HHC/Hospice LPN

Calumet CountyChilton, WI
Onsite

About The Position

Under general supervision of the HHC/Hospice Agency Supervisor, provides nursing care appropriate to license, to home health care and hospice patients using specialized knowledge, judgment, and nursing skills. Performs related duties as assigned. Participates in the development and revision of the patient’s Plan of Care. Prepares, dispenses, and monitors the effects of medications prescribed by a physician and according to agency policies and procedures. Takes vital signs (temperature, pulse, respiration, oximetry, and blood pressure rates). Provides routine patient care and treatments. Assists the patient with activities of daily living and facilitates efforts towards self-sufficiency and independence. Observes, evaluates, and reports changes in the patients’ physical and emotional condition to the registered nurse and physician. Evaluates, implements, and maintains a safe environment for the client. Coordinates and works with the family and other health care personnel to provide continuity of patient care and utilization of community resources. Reinforces teaching to the patient and family members about medications, diet, treatments, self-care techniques, coping and preventative health measures, in the home environment. Works with the family and home health care/hospice teams to meet the physical and emotional/spiritual needs of the patient and family. Completes tasks as delegated by the registered nurse in accordance with completed competencies, including but not limited to: basic INR’s, venipunctures, and wound vacs. Identifies and reports patient’s pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management from previously developed pain management plan. Carries out the pain management and symptom management plan to keep the patient as comfortable as possible. Notifies the registered nurse when pain is not manageable on the current medications. Coordinates services with other professionals and service providers, and for Hospice, the Interdisciplinary Group to assure a holistic approach to patient and family needs. Maintains timely, accurate, and complete records of patient care. Records care and treatment given and records changes in patient’s condition. Prepares and submits records and reports according to agency policy. Attends all mandatory trainings, in-services, and staff meetings. Obtains supplies for patients as needed.

Requirements

  • Graduation from an accredited licensed practical nursing program.
  • One to two years of related experience, home care/hospice experience preferred; or equivalent combination of education and experience.
  • ICD-10-CM coding experience or willing to become ICD-10 Home Health Coding proficient.
  • Ability to read and interpret documents such as Plans of Care, safety rules, operating and maintenance instructions, professional journals, and procedure manuals.
  • Ability to document care and treatment given and record changes in patient’s condition.
  • Ability to write routine reports and correspondence.
  • Ability to communicate and present information effectively, cooperate, and respond to common inquiries or complaints from patients, patient’s family, physician, health care professionals, co-workers, or the general public.
  • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
  • Ability to compute rate, ratio, and percent.
  • Ability to apply concepts of basic algebra fractions, percentages, ratios, and proportions in practical situations.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to be flexible in responding to the needs of patients/families, staff members, and other health care providers.
  • Knowledge of Microsoft Office Word, Outlook and Excel, and Electronic Health Records.
  • Current licensure from the State of Wisconsin as a Licensed Practical Nurse.
  • Current Wisconsin Driver’s License, with access to a dependable automobile and carrying at least the minimum automobile insurance coverage.
  • CPR Certification.
  • Comprehensive knowledge and skills in current nursing theory and safe nursing practices.
  • Good knowledge of Home Health Care principles and Hospice philosophy.
  • Ability to work well with others and to function effectively as a team member in providing total nursing care.
  • Self-directed with ability to provide timely documentation showing medical necessity.
  • Excellent knowledge of human anatomy and physiology.
  • Ability to work well with a diverse patient caseload, function in a variety of circumstances with limited supervision, set work priorities, and use sound judgment.
  • Ability to establish and effective working relationships with patients, families, medical, community, staff, and the general public.
  • Ability to seek and utilize supervision/consultation effectively.
  • Ability to hold in confidence all personal and medical knowledge of the patients.

Nice To Haves

  • Home care/hospice experience preferred

Responsibilities

  • Provides nursing services in the homes of critically, chronically, and terminally ill patients under the direction of a HHC/Hospice Agency RN; and under a medical plan of treatment derived from physician’s orders and registered nurse assessment following all applicable laws, regulations, and agency policies and procedures.
  • Participates in the development and revision of the patient’s Plan of Care.
  • Prepares, dispenses, and monitors the effects of medications prescribed by a physician and according to agency policies and procedures.
  • Takes vital signs (temperature, pulse, respiration, oximetry, and blood pressure rates).
  • Provides routine patient care and treatments.
  • Assists the patient with activities of daily living and facilitates efforts towards self-sufficiency and independence.
  • Observes, evaluates, and reports changes in the patients’ physical and emotional condition to the registered nurse and physician.
  • Evaluates, implements, and maintains a safe environment for the client.
  • Coordinates and works with the family and other health care personnel to provide continuity of patient care and utilization of community resources.
  • Reinforces teaching to the patient and family members about medications, diet, treatments, self-care techniques, coping and preventative health measures, in the home environment.
  • Works with the family and home health care/hospice teams to meet the physical and emotional/spiritual needs of the patient and family.
  • Completes tasks as delegated by the registered nurse in accordance with completed competencies, including but not limited to: basic INR’s, venipunctures, and wound vacs.
  • Identifies and reports patient’s pain.
  • Utilizes appropriate pain management techniques.
  • Educates the patient and family regarding pain management from previously developed pain management plan.
  • Carries out the pain management and symptom management plan to keep the patient as comfortable as possible.
  • Notifies the registered nurse when pain is not manageable on the current medications.
  • Coordinates services with other professionals and service providers, and for Hospice, the Interdisciplinary Group to assure a holistic approach to patient and family needs.
  • Maintains timely, accurate, and complete records of patient care.
  • Records care and treatment given and records changes in patient’s condition.
  • Prepares and submits records and reports according to agency policy.
  • Attends all mandatory trainings, in-services, and staff meetings.
  • Obtains supplies for patients as needed.
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