Dear Colleagues,
I apologize for my error in the nursing FTE it is only 48 and the Provider FTE is 85 (unfortunately I am multitasking while I sent out this message). I regret this error.
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Toni Kempner RN, MSN, ACRN
Director of Nursing
Multnomah County HD, ICS
Portland, OR
503-969-6989
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Original Message:
Sent: 12-12-2025 18:25
From: Toni Kempner
Subject: Staffing ratios for RN/LPN for Ambulatory Care clinics
Dear Amazing Colleagues in FQHC's
We are looking at strategies for fiscal accountability and our current nursing structure is to have RN's (CHN's) and LPN's (function as panel managers) in the clinic as well centralized PAC RN's for triage. As I look at our total FTE for nursing (85 FTE) compared to our provider FTE (54.7) not counting clinical pharmacist, PMHNP and Fellows.
I am requesting other models regarding nursing staffing ratios (clinic settings). Currently our nurses in the clinic setting provide support for walk-ins, triage, wound care, diabetes education, hypertension management, INR/anticoag, prenatal care, medication adherence strategies, Sublocade/Brixadi administration, long acting injectables, and other nursing functions.
Thank you for your wisdom.
Toni Kempner, BSN, MSN, RN, ACRN
Director of Nursing
Integrated Clinical Services (ICS)
Multnomah County Health Department
619 NW 6th Avenue, 7th floor, Interoffice: B165/7
Portland, OR 97209
Cell: 503-969-6989