Licensed Practical Nurse-Full Time- Riverhead Medical Associates

Job Responsibilities:

• Completes documentation reflecting multidisciplinary coordination and the teaching learning needs of patients and families while on program in preparation for discharge. Evaluates and documents patients response to nursing and multidisciplinary team interventions, including patient family teaching. Evaluates patients clinical status and attempts satisfactory resolution of patient clinical issues at point of care prior to escalating issues. Takes action to optimize achievement of patient outcomes. Participates in identification, investigation and resolution of actual and or potential risk management quality care ethical issues. Addresses patient issues following established communication hierarchy. Works in collaboration with the primary nurse.
• Evaluates patient progress toward health goals and modifies critical path or plan or care accordingly.
• Recognizes and responds to issues that may cause problems and or refers issues to the RN; utilizes the escalation policy. Recognizes the family as defined by the patient and incorporates the principles of family centered care in daily practice. Identifies patient satisfaction dissatisfaction with plan of care; escalates issues as required. Consistently verifies and documents patient advance care directives for assigned patients. Maintains open channels of communication through intra and inter shift reporting. Utilizes appropriate communication in all interactions; demonstrates proper telephone etiquette. Actively participates in maintaining a clean, safe, therapeutic environment, including security of patient belongings. Consistently complies with regulatory and WUH policies governing safety standards, infection control and patient belongings. Responds to emergency situations as appropriate. Ensures appropriate emergency equipment is present and operational. Is cognizant of HEICS plan and participates in implementing plan as required.
• Obtains prior authorization for medication from patients insurance company as needed,
• Processes medication orders and refills. Verifies dosage and medication using various tools progress notes, clarity, physician or contacting patient if necessary.
• Identifies patient satisfaction dissatisfaction with plan of care. If patient expresses dissatisfaction, implement conflict resolution skills and addresses issues with plan of care.
• Interacts and collaborates with other members of health team to identify specific patient needs.
• Initiates appropriate interventions to amend identified variances from plan of care. Documents patient and family response to interventions and collaborate with the RN to modify the plan of care as needed. Provides direct patient care which includes but not limited to utilizing WUH policy procedures, patient care guidelines, physicians' orders etc. Incorporates standards of practice, clinical pathways, age-specific guidelines and patient care guidelines into plan of care.
• Utilizes knowledge of nursing theory, research and practice in the application of clinical judgment.
• Obtains referrals for patient tests ordered by MD as per patients insurance requirements.
• Maintains exam room for necessary supplies, cleanliness.
• Enters comments in system when receiving verbal approval from a physician to refill a prescription.
• Assess and document patient family advance care directives and Rights and Responsibilities if indicated. Establish collaborative and collegial relationships with health care team members.
• Performs other duties as assigned