LPN, Dr. Irina Gagua, Internal Medicine, St Thomas West

LPN, Dr. Irina Gagua, Internal Medicine, St Thomas West

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St Thomas West (STW) - Nashville, TN 37205

Description

SUMMARY: This position provides professional nursing care; assists the physician with patient care. Assesses, plans, implements and evaluates the care rendered to patients with routine, urgent or potential health problems.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Ensure patient safety
• Assists physicians and ensure maximum efficiency; set up for procedures and examinations; obtain lab test and other reports for physician review.
• Triage patients to ensure productive departmental flow.
• Prepare patients for exams and procedures.
• Administer medications as appropriate; document in patient's chart.
• Ensure that patient chart entries are made accurately and in a timely manner; forward chart as appropriate.
• Contact pharmacy to order or refill prescriptions as instructed by physician, document appropriately.
• Tracking of all diagnostic studies to ensure results received and patient informed of results
• Tracking of all initial specialist office visit appointments to ensure patient keeps appointment
• Obtain (in advance) pre-certifications, PA's and referrals when mandated by insurance company
• Maintain adequate stock levels of medications and supplies.
• Set up and stock exam rooms for daily use; keep rooms and equipment clean between procedures; keep cleaning schedules up to date
• Follow clinic policies for infection control in handling and disposing of infectious/hazardous waste materials.
• Keep physician informed of patient's status and any pending test results
• Obtain vital signs, ascertain the seriousness of the patient's complaint and begin appropriate measures.
• Administer medicationsIM, SQ and intradermal injections
• Administer O2 when ordered by a physician
• Demonstrate a working knowledge of cardiac monitoring and lead placement.
• Adhere to Quality Control Guidelines; monitoring medication refrigerator temperature, eye wash checklist, O2 checklist, AED checklist and autoclave checklist.
• Adhere to Customer Service Standards
• Knowledge of sterile techniques and sterilization process
• Perform other tasks as needed, in assistance of physician
• Must have predictable and consistent attendance

Secondary Duties And Responsibilities

• Record health history of patients; note abnormal conditions for physician
• Notify hospital or skilled nursing facility personnel of physician orders
• Collect, label and document lab specimens as needed
• Complete charts and charge tickets; review and verify codes for physician charges
• Knowledge of administering IV solutions
• Care for wounds; assist with suturing; apply sterile dressings
• Schedule patients with physician and other specialty physicians
• Demonstrate knowledge of Occupational Medicine procedures including pre-employment physical exams, appropriate lab testing and treatment of work related injuries; knowledge of appropriate referral process
• Provide discharge instructions and reinforce physician's instructions
• Prepare patient for procedures and obtain necessary consent forms
• Collect, label, document and track lab/ biopsy specimens
• Contact patient of test results, schedule surgery and referrals as required
• Knowledge of surgical instruments sorting/ cleaning /sterilization
• Accuracy in labeling and photo of patient skin conditions and download to EMR
• Knowledge of phototherapy booth/treatment/ log protocol as necessary

Supervisory Responsibilities

• This job has no supervisory responsibilities.

Qualifications

EDUCATION and/or EXPERIENCE

• Graduation from an accredited LPN program; 0-2 years experience in clinic-based nursing.

Knowledge, Skills And Abilities

• Knowledge of the principles and skills needed for nursing to provide limited patient care and treatment. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of medications and their effects on patients. Knowledge of patient education principles to develop a self-care program. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in using various types if equipment for examination and treatment procedures. Knowledge of EKG's. Skill in taking vital signs. Skill in maintaining records and writing reports.
• Skill in establishing and maintain effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to recognize problems and recommend solutions. Ability to react calmly and effectively in emergency situation. Ability to interpret, adapt and apply guidelines and procedures. Ability to communicate clearly. Computer knowledge helpful.

Certificates, License, Registrations

• Valid state LPN license; CPR certification.

Physical Demands

• Must be able to stand for 8 to 10 hours a day
• Requires regular walking, bending, pushing, pulling and lifting
• Must be able to lift at least 10-15lbs
• Must be able to assist patients with transfers from chair to wheelchair, to exam tables, and back to wheelchair/chair
• Must be able to assist patient with turning/positioning on exam table
• Must be able to push patient in wheelchair
• Must be able to manipulate objectsreaching, grasping, handling
• Must exhibit good communication skillsunderstand, respond and translate into action

Work Environment

• Clinical setting; exposure to communicable diseases, medical preparations and other conditions common to a clinical environment.

Heritage Medical Associates, P.C.