PRN LPN Home Health Keyser

WVU Medicine•Keyser, WV

1d•Onsite

About The Position

The LPN provides direct and indirect nursing care to patients in their homes under RN supervision. In collaboration with patients, families, and the health care team, the LPN implements and evaluates nursing care with the RN. The role includes ongoing patient assessment, treatment and medication administration, patient and family education, documentation, and coordination of care. The RN performs the initial assessment; the LPN conducts continuing assessments and implements and evaluates care in collaboration with the RN. The position is non-exempt, has varied shifts, and is listed at 0 scheduled weekly hours. Work is primarily in patients’ homes and may require extensive travel.

Requirements

Current Licensed Practical Nurse license in the state where services are provided, or a current multistate LPN license through the enhanced Nurse Licensure Compact (eNLC).
Valid driver’s license.
CPR certification within 30 days of hire.
Demonstrated competency in technical and clinical skills; completion of a skills checklist and ability to perform required skills correctly.
Strong written and verbal communication skills.
Math skills sufficient to calculate medication dosages and infusion rates.
Ability to comprehend and follow oral and written instructions and procedures.
Ability to perform concentrated and complex mental activity in complex, highly technical situations.
Ability to work under highly stressful conditions and adapt to changing workloads and assignments.
Ability to make sound independent judgments based on scientific principles and collaborate appropriately with multidisciplinary team members.
Ability to work weekends, holidays, and all shifts.
Ability to meet the stated physical demands, including frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling; moving and positioning patients of all weights; and exerting the specified levels of force.
Hearing and visual acuity within normal range, as required for nursing duties.
Ability to operate a motor vehicle safely.

Nice To Haves

One year of home care nursing experience preferred.

Responsibilities

Perform and monitor basic patient care according to policies and procedures.
Use the nursing process to assess, plan, implement, and evaluate care for patients’ physical and psychological needs.
Provide a safe and comfortable home environment while protecting patient privacy and dignity.
Complete assignments in a timely manner and organize, communicate, and prioritize effectively.
Complete and document full-system assessments, including physical and psychosocial status and age-specific criteria, upon admission and at each subsequent visit.
Recognize changes in patient condition, take appropriate nursing action, and communicate significant changes or care concerns to the primary RN, administrative staff, physician, or other appropriate team members.
Develop and update the problem list and care plan with the RN, and follow the plan of care under physician orders and RN direction.
Document patient status, care, nursing interventions, patient responses, effectiveness, complications, and other relevant information according to documentation policies.
Perform CPR when directed by the patient’s wishes or appropriate representative, and use the bag technique according to policy.
Observe and document skin and venous condition, circulation and mobility, complications, allergic reactions, and other specified signs; take appropriate action and notify the RN or administrative staff.
Perform treatments and procedures including vital signs, weights, specimen collection, ostomy care, urethral catheterization, pressure wound care, dressing changes, oral suction, range of motion, bladder and bowel training, ambulation, transfers, positioning, pacemaker-related care, and diabetes-related care.
Teach patients and families, adapting and evaluating teaching plans to meet their needs.
Coordinate medication administration as ordered and in accordance with medication standards; report discrepancies to the primary RN and administrative staff.
Collaborate with the primary RN on changes in level of care and report those changes to the RN and administrative staff.
Provide nursing care for terminally and acutely ill patients, understand stages of death and dying as they relate to home health, and perform post-mortem care as needed.
Perform technical duties including IV therapy through ports, PICCs and TLC catheters; sterile dressing changes; antibiotic therapy; TPN and chemotherapy infusions; wound-vac and sterile wound care; Pleurx drain, ostomy, tracheostomy, G-tube, Foley and suprapubic catheter care; labs via peripheral and central access; Revolution device changes; and head-to-toe assessments. The posting specifies that LPNs do not pull PICCs, administer PPIs, titrate pain pumps, or remove OnQ pain pumps placed by orthopedics.
Administer medications by acceptable routes as ordered by the physician and authorized by the RN.
Communicate the plan of care and patient needs to involved people and departments, and coordinate multidisciplinary care.
Comply with patient-rights, safety, and applicable federal, state, and local requirements.
Operate a motor vehicle safely while traveling to patients’ homes.