A qualified Licensed Vocational Nurse (LVN) administers hospice skilled nursing care to patients on an intermittent basis in their place of residence, in accordance with physician orders and the plan of care under the direction and supervision of a Registered Nurse (RN). The LVN develops and evaluates the plan of care in partnership with the patient, any representative, and caregivers. The role includes participating in patient, caregiver, and family counseling and caregiver education; communicating with physicians and other health care practitioners involved in care; and providing services ordered by the physician and specified in the plan of care. Skilled professional staff are expected to contribute to all phases of the QAPI program and participate in ongoing interdisciplinary patient assessments. The LVN is monitored and evaluated by an RN in service delivery, treatments, patient education, communication with the RN, and collection of patient-status and health-needs information as delegated by the RN. Services are provided in accordance with Agency policies.
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