Licensed Practical Nurse (LPN) - Northwest GA Oncology Services (Days)

Qualifications

Statement Of Employment Philosophy

Being a part of Tanner Health System is more than a job, it is a promise we make to treat every patient with exceptional service every time they walk through our doors. Service excellence is the foundation of our organizational culture and the expectations we all set for each other, our patients, physicians and our community. All employees agree to abide by a set of service standards. These standards are the promise we make to provide the best care possible, and represent our beliefs, values and who we strive to become. We each commit to making Tanner Health System a great place for our employees to work, for patients to receive care and for physicians to practice medicine.

Functions

Area of Responsibilities

*Asks patients about care obtained outside the practice. Assesses racial and ethnic diversity of its population. Provides interpretation or bilingual services to meet the language needs of its population. Participates in a structured communication process, i.e. huddles.

*Identify and Manage Patient Population: Collect and review clinical data i.e., problem list, allergies. BP, height and weight, tobacco use, current medications. Completes comprehensive health assessment. Provides input for three different preventive care services. Provides input for three chronic care services.

*Plan and Manage Care: Conducts pre-visit preparations. Provides a written plan of care for the patient family. Assesses and addresses barriers when the patient has not met treatment goals. Identifies patients who may benefit from additional care management support. Reviews and reconciles medication with patient's families. Provides information about new prescriptions. Assesses understanding about medication and barriers to adherence. Documents over the counter medications, herbal therapies, supplements.

*Home monitoring of coumadin patients.

*Access ports and PICC lines. Shows proficiency with central lines by successfully drawing blood according to P&P. Shows proficiency with venipuncture by successfully drawing blood according to P&P.

*Assisting with in office procedures and ordering of oncology specific testing such as bone marrow biopsies, genetic testing, peripheral, and ancillary testing.

*Working closely with NGOC research staff on clinical trial guidelines and collection of research labs for patients enrolled in protocols.

*Checks patient insurance status prior to venipunctures for proper billing information.

*Assembles appropriate equipment prior to venipuncture, including choosing appropriate lab tubes.

*Measure and Improve Performance: Participates in improved performance for three preventive care measures. Participates in improving performance for three chronic care measures. Participates in implementing and demonstrating continuous quality improvement.

*Competently works in Moderate Complexity Lab processing.

*Knowledge of chemotherapy and other treatment plans. Ability to educate patients on potential side effects and outcomes. Ability to recognize side effects and take appropriate steps to notify provider.

*Maintain current knowledge of oncology-related medications, treatments, care processes, etc. Utilize Epic Beacon module appropriately to ensure complete and accurate documentation.

*Daily chart preparation that can include some scribing for physicians and APPs.

*Track and Coordinate Care: Tracks lab and imaging tests until results are available, flagging and following up on overdue results. Flags abnormal results, bringing them to the attention of clinician. Receives critical values notification from in house lab and brings them to the attention of the clinician immediately. Notifies patient's families of normal and abnormal lab and imaging test results. Gives consultant or specialist the clinical reason for the referral and pertinent information. Consistently obtains patient discharge summaries from the hospital and other facilities.

*Receiving and acknowledging physician orders (verbal & written) and enters them into Epic. Notifies physician of any discrepancies with orders. Entering treatment and therapy plans including chemotherapy, IV hydration, antiemetics, blood and platelets.

*Ability to obtain precertification for medications and procedures. Facilitate peer to peer discussion when necessary.

*Provide Self-Care Support and Community Resources: Provides educational resources to assist with self-management support. Develops and documents self-management plans and goals in collaboration with the patient and family. Documents self-management abilities and provides tools to record self-care. Counsels patient's families to adopt healthy lifestyle.

*Facilitate review of controlled substances with physician via Georgia and Alabama PDMP.

*Generates and transmits eligible prescription to pharmacies.

Compliance Statement

Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Required Knowledge & Skills

Education: See License/Certification Requirements

Experience: Three years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

*GEORGIA LICENSED PRACTICAL NURSE OR MULTISTATE NURSING LICENSE

*HEALTHCARE PROVIDER (CPR)

Supervision

*Occasionally uses assistance of a student in performance of task.

Qualifications

*Three or more years of related experience in oncology, Acute Care, or infusion experience as a LPN required.

*Must possess the sense of discipline to work in accordance with accepted clinical standards.

*Must maintain high degree of confidentiality.

*Must possess the cognitive ability to understand patient's medical records, physician's orders and medical orders to be communicated to patient, hospital, and or other physician.

*Must be capable of dealing tactfully and effectively with patients, family members, other employees and physicians.

*Prior experience performing oncology tests & labs required.

*NOTE: BLS within 1 month

Definitions

*Responsible for assisting the physician in clinical care of all patients to include patient assessment, develop and administration of the patient care plan, intervention, and evaluation. Will have advanced responsibilities to assist in the day to day clinical operations of the office.

Position Responsibilities

Contact with Others: Requires frequent contact with many persons at different levels inside and outside of the organization to carry out organization policies and programs and obtain willing acceptance, consent, or action.

Effect of Error: Probable errors not easily detected and may adversely affect external as well as internal relationships and may result in major expenditures for equipment, materials, or procedures detrimental to the patient's welfare or the organization's interest. Work is subject to general review only and requires considerable accuracy and responsibility. Continually works with reports, records, plans, and programs of a major functional area of the organization where integrity is required to safeguard the organization's position. Duties may involve the preparation of data on which the administration bases important decisions and are highly confidential.

People Management Responsibilities

Supervisory Responsibility: Occasionally uses assistance of aide or helper in performance of task

Work Environment/Physical Effort

Mental Demands: Work involves a variety of problems in a general field, some of which are complex. Involves some independent judgment to decide what to do to assemble facts, determine variations from standard procedures, or plan other action to be taken to meet general objectives.

Working Conditions: Moderate - (About 50% of the day) Involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk. Limited probability of coming into contact with blood borne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): Yes

Directly works with Patients less than 12 months of age: No

Physical Effort: Moderate physical effort - Lifts, carries, or handles lightweight (1 to 25 lbs.) materials or equipment for about half of the day. Very occasional physical effort with medium weight objects (25- 60 lbs.). Office or laboratory work requires close visual effort and concentration more than half of day. Works in reaching or strained positions for less than half of day.

Physical Aspects

Bending: Occasional = 1% - 33% of the time

Typing: Frequent = 34% - 66% of the time

Manual Dexterity -- picking, pinching with fingers etc.: Frequent = 34% - 66% of the time

Feeling (Touch) -- determining temperature, texture, by touching: Frequent = 34% - 66% of the time

Hearing: Constant = 67% - 100% of the time.

Reaching -- above shoulder: Frequent = 34% - 66% of the time

Reaching -- below shoulder: Frequent = 34% - 66% of the time

Visual: Constant = 67% - 100% of the time.

Color Vision: Frequent = 34% - 66% of the time

Speaking: Constant = 67% - 100% of the time.

Standing: Constant = 67% - 100% of the time.

Balancing: Occasional = 1% - 33% of the time

Walking: Constant = 67% - 100% of the time.

Crawling: Occasional = 1% - 33% of the time

Running - in response to an emergency: Occasional = 1% - 33% of the time

Lifting up to 25 lbs.: Constant = 67% - 100% of the time.

Lifting 25 to 60 lbs.: Frequent = 34% - 66% of the time

Lifting over 60 lbs.: Occasional = 1% - 33% of the time

Handling -- seizing, holding, grasping: Frequent = 34% - 66% of the time

Carrying: Frequent = 34% - 66% of the time

Climbing: Occasional = 1% - 33% of the time

Kneeling: Occasional = 1% - 33% of the time

Squatting: Occasional = 1% - 33% of the time

Tasting: Occasional = 1% - 33% of the time

Smelling: Occasional = 1% - 33% of the time

Driving -- Utility vehicles such as golf carts, Gators, ATV, riding lawnmowers, skid steer, aerial lift: Not required

Driving -- Class C vehicles: Occasional = 1% - 33% of the time

Driving -- CDL class vehicles: Not required

N95 Respirator usage (PPE): Occasional = 1% - 33% of the time

Hazmat suit usage (PPE): Not required

Pushing/Pulling -- up to 25 lbs.: Occasional = 1% - 33% of the time

Pushing/Pulling -- 25 to 60 lbs.: Occasional = 1% - 33% of the time

Pushing/Pulling -- over 60 lbs. : Occasional = 1% - 33% of the time