Hospice LPN

Visiting Nurse Association of Southeast Missouri•Cape Girardeau, MO

About The Position

The Hospice LPN provides skilled care to patients with terminal illnesses in their private homes, nursing homes, or private healthcare facilities. Care is provided in accordance with agency policies, physician orders, CMS regulations, the plan of care initiated by the RN or physician, and state guidelines governing LPN practice in homecare and hospice. The Visiting Nurse Association of Southeast Missouri is a nonprofit organization. The LPN makes relevant nursing observations, communicates changes and identified needs to the appropriate RN, staff nurse, TCM, hospice physician, or interdisciplinary group (IDG), and maintains timely clinical documentation in the EMR. The position includes participation in scheduled IDG meetings and an on-call rotation. Training lasts 30 days and covers agency policies and procedures, as well as use of the handheld device for patient visits.

Requirements

  • LPN practice must comply with state guidelines and policies for homecare and hospice.
  • Ability to provide care according to agency policies, physician orders, CMS regulations, and the plan of care.

Responsibilities

  • Provide skilled care to patients in accordance with agency policies, physician orders, and CMS hospice regulations.
  • Make pertinent nursing observations and communicate them to the RN staff nurse, TCM, hospice physician, or IDG team when appropriate.
  • Document nursing observations and care in a timely manner, maintaining current clinical notes in the EMR and reflecting updates to the plan of care.
  • Participate in scheduled IDG meetings and document IDG notes.
  • Participate in the on-call rotation as scheduled.
  • Inform the doctor of changes in patient condition and document those changes in narrative notes.
  • Review and reconcile medication profiles weekly.
  • Assist the RN in performing specialized duties.
  • Report identified needs or potential problems involving patients or family members to the RN in a timely manner.
  • Follow the plan of care initiated by the RN or physician.
  • Follow state guidelines and policies governing LPN scope of practice in homecare and hospice.
  • Provide patients and families with accurate information as outlined in the nursing care plan.
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