Summary

Job Description

POSITION SUMMARY: To provide nursing services to patients at a provider’s office.  Patient care includes care to patients in following age group:  pediatric (infant to 12 years), adolescent (13 to 17 years), adult (18 to 64 years) and geriatric (over 64 years).

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Provides clinical advice by phone/electronic correspondence based on clinical judgments and/or triage protocols in accordance with regulatory requirements and standards of practice. Consults with provider as necessary.
• Provides patient specific education including but not limited to preventive care, chronic disease management, acute diagnosis, medications and other areas pertinent to patient outcomes.
• Prepares patient for visit by using appropriate rooming standards tool.
• Administers injections and medications as prescribed by the provider and in accordance with department protocol, regulatory requirements and standards of practice. 
• Prepares and assists providers with various procedures, minor surgeries and other exams as designated by the provider.
• Performs Point of Care Testing, including but not limited to hearing, flu, urine and strep tests.
• Collects blood or other laboratory specimens and prepares them for further testing.
• Authorizes prescription refills as instructed by the provider.
• Assists with test tracking and monitoring overdue results.
• Removes sutures and changes dressings on wounds as necessary.
• Assures exam rooms are adequately supplied and cleaned after each patient visit. Maintains and cleans medical instruments and equipment after each procedure.
• Assists provider and patient in reviewing and revising care plans and assesses patient progress. Follows up with patient between visits as necessary.
• Assists with proactive outreach for patients requiring preventive and chronic disease services.
• Performs care coordination activities among specialists and transitions of care to obtain all necessary patient information.
• Assists in coordination of referrals, education and community resources.
• Actively participates in performance improvement initiatives to improve overall patient experience and quality of care.
• Participates in daily huddles with the provider.
• Serves as a patient experience advocate by being a positive influence at all times when interacting with patients, visitors and colleagues. Communicates with all patients, visitors and colleagues in a professional manner while keeping customer service a top priority. 
• Handles all patient information in a confidential manner according to Lancaster General Health privacy and confidentiality policies and procedures.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Performs various front office responsibilities as necessary.
• May require some regional travel - valid driver's license is required if traveling.
• Participates in the on-call responsibilities for this position as required. 
• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• Completion of a LPN or a RN educational program
• Current licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN), issued by the PA State Board of Nursing
• AHA CPR/BLS certification required within 30 days of hire.
• This role requires occasional regional travel.  Ability to travel to multiple sites is required.

PREFERRED QUALIFICATIONS:

• One (1) to Two (2) years of nursing experience in a primary or specialty care physician’s office.
• Prior triage, emergency room, cardiac care, intensive care or other related specialty nursing experience.

COGNITIVE REQUIREMENTS

ATTENTION/CONCENTRATION – The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:

• The position requires the ability to attend to more than one aspect of a situation simultaneously.  It is highly likely that multiple task demands are going to be required of the individual at the same time.

NEW LEARNING AND MEMORY – The following level of ability is essential for the jobholder to learn and retain material:

• A large portion of this position required reliance on verbal memory and new learning.  Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job.  The individual must be able to attend to and process multiple bits of information simultaneously.  The individual must be able to organize and categorize this information effectively so that later recall is feasible.

PROBLEM SOLVING, REASONING AND CREATIVE THINKING – The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought:

• The position requires the ability to evaluate existing options to resolve a presenting problem.  The resolutions or options are clearly defined, limited in number and are altered infrequently.  Selection of the most appropriate solution is based on well-established and defined guidelines.

APTITUDES:  The following are essential requirements of the position in relation to job-worker situations.  These items describe how a worker must adapt, adjust, conform or act:

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication:  Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies, General clinical/clerical supplies

Software: Microsoft Office Products, EPIC

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement:

• Sit: Occasionally
• Stand: Continuously
• Walk: Frequently
• Bend: Occasionally
• Push: Rarely
• Pull: Rarely
• Kneel/Squat: Rarely
• Reach: Occasionally
• Twist: Occasionally
• Balance: Occasionally
• Climb: Occasionally

Lifting: Degree of physical exertion is:

Heavy, exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

Sensory Abilities specifically required:

• Vision
• Hearing

PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Position involves exposure to the following harmful elements:

• Bio hazardous Waste
• Blood borne Pathogens

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job.  It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards.  The percentages of time spent performing job duties are estimates, and should not be considered absolute.  The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.  Incumbent must be able to perform all job functions safely.

Disclaimer