Lpn-home Health

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, the LPN will implement and evaluate with the RN the nursing care according to the following systems/functions.

MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Graduate of an LPN school.

2. Current unencumbered licensure with the WV Board of Practical Nursing, or appropriate state board where services will be provided, as a practical nurse OR current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).

EXPERIENCE:
1. Must possess valid WV or neighboring state driver’s license and must maintain WV or neighboring state minimum auto insurance

2. CPR certification within 30 days of hire date.

PREFERRED QUALIFICATIONS:
EXPERIENCE:
1. One year of Home Care Nursing preferred.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Performs and monitors basic patient care according to policies and procedures

2. Uses nursing process including assessment, planning, implementing and evaluating to meet the patient’s physical and psychological needs.

3. Performs and monitors basic patient care according to policies and procedures

4. Provides a safe and comfortable environment in the patient’s home.

5. Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care.

6.Completes assignments in a timely manner.

7. 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.

8. Maintains patient confidentiality according to policies and procedures

9. Functions effectively as a LPN in respect to organization, communication, and prioritization.

10. 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.

11. Understands of pathophysiologic process by taking appropriate nursing action in accordance with changes in patient condition. (collaborates with primary RN).

12. Develops and upgrades problem list based upon continuing assessment with RN and record/update care plan.

13. Reports significant observed changes in patient condition to primary RN and Administrative Staff and or physician

14. Follows a plan of care based on the assessed findings and update under physician orders and primary RN.

15. 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.

16. Performs CPR when directed by patients’ wishes/appropriate representative.

17. Demonstrates bag technique per policy and procedure.

18. 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

19. 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

20. 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.

21. 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.

22. 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.

23. Understands the stages of death and dying as it relates to home health patients. Understands nursing care needed for terminally ill, acutely ill patient

24. Performs post mortem care as needed.

25. 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 pump