LPN Home Health

WVU Medicine•Gassaway, WV

22d•Onsite

About The Position

The LPN provides direct and indirect nursing care to patients in their homes under RN supervision. In collaboration with the patient, family, and health care team, the LPN implements and evaluates nursing care with the RN. The role includes continuing assessments, patient care, treatments, medication administration, patient and family teaching, documentation, and coordination with the primary RN and other members of the interdisciplinary team. The position serves Gilmer and Calhoun counties and is scheduled for 40 hours per week. Work is primarily in patients’ homes and may involve extensive travel, variable conditions, and weekend, holiday, and all-shift availability.

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 and ability to operate a motor vehicle safely.
CPR certification within 30 days of hire.
Competency in technical and clinical skills, completion of a skills checklist, and ability to perform required skills correctly.
Ability to administer medications by acceptable routes as ordered by a physician and authorized by the RN, in accordance with policy and procedure.
Ability to communicate the plan of care and patient needs effectively with involved individuals and departments in a multidisciplinary setting.
Ability to perform complex mental activity and function in complex, 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 follow oral and written instructions and procedures.
Strong written and verbal communication skills.
Math skills sufficient to calculate drug dosages and infusion rates.
Ability to work weekends, holidays, and all shifts.
Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling; ability to lift, move, and position patients of all weights with varying assistance; hearing and visual acuity within normal range; ability to exert the stated physical forces; and ability to operate a motor vehicle safely.
Ability to work in patient homes and travel extensively, with exposure to bodily fluids, tissues, contagious diseases, sharps, explosive or toxic gases, fumes and odors, electrical current, x-ray radiation, stress, interruptions, adverse home conditions, animals and insects, weather, and hazardous or poor road conditions.

Nice To Haves

One year of home care nursing experience preferred.

Responsibilities

Perform and monitor basic patient care in accordance with policies and procedures.
Use the nursing process to assess, plan, implement, and evaluate care for patients’ physical and psychological needs, completing continuing assessments after the RN’s admission assessment.
Provide a safe and comfortable home environment while preserving patient privacy and dignity.
Complete assignments in a timely manner and communicate patient care concerns and changes in condition to the primary RN, administrative staff, and other appropriate team members or physicians.
Maintain patient confidentiality and organize, communicate, and prioritize effectively as an LPN.
Complete and document full-system and age-specific assessments, patient status, care provided, nursing interventions, patient responses, effectiveness, complications, and other pertinent information.
Collaborate with the RN to update problem lists and care plans and follow the plan of care, physician orders, and RN direction.
Take appropriate nursing action in response to changes in patient condition and report significant observations.
Perform CPR when consistent with the patient’s wishes or those of an appropriate representative.
Demonstrate the required bag technique and observe, document, respond to, and report conditions such as skin or circulation changes, treatment complications, and allergic reactions.
Perform designated treatments and procedures, including vital signs, weights, specimen collection, ostomy care, 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.
Provide patient and family teaching, adapt the teaching plan to their needs, and regularly evaluate its effectiveness.
Coordinate medication administration according to physician orders and medication administration standards, and report discrepancies.
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 stages of death and dying as they relate to home health, and perform post-mortem care as needed.
Perform assigned 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 through peripheral and central access; Revolution device changes; and head-to-toe assessments. Restrictions include no PPI administration, no pain-pump titration, no PICC removal, and no removal of an OnQ pain pump placed by orthopedics.
Comply with safety policies, patient-rights requirements, and applicable federal, state, and local regulations and laws.