LPN Home Health Part Time

WVU Medicine•Martinsburg, WV

20d•Onsite

About The Position

Responsible for the direct and indirect nursing care of patients in their homes under the supervision of an RN. In collaboration with the patient, family, and health care team, the LPN implements and evaluates nursing care with the RN. The role includes continuing patient assessments, nursing treatments and procedures, patient and family teaching, medication coordination, documentation, and communication with the primary RN and other members of the care team. Work is primarily performed in patients’ homes and may require extensive travel. This is a part-time, non-exempt position scheduled for 20 hours per week.

Requirements

Current Licensed Practical Nurse license issued by 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.
Ability to safely operate a motor vehicle.
Ability to meet the physical demands of the role, including frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling; regularly moving and positioning patients of all weights with varying assistance; and exerting the stated levels of force.
Hearing and visual acuity within the stated normal range.
Ability to perform continuing assessments and implement and evaluate patient care with an RN, using judgment to determine patients’ physical, psychological, and social needs and documenting findings.
Competence in technical and clinical skills, including completion of a skills checklist and correct performance of required skills.
Ability to communicate the plan of care and patient needs effectively with patients, families, and multidisciplinary team members.
Ability to anticipate patient teaching needs, adapt and carry out teaching plans, and evaluate them regularly.
Ability to perform concentrated and complex mental activity, including involvement in complex and highly technical situations.
Ability to work under highly stressful conditions and adapt to varying workloads and assignments.
Ability to make sound judgments based on scientific principles and collaborate appropriately with multidisciplinary team members.
Ability to understand and carry out oral and written instructions and procedures.
Strong written and verbal communication skills.
Math skills sufficient to calculate drug dosages and infusion rates.
Knowledge of and adherence to patient rights, safety policies and procedures, and applicable regulations and laws.
Ability to work weekends, holidays, and all shifts.

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 addressing patients’ physical and psychological needs, in collaboration with the RN.
Provide a safe and comfortable environment in the patient’s home while protecting patient privacy and dignity.
Complete assigned work in a timely manner and communicate care problems or potential problems to the primary RN, administrative staff, and other interdisciplinary team members as appropriate.
Complete and document full-system assessments, including physical and psychosocial status and age-specific criteria, upon admission and at subsequent visits.
Recognize changes in patient condition, take appropriate nursing action, and report significant changes to the primary RN, administrative staff, or physician.
Develop and update the problem list and care plan with the RN, and follow the plan of care under physician orders and the direction of the primary RN.
Document patient status, care, nursing interventions, patient responses, effectiveness, complications, and other pertinent information according to policy.
Perform CPR when directed by the patient’s wishes or appropriate representative, and demonstrate the bag technique according to policy.
Observe and document skin and venous conditions, extremity circulation and mobility, complications such as infiltration, phlebitis, infection or circulatory overload, abnormal signs and symptoms, and allergic reactions; take appropriate action and notify the RN or administrative staff.
Perform designated treatments and procedures, including vital signs, weights, specimen collection, ostomy care, urethral catheterization, pressure wound care, dressing changes, oral suction, range-of-motion exercises, bladder and bowel training, ambulation, transfers, positioning, pacemaker care, and diabetes care.
Teach patients and families, adapting the teaching plan to their needs and evaluating its effectiveness regularly.
Coordinate medication administration according to physician orders and medication administration standards, and 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 care for terminally ill and acutely ill patients, understand the stages of death and dying as they relate to home health, and perform post-mortem care as needed.
Perform assigned technical skills, 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; laboratory collection via peripheral and central access; Revolution Device changes; and head-to-toe assessments. LPNs may not pull PICCs, administer PPIs, titrate pain pumps, or remove OnQ pain pumps placed by orthopedics.
Administer medications by authorized routes as ordered by a physician and authorized by the RN, in accordance with policy.
Communicate the plan of care and patient needs effectively to involved individuals and departments.
Follow patient-rights, safety, and applicable federal, state, and local regulatory requirements.
Work weekends, holidays, and all shifts as required.