Lic prac. Nurse

The Primary Care Licensed Practical Nurse (LPN) provides high quality, evidence-based care for culturally diverse populations with acute and/or chronic illness in the Brevard Health Alliance outpatient care setting.

They must be able to promote a safe environment for all patients including those with altered sensorium due to medication or an acute or chronic illness.

LPNs are to collect data, document using appropriate forms and electronic health records, follow policies, protocols, and guidelines, adhere to policies, and evaluate resources for each shift.

The Primary Care LPN effectively implements patient activities towards health promotion and disease prevention, assisting the patient in attainment of optimal levels of function through direct care and non-face-to-face communication.

Within their scope of practice, the LPN performs routine administrative and clinical duties to assist the nurse, MD/DO/APRN/ or PA as part of the medical home healthcare team.

Primary Accountabilities of the LPN include, but are not limited to the following:

Performs clinic or telephone intake within established standards. Notifies or consults with MD/DO/APRN/PA, as needed. Documents electronic medical record (EMR)

Demonstrates knowledge and skills necessary to provide age appropriate care relative to the patients served in the Medical Home setting.

Gathers and records data reflective of the patient’s (and/or family’s) physical, psychosocial, emotional, spiritual, cultural, and educational needs.

Ability in performing EKG

Acts on behalf of the Provider to authorize drug refills under direction of the Provider and provide prescription information to pharmacies per BHA protocol

Able to recognize patients in distress needing immediate intervention

Provides patient/family and caregiver education based on medical and/or nursing diagnosis, which includes unique age-related needs and arranges for follow-up educational resources, as needed

Maintains daily patient flow to ensure patients will be seen as soon as possible using all available resources in EMR. Checks patient in and gathers information for their scheduled appointment. Enters patient in EMR, performs vital signs, and protocol-based care.

Completes full medical history and any updates to medical record as necessary

Enters dispensed medication onto excel spreadsheet and reconciles pharmacy inventory as applicable

Ensures pediatric patients are up to date on all immunizations and are entered correctly into EMR and Florida Shots as applicable

Maintains lab and medical equipment Quality assurance (QA) as needed, and ensures QA’s are being done appropriately

Based upon education and experience, LPN may serve as a resource and preceptor for other LVNs, or provide oversight for day-to-day operations of the clinical area

Documents in a timely, accurate, and concise manner.

Performs daily duties and quality controls including but not limited to:

 Stocking supplies

Checking for expired supplies and medications

Prepares, administers, and documents medications with alertness to actions, side effects, adverse reactions and contraindication following BHA policies/procedures.

Makes astute observations and reports changes in the patient’s condition and other significant observations to appropriate team members verbally and/or in writing.

Recognizes the signs of potential or active disruptive behavior and quickly intervenes with appropriate therapeutic interventions.

Communicates effectively with a variety of individuals and functions calmly in situations, which require a high degree of sensitivity, tact, and diplomacy.

Adheres to ethical principles and standards while maintaining appropriate professional boundaries when delivering care.

Maintains confidentiality. Performs nonstandard and specialized practical nursing activities according to scope of practice.

Performs competent care for patients using the Medical Home model, specific duties include but are not limited to:

 Perform pre-appointment phone calls and chart preparation

Participates in departmental continues quality improvement efforts

Maintains clinic nurse schedule, to ensure timeliness, flow, and appropriateness as needed.

Assists in the Management of clinic telephone calls. Ensures all calls are returned or delegated within 2 hours to determine appropriate medical follow up. Issues should be resolved within 24 hours.

Able to perform and carry out projects as delegated by BHA DOCO and/or Managers

Other duties appropriate to the position as assigned.

Takes ownership and represents Brevard Health Alliance’s mission and organizational goals established by the executive committee. These include, but are not limited to Productivity, Quality, Patient Satisfaction, and Employee Retention. It is the duty of each BHA employee to incorporate these goals into all daily work routines and strive to achieve and surpass all goals by working as a team. The mission and goals of BHA will be incorporated into each associate’s performance plan to be evaluated annually.