GENERAL STATEMENT OF DUTIES: Provides professional nursing care under supervision for clinic patients.

ORGANIZATIONAL RELATIONSHIPS: Reports directly to the Practice Manager/Director of Practice Management.

Duties performed in this position include but are not limited to the following:

1. Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards.

2. Assists with the preparation of equipment, and aids physician/nurse practitioner during treatment, examination, and testing of patients.

3. Observes, records, and reports patient's condition and reaction to drugs and treatments to physicians. Administers prescribed medications as directed.

4. Oversees appointment bookings and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients.

5. Greets patients and prepares them for provider examination. Screens patients for appropriate information. Instruct patients in collection of samples and tests.

6. Arranges for patient testing, referrals and admissions.
7. Responds to and refers incoming telephone calls. Instructs patient and family regarding medication and treatment instructions.
8. Formulates and updates patient care plans. Orders, prepares, and inspects patient's charts. Posts test and examination results.
9. Responsible for preparation of exam rooms including re-stocking of treatment areas.

1. Identifies clinical and office supplies and equipment needed and notifies lead and/or practice manager

10. Attends required meetings and participates in committees as requested.

11. Participates in professional development activities and maintains professional affiliations.

12. Maintains patient confidentiality.

13. Performs related work as required per department. (See required duties specific to department.)

14. Comply with all statutory and regulatory policies and procedures

15. Teaches patient education

16. Delegates job duties.

17. Updates health maintenance

18. Double checks medications and immunizations.

19. Cross trained to check in/check out patients, make appointments, work front desk.

20. Prepares charts 1 week in advance gathering all outside consults/diagnostic testing/lab work ordered and performed since last visit. (Currently at 3 weeks out)

1. 1. Prints Enhanced Encounter Forms
   2. Identifies Medicare Wellness patients
   3. Optum forms as directed by Quality - LPN prints now

21. Completes patient intake, reviews and updates medical history and medications

a. Verifies patient pharmacy

22. Gives injections and applies dressing as required

a. Obtains and runs testing as ordered (urine dip, glucose, EKG, PT/INR,

urine drug screen, blood work, urine pregnancy, rapid strep, rapid influenza)

23. Performs nurse visits - including education of physician's orders to patient and proper charting after visit

24. Assist provider with procedures (Pap and minor procedures)

25. Suture and Staple removal

26. Help process prior authorization of medications and testing

27. Maintain patient files, records, and other information

a. Obtains information from paper charts or Allscripts (as needed)

29. Print Primetime and Optum forms

30. Monitors Clinical Pool and personal inbox

31. Work as a team to manage Workque

KNOW HOW: Knowledge of the principles and skills needed for practical nursing to provide 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 administering a variety of treatments and medications as directed. Skill in using various types of equipment for examination and treatment procedures. Skill in taking vital signs. Skill in maintaining records and writing reports. Skill in establishing and maintaining 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 situations. Ability to interpret, adapts, and applies guidelines and procedures. Ability to communicate clearly.

TYPICAL PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Requires sitting, standing, and walking for extensive periods of time. Requires occasional lifting and carrying of items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours. Requires exposure to communicable diseases or bodily fluids.

TYPICAL WORKING CONDITIONS: Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment. On feet most of the day, standing/walking for hours on end.

SPECIAL FACTORS: Some overtime hours may be required to accommodate patients.

Must be a Licensed Practical Nurse. The LPN has a great deal of contact with patients and must be able to establish rapport with them if efficient and effective care is to be rendered. The position requires a person who is tactful, understanding and sympathetic in his/her relationship with the patient. The candidate must have the ability to recognize serious problems when triaging calls and know how to get the patient serviced in a timely fashion using the resources available at the Foundation. The nurse must have working knowledge of record keeping requirements of the Foundation, both medical and administrative. A properly qualified individual will need approximately 3 months to become familiar with the duties and with individual physician preferences.

Problem Solving: Judgement is required when dealing with different personalities of both patients and the medical staff. The LPN's duties are almost always performed within previously established AMG policies/guidelines and physician/nurse working relationships. The nurse may work independently at times or under the direct supervision of the physician/Nurse Practitioner. Depending upon their nature, difficult or unusual problems can be referred to the physician, nurse practitioner or practice manager.

Accountability: The LPN is accountable for all nursing care that he/she renders to the patient or should have rendered to the patient. The LPN must follow the physician's/nurse practitioner's instructions explicitly when providing care of any kind to patients. The nurse is responsible for dealing with patients in a friendly and cooperative manner. The LPN must make accurate decisions regarding the potential severity of problems telephoned to him/her by patients and must consult the physician/nurse practitioner in a timely fashion regarding those problems. The nurse is required to use supplies and materials only as needed to avoid wasting supplies and materials. The nurse is also required to see if other departments can use supplies not yet used that are close to expiration. The outpatient/ambulatory nurse is an integral part of patient care at the Foundation.

EDUCATION: Graduation from an accredited school of practical nursing.

EXPERIENCE: None.

CERTIFICATES/LICENSE: Valid LPN license and CPR certification

ALTERNATIVE TO MINIMUM QUALIFICATIONS: None.

HIPAA Compliance: Full access to patient health information is required in this position.

Must comply with all regulatory, compliance and safety regulations, policies and procedures.

GENERAL STATEMENT OF DUTIES: Provides professional medical care under supervision for clinic patients.

ORGANIZATIONAL RELATIONSHIPS: Reports directly to Practice Manager/Director of Practice Management.

Duties performed in this position include but are not limited to the following:

1. Performs selected clinical and clerical duties.
2. Enters physician orders/instructions into EMR system.
3. Prepares charts two days in advance gathering all outside consults/diagnostic testing/lab work ordered and performed since last visit.

2. Prepares patients for examination and treatment. Takes patient histories and vital signs.

3. Prepares exam and treatment rooms with necessary instruments.

4. Gives injections and applies dressings as required.

5. Prepares and maintains supplies and equipment for treatments, including sterilization.

6. Assists physicians in preparing for physical exams.
7. Assists with scheduling of tests and treatments or forwards to the Referral Department/Radiology scheduling as appropriate.
8. Screens telephone calls for referral to nurse or physician.
9. Provides general information on departmental policies and procedures.
10. Identifies clinical and office supplies and equipment needed and notifies lead and/or practice manager.

11. Maintains patient files, records, and other information.

12. Compiles and condenses technical and statistical data for reports and records.

13. Attends required meetings and participates in committees as requested.
14. Participates in professional development activities and maintains professional affiliations.
15. Stocks and cleans rooms in between patients, end of day and as needed.
16. Performs department specific work as required.
17. Complies with all statutory regulatory policies and procedures.

KNOW HOW: Knowledge of medical practice and care to assist in giving patient care. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of EMR. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in assisting in a variety of treatments and medications as directed. Skill in taking and recording accurate vital signs. Skill in maintaining records and recording test results. Skill in developing and maintaining department quality assurance. Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt, and apply guidelines and procedures. Ability to communicate clearly.

TYPICAL PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires sitting, standing, and walking for extensive periods of time. Requires occasional lifting and carrying of items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours. Requires exposure to communicable diseases or bodily fluids.

TYPICAL WORKING CONDITIONS: Some exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.

SPECIAL FACTORS: Some overtime hours may be required to assist physician/providers in patient care.

Must have knowledge of medical practice and in giving patient care. Must be knowledgeable about examinations, diagnostic procedures, and treatment room procedures. The position requires a person who is tactful, understanding, and sympathetic in his/her relationship with the patient. He/she must have the ability to recognize serious problems when triaging calls and to know how to get the patient serviced in a timely fashion using the resources available. He/she must have working knowledge of record-keeping requirements, both medical and administrative.

Problem Solving: Judgement is required when dealing with the different personalities of both patients and the medical staff. The CMA/RMA's duties are almost always performed within previously established policies/guidelines and physician or nurse practitioner/nurse working relationships. The CMA/RMA may work independently at times or under the direct supervision of the physician, nurse practitioner, clinical lead, or practice manager. Depending upon their nature, difficult or unusual problems can be referred to the clinical lead, nurse practitioner, the physician, or the practice manager.

Accountability: The CMA/RMA is accountable for all care that he/she renders to the patient or should have rendered to the patient and the chart documentation. The CMA/RMA must follow the physician's instructions explicitly when providing care of any kind to patients. The CMA/RMA is responsible for dealing with patients in a friendly and cooperative manner. The CMA/RMA must make accurate decisions regarding the potential severity of problems telephoned to him/her by patients and must consult the physician in a timely fashion regarding those problems. The CMA/RMA is required to use supplies and materials only as needed to avoid wasting supplies and materials. The CMA/RMA is also required to see if other departments can use supplies not yet used that are close to expiration. The outpatient/ambulatory nurse is an integral part of patient care.

EDUCATION: Graduate of an accredited Medical Assisting Program with certification/registration.

EXPERIENCE: None.

CERTIFICATES/LICENSE: Certification from American Association of Medical Assistants or equivalent

ALTERNATIVE TO MINIMUM QUALIFICATIONS: None.

HIPAA Compliance: Full access to patient health information is required in this position