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.