Licensed Practical Nurse - Clinic I (Meds)

Kaiser Permanente is seeking a Licensed Practical Nurse (LPN) for our Clinic I (Meds) position at the West Oahu Medical Office in Kapolei. In this outpatient clinic role, you will provide direct and indirect nursing care under the direction of a Registered Nurse and medical orders of the Practitioner. You will also orient and serve as a resource to other LPN Clinic/Meds I staff as needed.

Clinical Setting

This is a full-time, regular position in an outpatient primary care clinic setting. You will work Monday through Friday, 8:00 AM to 5:00 PM, with 40 hours per week. Travel is required 50% of the time. This position is part of the HL5|UNITE HERE|Local 5 union.

Responsibilities

• Review and prepare medical records for assigned patients; initiate follow-up for medical records as requested; review patient needs; identify and prepare orders for authorization by the practitioner; accept verbal orders per policy; observe, collect, and document new patient information; inform the RN or practitioners of incomplete data, new observations, or abnormal/unusual findings

• Implement basic nursing procedures per plan of care; administer treatments, immunizations, and medications as prescribed; prepare medications for practitioner use; perform point of care testing as authorized; provide laboratory, x-ray, and other reports to the practitioner; notify patients of normal results as directed; consider special needs of different age groups; set care priorities based on patient acuity

• Document implementation of orders and interventions; record findings, instructions, and patient responses on appropriate forms or online records using department and JCAHO standards; observe patient and family responses to the plan of care; report unexpected responses to the RN or practitioners; collaborate to revise the care plan when needed

• Demonstrate competency in basic nursing skills and equipment use; maintain current knowledge and skills; attend and participate in staff meetings; participate in and coordinate projects as requested

• Perform efficiently in emergency patient care and clinic situations; follow established procedures; inform appropriate practitioners and RNs

• Assign basic nursing tasks to unlicensed personnel as appropriate; provide clear directions; act as a resource person; follow up on assigned care to ensure compliance with standards, policies, procedures, protocols, and guidelines

• Follow discharge plans developed by the Practitioner or RN; process and follow up with referrals as directed; provide instruction and pre-printed information to patients; observe and document patient and family responses to instructions; report any concerns

• Manage all patient vaccine data, including updating the Hawaii Immunization Registry System (HIR), Electronic Health Records (EHR), and all patient and external records at each visit; ready available immunization information prior to provider visits

• Store and administer immunizations according to Health Plan and VFC guidelines; identify patient immunization requirements in accordance with age-specific CDC guidelines; complete appropriate immunization paperwork; facilitate vaccine Health Plan and VFC inventory control; order vaccines and maintain appropriate inventories

• Use file maintenance to ensure newly arrived vaccines are entered in the EHR lot manager system; ensure immunization clinics comply with health plan, federal, and state guidelines; complete annual VFC enrollment training requirements and forms; maintain all VFC program-related records

• Train new and existing LPNs on emergency vaccine storage procedures; serve as a liaison with the state to coordinate VFC inventory; generate reports on patients and contact them for immunization compliance and updates

• Assist in ensuring compliance with infection control policies and protocols; follow medication administration and storage procedures; comply with Health Plan, CDC, state, and federal VFC program guidelines; provide educational materials to patients and review printed instructions; collaborate with the RN and Practitioner to revise teaching plans when needed

• Participate in orientation of new personnel; orient and serve as a resource to LPNs and unlicensed personnel; demonstrate and instruct team members in vendor-specific products and department/unit standards and procedures; demonstrate sufficient knowledge, skills, and abilities in your area of specialization; perform clean and sterile technique; set up for procedures; assist with clinical procedures within department scope

• Follow the recommended process for handling point of use instruments as outlined by the High-Level Disinfection Committee

• Maintain, order, organize, rotate, and stock supplies; schedule patients for routine care, acute care, and addressing care gaps; prepare and process patient forms

• For OHS positions only: Obtain certification in Spirometry, Hearing Conservation, and Substance Abuse Specimen Collection within one year of hire

• Demonstrate knowledge, skills, and abilities necessary to provide care appropriate to age groups served

• Demonstrate knowledge, skills, and abilities necessary to provide culturally sensitive care

• Perform other duties and accept responsibility as assigned within scope

Required Qualifications

• Twelve (12) months (2,080 hours) of LPN experience

• Hawaii State Board of Nursing approved curriculum for LPN licensure

• Active Licensed Practical Nurse (LPN) license in Hawaii at time of hire

• Basic Life Support (BLS) certification from American Heart Association

• Demonstrated knowledge of and skill in conflict resolution, customer service, interpersonal relations, oral communication, problem solving, teamwork, and written communication

• Ability to talk to co-workers, customers, outside vendors, and on the telephone

• Ability to read, write, speak, and understand English

• Ability to receive and give training and instructions

• Mathematical ability, attention to detail (organization, prioritization, proofing), concentration, and alertness

Preferred Qualifications

• Acute care nursing experience

• Demonstrated knowledge of and skill in word processing and spreadsheet PC applications

Schedule

• Full-time, regular position

• Monday through Friday

• 8:00 AM to 5:00 PM

• 40 hours per week

• Travel required 50% of the time