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Licensed Practical / Vocational Nurse
Joint Base Lewis-McChord, WA
Find & Apply For Licensed Practical / Vocational Nurse Jobs in Joint Base Lewis-McChord, Washington
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Licensed Practical Nurse (LPN) - Outpatient Internal Medicine Clinic The Licensed Practical Nurse (LPN) provides direct patient care in an outpatient Internal Medicine Clinic, supporting the delivery of comprehensive, patient-centered healthcare to adult and geriatric patients. Working under the direction of licensed providers and as part of the multidisciplinary healthcare team, the LPN performs a variety of clinical, administrative, and patient education duties to ensure quality patient care and efficient clinic operations. Clinical Patient Care Collect patient health information, including chief complaints, symptoms, medical history updates, and reasons for seeking care. Obtain and record vital signs, including blood pressure, pulse, respirations, temperature, height, weight, pain assessment, and other required clinical measurements. Conduct behavioral health screenings and accurately document findings in the Electronic Health Record (EHR). Support care coordination by communicating pertinent patient information to the healthcare team and documenting all interventions in accordance with established clinical guidelines. Deliver nursing care based on provider treatment plans, nursing assessments, and each patient's physical, psychological, and emotional needs. Assist providers during examinations, treatments, and diagnostic procedures while maintaining proper patient positioning and aseptic technique. Prepare and maintain sterile fields and ensure adherence to infection prevention and control standards. Clinical Procedures Administer oxygen therapy, intravenous fluids (as authorized), and prescribed medications through approved routes, including oral, rectal, subcutaneous, and intramuscular administration.
Perform routine nursing procedures including:
Electrocardiograms (EKGs) Phlebotomy Finger-stick glucose testing Urinalysis (dipstick) Visual acuity screening Wound care and dressing changes Ear irrigation Collection of throat, nasal, eye, and wound cultures Application of bandages and other therapeutic dressings Clean, inspect, package, and prepare reusable surgical instruments following established sterilization procedures. Ensure proper collection, labeling, handling, and transport of laboratory specimens. Identify changes in patient condition, recognize medical emergencies, initiate Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) when required, and promptly notify the appropriate healthcare provider. Operate, monitor, and maintain clinical equipment including cardiac monitors, defibrillators, and other specialized medical devices. Immunization Services Review patient immunization histories to determine required vaccines in accordance with current clinical guidelines. Administer intradermal, subcutaneous, intramuscular, and oral immunizations as authorized by established protocols. Maintain accountability for vaccine storage, handling, inventory, and documentation. Record all immunizations and patient responses in the Electronic Health Record and applicable tracking systems. Recognize and respond appropriately to adverse vaccine reactions, including anaphylaxis, while maintaining current Basic Life Support certification. Patient Education Provide individualized education to patients and caregivers regarding prescribed treatments, medications, disease management, and self-care techniques. Instruct patients on medication administration, insulin injections, glucose monitoring, inhaler and spacer use, nebulizer treatments, ostomy care, wound care, and other home management procedures. Educate patients regarding expected versus adverse reactions following immunizations and appropriate follow-up care. Reinforce preventive health measures and educate patients on recognizing early warning signs of illness. Document all patient education provided in the Electronic Health Record. Administrative and Clinical Support Maintain accurate and timely documentation in the Electronic Health Record and other automated healthcare systems. Review laboratory and diagnostic test results and notify providers of abnormal findings. Communicate provider-directed follow-up instructions to patients and document all patient interactions. Review clinical documentation for completeness, coding accuracy, and workload capture requirements. Monitor medication, vaccine, and medical supply inventory, including expiration dates, and coordinate replenishment as needed. Assist with patient registration, appointment processing, medical record preparation, and other front-office duties when necessary. Complete workload reporting and documentation using applicable military and clinical information systems. Report adverse medication or vaccine events through appropriate reporting systems, including VAERS when applicable. Participate in quality improvement initiatives, mandatory training, competency assessments, and other clinic performance activities. Maintain a safe, organized, and professional clinical environment while supporting the mission and objectives of the healthcare team.