Senior Living Resident Care Director LPN

Merrill Gardens at Cedar Mill Portland, OR

Senior Living Resident Care Director, LPN Are you passionate about working with seniors? Are you dedicated to supporting seniors on their wellness journey to ensure they are provided with an atmosphere that values individualism and dignity? If so, we may have the perfect opportunity for you! Merrill Gardens at Cedar Mill is currently accepting applications for a Resident Care Director, LPN to help support residents within our beautiful community residents call home. If you are a compassionate, caring, responsible, and honest individual who genuinely loves working with the senior population, we would love the opportunity to speak with you! Please APPLY TODAY! Family means everything to us. From the communities we create to the connections we make with residents, everything we do is rooted in our history as a fifth-generation family business. We build on that family with the people we hire and the teams they form. As a family company, we can do things differently and for the past 30 years our long-term commitment to team members has been unsurpassed. We offer our full-time employees: Highly competitive pay and comprehensive benefits (medical, dental, vision, flexible spending accounts, life insurance). Company-paid Employee Assistance Program (EAP) Paid time off – 7 holidays, and 11 vacation days. Free daily meal every shift. 401(k) with company match and immediate vesting! Tuition reimbursement for career growth. Company-paid short & long-term disability insurance. Pet insurance and team member discounts. Advance Pay benefit – access wages before payday. A stable, growing company with opportunities for advancement! We offer our part-time employees: Free daily meal every shift. 401(k) with company match and immediate vesting! Company-paid Employee Assistance Program (EAP) Tuition reimbursement for career growth. Pet insurance and team member discounts. Advance Pay benefit – access wages before payday. A stable, growing company with opportunities for advancement! Our Resident Care Directors, LPN are responsible for: Resident Services : Develops and implements the highest standards for assisted living services. Works directly with the residents to evaluate needs and services. Conducts and/or assists with electronic evaluation of incoming residents, and with periodic re-evaluation, to ensure services rendered are documented and charged for according to Merrill Gardens’ policies. Implements services during new resident move-in; helps resident with orientation to and adjustment to the community. Provides direct care to residents as needed according to their identified service needs. Accurately assesses, communicates, and documents resident status. Observes and reports any significant changes in resident behavior and health to the GM, physician, and family per state regulations. Conducts regular meetings with residents and their families to ensure their needs are being met. Communicates with resident family members, physicians, and pharmacists as needed regarding residents and services provided. Ensures all Resident Rights and Responsibilities are protected and enforced. Recognizes and assists in the prevention of elder abuse, neglect, and exploitation and reports to the appropriate sources per state regulations. Addresses difficult resident behaviors with dignity and respect. Guarantees compliance of all State Rules and Regulations of assisted living. Supervisory Responsibilities : Provides team members with coaching, feedback, and developmental opportunities. Challenges and inspires team members to achieve results. Evaluates team members’ skills and competencies and ensures the completion of performance reviews. Sets clear expectations and holds team members accountable for performance. Oversees training and development of team members directly and indirectly managed; ensures training and certification of all AL staff is completed as required by Merrill Gardens and state regulations. Provides coaching, direction, and leadership support to team members to achieve employee engagement and customer delight. Mentors team members using electronic care system. Builds effective teams by determining adequate staffing levels, identifying and recruiting top talent. Prepares staffing schedules to meet all community requirements for standards of care. Administration : Adheres to budgetary guidelines established by Merrill Gardens. Coordinates with General Manager for financial stability of assisted living department from both census development and expense control. Provides General Manager with weekly status reports on all AL residents. Maintains all resident records and department documentation. Complies with state-mandated reporting as required. Audits AL services for regulatory compliance. Provides additional management reports as required. If you are someone with: Education : Current LPN licensure, as specified by state agency, preferred. Bachelor’s Degree or equivalent. First Aid/CPR certification within 30 days of hire where required by state. Completion of dementia training as required by state regulations within six months of hire date if applicable. Experience : 3-years’ related experience, training, or equivalent combination of education and experience. Experience in assisted living, geriatric nursing, or gerontology and dementia care. Experience in medication administration and hands-on personal care preferred. Demonstrated ability in budgeting and cost control. Experience in operating an electronic care system. Physical Requirements: This role involves frequent standing, walking, lifting (up to 75 lbs), and assisting with resident care. Regular bending, reaching, and physical movement are required throughout the workday. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Consider applying to become a Resident Care Director, LPN with the Merrill Family of Senior Living Communities! Yes, You Can have a meaningful Career! Our mission is to provide an inspiring environment for our residents, families, and team members where every life is defined by the possibilities. Merrill Gardens is an Equal Opportunity Employer

LPN

Outpatient

4 days ago

Licensed Practical Nurse

Kaiser Permanente Portland, OR

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description.

LPN

Outpatient

1 week ago

LPN

Kaiser Permanente Portland, OR

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description.

LPN - PEDS, Cystic Fibrosis

Kaiser Permanente Portland, OR

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description.

LPN

Outpatient

2 weeks ago

LPN

Kaiser Permanente Portland, OR

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description.

Outpatient Licensed Practical Nurse - LPN LVN

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