Job Description
Title: LPN/Ambulatory
Job Code: 0640
Job Summary
Functions in the physician office or ambulatory care practice to provide nursing services in an office setting. Works as part of a care team to improve the execution of quality requirements, increase throughput, improve efficiency, and enhance the overall patient experience.
Essential Functions
• Demonstrates the knowledge and skills necessary to provide care or arrange for
the provision of appropriate care, for patients, as pertinent to the scope of
nursing practice and specialty of the office setting.
• Appropriately and accurately documents all patient care/interactions in patient
medical record.
• Participates in telephone triage by obtaining clinically appropriate data and
symptoms from the patient and advises and instructs patients according to
established protocols and/or orders from the provider.
• Ensures that all ordered laboratory and diagnostic tests are tracked and logged,
and that the provider is presented with all test results.
• Pre-visit planning with provider and care team
• Medication administration, including injections.
• Check vital signs, height, weight
• Assist with reviewing medication history and updating medication list.
• May assist with satisfaction of pertinent health maintenance requirements.
• Assists providers during procedures and examinations, and performs instrument
and room clean-up.
• Utilizes standard precautions. Complies with CHS Policies; Occupational Safety
and Health Administration (OSHA) standards; Clinical Laboratory Improvement
Amendments (CLIA) regulations; and The Joint Commission (TJC), Division of
Facility Services (DFS), and other Regulatory Agency standards as applicable to
the practice.
• Reports patient's condition and reaction to the provider following procedures,
medication administration, or treatments.
• Assists with patient inquiries for prescription refills, appointment scheduling, and
referral authorization as needed.
• Participates in electronic documentation of care at the direction of the provider.
• May enter orders in EMR (computerized physician order entry – CPOE) per
provider order.
• Completes Clinical Laboratory Improvement Amendments (CLIA) approved
waived laboratory tests and practice-specific diagnostic testing; including Point of
Care testing for Hemoglobin A1C and other Point of Care testing as applicable.
Adheres to CLIA standards. Performs Quality Control and maintenance for Point
of Care in-office lab procedures, as applicable.
• Performs venipuncture. May be required to assist with collection of specimens of
body fluids such as urine and blood for laboratory testing. Completes lab
requisitions and prepares specimens for pick-up.
• Provides patient with Depart Summary and review at the end of the visit.
• Responsible for all vaccine and pharmaceutical orders including North Carolina
Immunization Registry (NCIR) and South Carolina Department of Health and
Environmental Control (SC DHEC) regulations and monitoring inventory level of
clinical supplies specific to the practice setting.
Physical Requirements
Work consistently requires walking, standing, sitting, lifting, reaching, bending, stooping,
pushing, and pulling. Must be able to lift and support the weight of 35 pounds in
handling patients, medical equipment, and supplies. Possible exposure to
communicable diseases. Must speak, read, and write Basic English fluently. Intact
senses of sight, hearing, smell, and touch. Manual finger dexterity.
Education, Experience and Certifications
Licensed Practical Nurse with current license to practice in NC or SC (dependent on the
practice’s physical location) required. Graduate of an Accredited School of practical
nursing required. Previous medical office experience preferred. Current American Heart
Association (AHA) BLS cert required.
Patient Population Served
Demonstrates knowledge of the principles of growth and development and demonstrates
the skills and competency appropriate to the ages, culture, developmental stages, and
special needs of the patient population served.
Protected Health Information
• Will limit access to protected health information (PHI) to the information reasonably
necessary to do the job.
• Will share information only on a need to know basis for work purposes.
• Access to verbal, written and electronic PHI for this job has been determined based
on job level and job responsibility within the organization. Computerized access to
PHI for this job has been determined as described above and is controlled via user ID
and password.
Machines, Tools, and Equipment
Related office equipment and supplies.
The above statements are intended to describe the general nature and level of work
being performed by people assigned this job classification. They are not to be construed
as an all-inclusive list of all duties, skills and responsibilities of people so assigned.
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