Licensed Practical Nurse- Patient Aligned Care Team

Licensed Practical Nurse

The Licensed Practical Nurse in this position is:

• Responsible for the daily management of the PCP's scheduled appointments. This is accomplished by interviewing the patient and assisting the PCP with preventative care and/or chronic disease management by obtaining vital signs, completing a medication review, review allergies and update PCP, offering patient education, completing screening questions (clinical reminders) for a variety of preventative and/or chronic disease measures, complete diabetic at risk foot screenings administers ordered immunization, other ordered injections and all other ordered medications, and assists with exams/procedures (i.e. pelvic exams, joint injections, wound care, bladder scans).
• Responsible for the daily management of the assigned PACT teams Nurse Intervention clinic. When assistance is needed, the LPN will communicate with the PACT RN to ensure scheduled patients are roomed as scheduled. Common Nurse Intervention appointments managed by the LPN are scheduled for, but not limited to: Vitamin B12 injections, adult vaccines, blood pressure checks, medication review and education, diagnosis specific education, glucometer teaching, issue a blood pressure machine, EKGs, etc.
• Receives an assignment from the Nurse Manager or the Charge RN. Assignment is subject to change as needed to support patient care. Assignments may include but are not limited to: PACT teams, Nurse Intervention clinics, Flu vaccine clinic, COVID specimen collection, COVID vaccine clinics, CBOC lab (if applicable), 1:1 safety watch, Ear Irrigation Clinic.
• Responsible for reviewing/scrubbing the PACT teams schedule following the applicable standard operating procedure: PACT Huddles. Main components of scrubbing include, but are not limited to:
• Reviews PCP and Nurse Intervention daily and weekly schedules.
• Patient care needs and any concerns or issues to be reviewed with the PACT RN Care Manager or provider.
• Complete visit pre-work to pre-package information needed for an efficient and effective visit with the PCP to assure the Veterans needs will be met and decrease post-visit work for the PACT team.
• Print applicable medical records from Joint Legacy Viewer (JLV) and/or Non-VA Electronic Medical Record (EMR) and provide records to the provider in preparation for the appointment.
• Reviews for an alternate visit modality such as non-face-to-face appointment, group visit, secure message, telephone visit, or an appointment with another PACT or extended PACT team member and discusses with the provider.
• Identify clinical reminders that may appropriate for completion ahead of time via pre-visit phone call.
• Check chart for evidence of hospital admissions/ER visits and alerts the PACT team.
• Medication review by reviewing list and highlighting expired prescriptions and medications not being refilled so provider can be alerted.
• Review plan of care from last visit with PCP to assure all tests and consults needed for current visit have been completed and results are available including non-VA care.
• Other responsibilities include actively participating and attending the daily huddle, PACT team meetings, assisting the PACT team and other interdisciplinary team members with panel management such as follow-up of normal lab and test results, management of the iFOBT kit not returned report and care coordination. Is an active participant in planning, implementation, and evaluation of care.
• Responsible for entering no-show note for Nurse Intervention appointments. Follow-up with no-show patients to identify care needs, rational for missed appointments and ensure patient safety.
• And other duties as assigned.

Work Schedule: 07:45a-1615 Monday - Friday Telework: Not Available Virtual: This is not a virtual position. Bargaining Unit: Yes Permanent Change of Station (PCS): Not authorized Financial Disclosure Report: Not required Physical Requirements: Standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning; repositioning patients, assisting with transfers; pushing or lifting in excess of 45 pounds; visual (corrected to 20/30 or better with color discrimination); auditory acuity; arms above shoulder level; neck in a fully flexed or extended position; work on computers for extended periods of time. Work is primarily conducted in a well-ventilated, adequately heated and cooled building. May be exposed to inclement weather when traveling around medical center. May be exposed to normal office irritants - dust, pollen, noise, vibrations, or odors. May be exposed to therapy animals with and without advanced notice. May be exposed to patients and family in emotional upheaval or extreme pain. Must have emotional stability to properly care for usual patient population.