LPN Hospice

WVU Medicine

10d

About The Position

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for the direct and indirect nursing care of patients in the home under the supervision of an RN. In collaboration with the patient, family and health care team, this role will implement and evaluate with the RN the nursing care according to the following systems/functions.

Requirements

Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).
Valid driver’s license.
CPR certification within 30 days of hire date.

Nice To Haves

One (1) year of Hospice Nursing.

Responsibilities

Performs and monitors basic patient care according to policies and procedures
Uses nursing process including assessment, planning, implementing and evaluating to meet the patient’s physical and psychological needs.
Performs and monitors basic patient care according to policies and procedures
Provides a safe and comfortable environment in the patient’s home.
Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care.
Completes assignments in a timely manner.
Communicates patient care problems or potential problems to the primary RN, Administrative Staff and/or other IDT members as identified/occur to assure continuity and coordination of care.
Maintains patient confidentiality according to policies and procedures
Functions effectively as a LPN in respect to organization, communication, and prioritization.
Completes and documents full system assessment, including assessment of level of cophysical and psychosocial aspects and identifies age – specific criteria upon admission and each visit thereafter.
Understands of pathophysiologic process by taking appropriate nursing action in accordance with changes in patient condition. (collaborates with primary RN).
Develops and upgrades problem list based upon continuing assessment with RN and record/update care plan.
Reports significant observed changes in patient condition to primary RN and Administrative Staff and or physician
Follows a plan of care based on the assessed findings and update under physician orders and primary RN.
Documents patient status and care or services furnished in appropriate areas as defined by the documentation policy and procedure. Provides appropriate documentation of nursing intervention, patient response, effectiveness, complications and other pertinent information with RN supervision.
Performs CPR when directed by patients’ wishes/appropriate representative.
Demonstrates bag technique per policy and procedure.
Observes documents and takes appropriate action and notifies RN/Administrative staff of the following conditions. · Skin condition, venous condition, extremity circulation and mobility. · Complication with infiltration, phlebitis, infection circulatory overload and abnormal s/s · Allergic reaction
Performs the following treatments/procedures according to specific standards: · Vital signs · Patient weights · Specimen collection, ostomy care, urethral catheterization and Pressure wound care · Dressing changes · Oral suction · ROM · Bladder training · Bowel training · Patient ambulation/transfer and positioning · Pacemaker · Diabetes
Performs and monitors patient teaching according to the policy and procedures. Anticipates, modifies and adapts the teaching plan to accommodate the patient and family. Evaluates the effectiveness of the plan on a regular basis.
Coordinates care so that medications are administered as ordered by a physician and in compliance with the Medication Administration Standards. Reports findings of discrepancies to the primary RN and Administrative staff.
Collaborates with the primary RN in order to facilitate a change in the level of care in compliance with the change in level of care standard. Reports changes in level of care to primary RN and Administrative staff.
Understands the stages of death and dying as it relates to hospice patients. Understands nursing care needed for terminally ill, acutely ill patient
Performs post mortem care as needed.
LPNs are responsible for the following technical skills and duties: · IV Therapy including Ports, PICCs, TLC catheters, sterile dressing changes, antibiotic therapy-no PPIs, TPN and Chemo Infusions, no titration of pain pumps. LPN cannot pull PICC. · Wound vacs, all aspects of sterile wound care, Pleurx drain care, Ostomy care, Trach care, Gtube care, and Foley and suprapubic caths. LPN cannot remove OnQ pain pump removal (placed by ortho). · Labs via peripheral and central access. · Revolution Device changes. · Complete head to toe assessments.
RN performs the initial assessment upon admission and the LPN does continuing assessments, thereafter, implementing and evaluating with the RN patient care, according to policy using judgment to determine the physical, psychological and social needs of the patient and documents this in the chart.
Demonstrates competency in technical and clinical skills, completes skills checklist, and correctly performs these skills daily as required.
Administers medications by all acceptable routes as ordered by physician and authorized by RN according to accepted policy and procedure.
Communicates plan of care and patient needs effectively, in a multi-disciplinary fashion to any and all involved persons and/or departments.
Anticipates teaching of needs of each patient, modifying, adapting, executing and evaluating the plan on a regular basis.
Must have the ability to perform concentrated and complex mental activity with frequent involvement in complex and highly technical situations.
Must have the ability to work successfully under highly stressful conditions, and mush be capable of adapting to varying workloads and work assignments on a constant basis.
Must have the ability to make sound, independent judgments based on scientific principles, and also be able to collaborate with other multi-disciplinary team members in an appropriate fashion.
Must have the ability to comprehend and perform oral and written instructions and procedures.
Must have strong communication skills, written and verbal.
Must have math skills to enable calculation of drug dosages and infusion rates.
Demonstrates knowledge of and adherence to patient rights.
Must be able to work weekend, holidays and all shifts.
Demonstrates knowledge of and compliance with safety policies and procedures.
Demonstrates knowledge of compliance of Federal, State, and local regulations/laws.