in a friendly and caring waybeing attentive to the customer's needs, both psychologically and physicallyand maintaining communication with the patient to provide a secure and pleasant experience with the Arnot Health.
  • It is understood that this list is typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.

EDUCATION:

Graduate of an approved LPN program with current New York State or Pennsylvania licensure.

EXPERIENCE:

Previous nursing experience in a medical office setting preferred. Excellent communication and writing ability.

CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:

Basic Life Support (BLS) required within 90 days of hire date.

PHYSICAL DEMANDS:

Employee required to be on his/her feet much of the time, some lifting, reaching and stooping involved.

EXPOSURE CATEGORY:

Category I. Tasks that involve exposure to blood and body fluids/tissue.

  • D.A. Essential Functions