Hospice LPN

Visiting Nurse Association of Southeast Missouri•Dexter, MO

10d

About The Position

The Hospice LPN provides skilled nursing care to patients with terminal illnesses in their private homes, nursing homes, or private healthcare facilities. Care is provided under physician orders and in accordance with agency policies, CMS regulations, and state guidelines governing LPN practice in home care and hospice. The Visiting Nurse Association of Southeast Missouri is a nonprofit organization; hospice services may be funded through Medicaid, Medicare, or private pay/insurance. The LPN follows the plan of care initiated by the RN or physician, makes relevant nursing observations, and communicates changes or identified needs to the appropriate RN, physician, or interdisciplinary group (IDG) team. The role includes maintaining timely, current clinical documentation in the electronic medical record (EMR), reconciling medications weekly, participating in scheduled IDG meetings, and taking part in the on-call rotation. Training includes a 30-day period covering policies and procedures, along with instruction on using the handheld device for patient visits.

Requirements

LPN practice must follow applicable state guidelines and policies for home care and hospice.
Ability to provide skilled patient care under physician orders and according to the plan of care.

Responsibilities

Provide skilled care 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, and/or IDG team when appropriate.
Document care and observations in a timely manner, including IDG notes and updates to the plan of care.
Attend scheduled IDG meetings.
Participate in the on-call rotation as scheduled.
Maintain current clinical notes in the EMR reflecting changes to the plan of care and care provided.
Inform the doctor of changes in a patient's condition and document those changes in narrative notes.
Review and reconcile medication profiles weekly.
Assist the RN with specialized duties.
Report identified patient or family needs and potential problems to the RN in a timely manner.
Follow the plan of care initiated by the RN or physician.
Provide patients and families with accurate information as outlined in the nursing care plan.
Follow state guidelines and policies governing LPN scope of practice in home care and hospice.