PRN LPN Hospice Keyser

WVU Medicine•Keyser, WV

1d•Onsite

About The Position

Responsible for providing direct and indirect nursing care to patients in their homes under the supervision of an RN. In collaboration with patients, families, and the health care team, the LPN implements and evaluates nursing care with the RN. The position performs continuing assessments after the RN’s initial admission assessment, provides care according to policy and physician orders, documents care, and communicates patient needs and changes to the RN and other appropriate team members. Work is primarily in patients’ homes and may require extensive travel. The role requires the ability to work weekends, holidays, and all shifts.

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 work weekends, holidays, and all shifts.
Demonstrated competency in technical and clinical skills; completion of a skills checklist and correct performance of required skills.
Ability to administer medications by acceptable routes as ordered by a physician and authorized by the RN, according to policy and procedure.
Effective multidisciplinary communication about the plan of care and patient needs.
Ability to perform concentrated and complex mental activity in technical situations and work under stress while adapting to changing workloads and assignments.
Ability to make sound independent 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.
Knowledge of patient rights, safety policies and procedures, and applicable federal, state, and local regulations and laws.
Ability to perform frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling; move and position patients of all weights with varying assistance; meet the stated hearing and visual acuity requirements; exert the stated levels of force; and operate a motor vehicle safely.

Nice To Haves

One year of hospice nursing experience.

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 in collaboration with the RN.
Provide a safe and comfortable home environment while protecting patient privacy and dignity.
Complete assignments promptly and communicate patient care issues and changes to the primary RN, administrative staff, and other interdisciplinary team members as appropriate.
Maintain patient confidentiality and organize, communicate, and prioritize effectively as an LPN.
Complete and document full-system continuing assessments, including physical and psychosocial status and age-specific criteria, at admission and subsequent visits as applicable to the LPN role.
Recognize changes in patient condition, take appropriate nursing action, collaborate with the primary RN, and report significant changes to the RN, administrative staff, or physician as appropriate.
Develop and update the problem list and care plan with the RN, and follow the plan of care based on assessed findings and physician orders.
Document patient status, services, interventions, response, effectiveness, complications, and other pertinent information according to policy and under RN supervision.
Perform CPR when indicated by the patient’s wishes or appropriate representative, and use the bag technique according to policy.
Observe, document, respond to, and report relevant conditions, including skin and venous condition, circulation and mobility, complications, allergic reactions, and abnormal signs and symptoms.
Perform treatments and procedures according to standards, 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.
Provide patient and family teaching, adapt the teaching plan as needed, and evaluate its effectiveness regularly.
Coordinate medication administration according to physician orders and 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 appropriate to hospice patients, including understanding the stages of death and dying and performing post-mortem care as needed.
Perform designated technical skills and duties, including IV therapy and related access care within stated limitations, wound vac and sterile wound care, Pleurx drain care, ostomy and tracheostomy care, G-tube care, Foley and suprapubic catheter care, laboratory collection via peripheral and central access, Revolution Device changes, and head-to-toe assessments.