LPN - IPU - FT (Night)

Big Bend Hospice•Tallahassee, FL

9d•$28 - $28•Onsite

About The Position

The Licensed Practical Nurse (LPN) provides outstanding patient care based on the nursing process, planning, implementation, and monitoring to Dozier House and/or FCCCC (First commerce Center for Compassionate Care) IPU patients in accordance with the physician’s orders and under the supervision of the Registered Nurse. Under the direction of the registered nurse, provides end-of-life care to patients and families. Promotes and maintains patient quality of life under the guidance of the registered nurse. Provides necessary education to patient/caregiver/family to enable them to provide appropriate care for the patient. Helps to achieve and maintain continuity of patient care by assisting in planning and exchanging information with other health professionals. Assists patients, families, colleagues, and self to cope with suffering, grief, loss, and bereavement in end-of-life care. Utilizes electronic medical records and other electronic devices to their fullest potential. Monitor and evaluate medication needs and administration of patients, including symptom management, supplies, and equipment needs. Communicates progress and needs of patients and families to other interdisciplinary team (IDT) members promptly and professionally. Assess patient safety and provide education on safety issues to patients and families. Refer patients to other disciplines as needed. Educate patients and families on using durable medical equipment (DME) appropriately. Assist and provide HHA services as needed. Satisfactorily complete competency requirements for this position. Maintain your required licenses, certifications and mandatory skill updates. Comply with all policies, local, state and federal laws and regulations. Performs all duties within the framework of the Hospice's philosophies, policies, and procedures. Perform other duties of healthcare team members and as assigned. Clinical: Under the supervision of an RN, the LPN provides palliative nursing care to patients and families, incorporating psychosocial, cultural, physical, spiritual, and biological components and appropriate nursing intervention as identified in the patient/family plan of care developed by the IDT. Demonstrates clinical skills regarding application of Hospice Clinical and Administrative policy and procedures such as: pain medication titration, symptom management, and patient/family relationships. Observes and reports signs of adverse reactions, response to treatments and results of dressing changes. Consults and collaborates with other professionals to promote quality and continuity of patient/family care. Provides bereavement support to the patient’s caregiver/family. Accepts responsibility and is accountable for nursing actions; demonstrates an understanding of legal consequences of nursing actions; requests supervision when needed; performs within the guidelines established by the Florida Nurse Practice Act. The employee uses the electronic medical record to collect, analyze, validate, report, and record data about our patients. Assessment includes physiological data and psychological, sociocultural, spiritual, economic, and lifestyle factors to ensure the patient's safety. Provide accurate and appropriate documentation and submit daily. Verifies medical orders for accuracy, proper authorization, and documented contraindications. Medications are accurately ordered, administered, and documented; anticipates patient’s needs to avoid on-call, stat, and same-day refills when foreseeable. Follows the six rights of medication administration: name, time, dosage, patient, route, and documentation. Ensures pump settings are correct. Provides education and counseling regarding the plan of care. Documents and communicate interventions and responses in the electronic medical record within 4 hours of patient contact. Implements transition of care according to the care plan. Communication: Communicates clearly, accurately and completely to staff members, patients, families, supervisors and all health professionals; utilizes positive approaches when working with other staff members. Communicates any changes to patient status to RN. Maintains a safe environment. Institutes standard procedures to stabilize patient’s condition or prevent serious complications in emergencies. Acts as a patient advocate. Department Specific: Follows rounding protocol to check on patient needs and well-being. Knocks to gain permission to enter if the patient is alert and/or has visitors. Greets the patient and any visitors and explains the rationale for interventions. Utilizes the dry-erase board and writes the names of the team, goals for the day, and patient’s position on the bed. Addresses the 3 P’s during patient assessments: positioning, potty (personal needs), and pain. Consistently asks the patient if there is “anything else I can do for you before I leave.” Proactive applies pain and symptom management principles to nursing interventions for quality patient care. Provides active listening and frequently interacts with patients and visitors. Professional Development: Attends Hospice scheduled meetings and participates in committees. Attends Hospice and community educational offerings. Shows commitment to learning and professional development. Applies knowledge gained from palliative care research to end-of-life education and care. Financial: Uses supplies, equipment, medication, laboratory, and patient therapies within the Hospice philosophy. Reports to the appropriate Hospice RN before hospitalization of the patient. Knowledgeable about different pay classes and enlists the support of the Team Manager or RN Case Manager regarding the financial obligation of Hospice for services performed within the patient’s and family’s plan of care.

Requirements

Graduate of Licensed Practical Nursing Program.
Current license to practice as a Licensed Practical Nurse in the State of Florida.
Current CPR/BLS certification.
Must have proven ability to maintain professional conduct and confidentiality in the care of patients.
Excellent communication and organizational skills.
Compassionate with sound judgment.
Possesses critical thinking skills to clarify goals, examine assumptions, discern hidden values, evaluate evidence, accomplish action, and assess conclusions.
Must be able to concentrate on work tasks amidst distractions such as noise, conversations, and foot traffic.
Ability to extend hospitality and patience while assisting patients, families, physicians, and peers under stressful circumstances.
Must exert self-control in volatile or hostile situations, such as when verbally or physically confronted in a threatening or aggressive manner.
Must be able to withstand contact with animals and exposure to hoarding situations.
Proficient with Microsoft Office Suite and medical software programs.
Demonstrates knowledge of the hospice philosophy.

Nice To Haves

Hospice and/or home health experience preferred.
LPNs working in Home Care, Admissions, or Triage departments must also be a licensed driver and possess an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.
Must maintain a clean driving record.
Hospice and Palliative Care Certification preferred.

Responsibilities

Provides end-of-life care to patients and families under the direction of the registered nurse.
Promotes and maintains patient quality of life under the guidance of the registered nurse.
Provides necessary education to patient/caregiver/family to enable them to provide appropriate care for the patient.
Helps to achieve and maintain continuity of patient care by assisting in planning and exchanging information with other health professionals.
Assists patients, families, colleagues, and self to cope with suffering, grief, loss, and bereavement in end-of-life care.
Utilizes electronic medical records and other electronic devices to their fullest potential.
Monitors and evaluates medication needs and administration of patients, including symptom management, supplies, and equipment needs.
Communicates progress and needs of patients and families to other interdisciplinary team (IDT) members promptly and professionally.
Assesses patient safety and provides education on safety issues to patients and families.
Refers patients to other disciplines as needed.
Educates patients and families on using durable medical equipment (DME) appropriately.
Assists and provides HHA services as needed.
Satisfactorily completes competency requirements for this position.
Maintains required licenses, certifications, and mandatory skill updates.
Complies with all policies, local, state, and federal laws and regulations.
Performs all duties within the framework of the Hospice's philosophies, policies, and procedures.
Performs other duties of healthcare team members and as assigned.
Provides palliative nursing care to patients and families, incorporating psychosocial, cultural, physical, spiritual, and biological components and appropriate nursing intervention as identified in the patient/family plan of care developed by the IDT.
Demonstrates clinical skills regarding application of Hospice Clinical and Administrative policy and procedures such as: pain medication titration, symptom management, and patient/family relationships.
Observes and reports signs of adverse reactions, response to treatments and results of dressing changes.
Consults and collaborates with other professionals to promote quality and continuity of patient/family care.
Provides bereavement support to the patient’s caregiver/family.
Accepts responsibility and is accountable for nursing actions; demonstrates an understanding of legal consequences of nursing actions; requests supervision when needed; performs within the guidelines established by the Florida Nurse Practice Act.
Uses the electronic medical record to collect, analyze, validate, report, and record data about patients.
Assessment includes physiological data and psychological, sociocultural, spiritual, economic, and lifestyle factors to ensure the patient's safety.
Provides accurate and appropriate documentation and submits daily.
Verifies medical orders for accuracy, proper authorization, and documented contraindications.
Ensures medications are accurately ordered, administered, and documented; anticipates patient’s needs to avoid on-call, stat, and same-day refills when foreseeable.
Follows the six rights of medication administration: name, time, dosage, patient, route, and documentation.
Ensures pump settings are correct.
Provides education and counseling regarding the plan of care.
Documents and communicates interventions and responses in the electronic medical record within 4 hours of patient contact.
Implements transition of care according to the care plan.
Communicates clearly, accurately, and completely to staff members, patients, families, supervisors, and all health professionals; utilizes positive approaches when working with other staff members.
Communicates any changes to patient status to RN.
Maintains a safe environment.
Institutes standard procedures to stabilize patient’s condition or prevent serious complications in emergencies.
Acts as a patient advocate.
Follows rounding protocol to check on patient needs and well-being.
Knocks to gain permission to enter if the patient is alert and/or has visitors.
Greets the patient and any visitors and explains the rationale for interventions.
Utilizes the dry-erase board and writes the names of the team, goals for the day, and patient’s position on the bed.
Addresses the 3 P’s during patient assessments: positioning, potty (personal needs), and pain.
Consistently asks the patient if there is “anything else I can do for you before I leave.”
Proactively applies pain and symptom management principles to nursing interventions for quality patient care.
Provides active listening and frequently interacts with patients and visitors.
Attends Hospice scheduled meetings and participates in committees.
Attends Hospice and community educational offerings.
Shows commitment to learning and professional development.
Applies knowledge gained from palliative care research to end-of-life education and care.
Uses supplies, equipment, medication, laboratory, and patient therapies within the Hospice philosophy.
Reports to the appropriate Hospice RN before hospitalization of the patient.
Is knowledgeable about different pay classes and enlists the support of the Team Manager or RN Case Manager regarding the financial obligation of Hospice for services performed within the patient’s and family’s plan of care.