CMA/LPN/Clinic Tech/AEMT

Overview

Obtain vital signs and general health information for patient chart and prepares patient for examination. Assists the provider as needed with examinations and procedures. Assists in the collection of laboratory specimens and performance of tests on patients as ordered by the provider or arranges for patient testing, admissions and referrals. Enters and records patient information in charts in a concise and accurate manner.

Responsibilities

In addition to the following essential position competencies, other competencies may be required to meet

changing organization needs.

• Uses an appropriate problem-solving approach to plan services.

a. Obtains vital signs and general health information for patient chart and prepares patients

for examination.

b. Maintains patient health record in an up-to-date status especially regarding pain assessment

and current medication sheet.

c. Assures documentation is complete, concise and correct.

d. Prepares and maintains exam rooms and medical equipment for patient visits

e. Contributes to plan of care for individuals and groups of patients utilizing all principles

to reduce medication errors when handling or calling in medications or refills.

f. Demonstrates initiative in suggesting and implementing problem solving approaches and

planning performance of service.

g. Prepares and maintains exam rooms and medical equipment for patient visits regarding

all safety checks and HIPAA guidelines and adapt same HIPAA principles to chart

documentation and exposure as well as discussing PHI in front of anyone other than

patient.

h. Triages patients and enters accurate and concise data into the EMR while paying

attention to spelling and clarity.

i. Navigates the EMR system in an efficient manner.

j. Facilitates quality care management thru best practice utilization of the clinic EMR.

k. Promotes continuity of care seen by appropriate actions notes and prompt follow up.

l. Answers phones, routes calls and or takes accurate message. Demonstrates a sense of

urgency relating to patient's level of distress.

m. Triages basic patient care needs, generating a telephone encounter depending upon the

situation. Assure a duplicate message has not already been started.

n. Identifies barriers related to Social Determents of Health (SDOH) and notifies provider.

o. Forward requests for Medical Records to Release of Information Department.

p. Recognizes how fraud and abuse interplay into daily role.

q. Ensures orders are entered correctly to capture appropriate charges.

r. Identifies barriers germane to patient's individual needs being financial, emotional,

physical, cultural or spiritual (SDOH).

s. Astute and sensitive to patient satisfaction as it pe1iains to customer service- people

skills in all clinical situations.

• Provides services with consideration of the recipient's needs.

a. Ensures that patients are placed in exam rooms and seen by the provider in a timely

manner.

b. Assists the provider as needed with examinations and procedures

c. Ensures the smooth transition of patients

d. Assists in the collection of laboratory specimens and performance of tests on patients as

ordered by the provider. Track lab and all tests for outcomes and follow-up.

e. Identifies clinical significance of data and informs provider appropriately and provides

follow up accurate documentation.

f. Ensures that all lab results, interpretations, etc. are received in the patient charts in a timely

manner. Always assesses for provider signature, patient notification, date and any required

follow up.

g. Actively participates in department functions by suggesting strategies to improve outcomes,

control cost, and or increase patient satisfaction

h. Maintains work area in neat organized manner.

i. Secures patient information in desk drawers or folder.

j. Greets and direct patients and visitors in a courteous manner, informing them of delays or

changes in patient flow.

k. Manages appointment schedule to ensure provider efficiency and patient satisfaction.

l. Monitors the reception area to ensure patient comfort and prompt response to patient distress or

concerns

m. Wears FH name badge and introduces self to patient as needed and required by the situation.

• Uses equipment/supplies correctly.

a. Ensures that equipment and other instruments are properly set up for the providers' use.

b. Maintains the medical supplies necessary for providers to perform their examinations.

• Uses appropriate safety and infection control measures.

a. Ensures that all OSHA regulations and other appropriate policies are followed

b. Actively participates in the established QI/Risk Management Program.

c. Wears gloves and follows Body Substance Isolation Standards whenever examining the

patient or contacting blood or body fluids

d. Ensures all needles are placed in sharps containers and all material with blood or body fluids

are disposed of properly

e. Ensures that all exam rooms and equipment are properly cleaned between patients.

• Teaches/directs/advises/informs others in an appropriate manner.

a. Serves as communication link between the patient and the provider

b. Administers prescribed medications as directed and instructs patients on the proper use of each

medication

c. Accurately and clearly communicates data to the appropriate healthcare provider in a timely

manner.

d. Assists office personnel with scheduling and preparing follow-up appointments as germane to

clinical co-morbidities.

e. Arranges for patient testing, admissions and referrals

f. Teaches patients according to provider's instructions and in conjunction with age appropriate

guidelines

g. Utilizes EMR to support patient education and documents accordingly.

• Reports/records information appropriately.

a. Enters and records patient information in EHR in a concise and accurate manner.

b. Ensures that all test results, interpretations, etc. are received in patient EHR in a timely

manner.

c. Uses approved format for recording and reporting messages. i.e. telephone encounter, etc.

d. Maintains written repo1is of all situations requiring manager's attention

e. Enters and records patient information in EHR in a concise and accurate manner, paying

attention to lot number and expiration date, patient tolerance of injections, proper

consent forms, and authorizations on file.

Qualifications

Must have a valid NC LPN License, NC Paramedic, AEMT or EMT B Certification, or CMA Certification. Minimum one year of work experience in a primary care medical clinic or similar environment preferred.