Primary Care - Licensed Practical Nurse II (Columbia Heights) - (210003V0) The LPN II will be responsible to provide care under the direct supervision of a Registered Professional Nurse. Minimum Education High School Diploma or GED HS Diploma, GED or equivalent in addition to completion of a 1-year (minimum length) vocational/technical training program in a related field. (Required)
Minimum Work Experience 1 year Related experience (Required)
Required Skills/Knowledge Ability to perform technical functions interacts with children and families and has good verbal and written communication skills. Demonstrates competence in assisting with procedures. Must pass Division of Nursing & Patient Services LPN Medication Administration test.
Required Licenses and Certifications Licensed Practical Nurse (Required)
Functional Accountabilities Clinical Process
- Differentiate a new problem from a long term problem at the time of admission/clinic visit; conduct a patient history in order to elicit information and establish child's normal baseline routine; respond to inquiries from families by answering questions; explain information clearly and thoroughly .
- Accurately take TPR, BP , height & weight, head circumference, and intake and output measurements according to procedure
- Recognize physical and behavioral changes for groups of patients usually cared for in the assigned area; perform basic nursing care which may include bath, personal hygiene, dressing, linen change, positioning, assisting in the use of bedpan, urinal, diaper change, and ambulation or holding; perform therapeutic interventions including tube care, gastrostomy, chest tubes, urinary catheters, IV starts (IV solution without additives)/veni puncture, trach care per protocol, and skin care (wound, ostomy) and all associated procedures (i.e. chest physiotherapy , oral/nasal/pharyngeal auctioning, central line dressing change, PD catheter exit site care); exception: Naso-tracheal/Endotracheal auctioning, insertion of oral/nasal airway .
- Immediately respond to and assess the child whose feeding MV pump or monitor is alarming to determine cause of alarm; troubleshoot the alarm system and follow through on directives; inform Registered Nurse as needed; recognize basic changes in child such as: apnea, wheezing, retractions, changes in behavior or LOC, seizure activity, skin lesions, and poor tissue perfusion.
- Collect and test specimens, pass NG tubes and catheters according to procedure and unit policy.
- Prepare for the set up of monitors and D.C.'s peripheral IV's after directed by a Registered Nurse.
Unit Functions
- Complete a patient assignment and/or assigned task related to Admission, Discharges & Transfers for an assigned unit; accept patient assignments and participate with the primary nurse to implement and document care;
- Organize workload in collaboration with a coassigned registered nurse that must administer a medication or perform an assessment/care procedure. Contribute to the plan of care for the patient/family in collaboration with the health care team.
- Recognize and remain with any child in distress, immediately institute Basic Life Support procedure when necessary.
- Follow physician's orders and nursing directives precisely; carry out STA T orders immediately within the parameters of the LPN Job Description.
- Follow protocols for Code Blue, Fire and Disaster plans.
Patient Services
- Orient children and families to the geography and regulations of the area and expected routines for the child; prepare all assigned children for examination, procedure, or surgery according to the standards and incorporate principles of growth and development.
- Review the medical record (progress notes and care plans) and reinforce teaching that has been outlined by the Registered Nurse.
- Teach families how to administer routine PRN & PO medications at home including effects, side effects, and dosage according to preprinted sheets or guidelines outlined by the primary nurse.
- Implement aspects of the education plan throughout hospitalization/clinic visit under the direction of the Registered Nurse or physician as appropriate; provide feedback to RN regarding patient/family's to teaching.
- Regularly consult with other nurses and refer to resources on the unit and in the library to gain procedures.
Clinical Support
- Refer to physicians and registered nurses as indicated.
- Comfort a child using redirection such as touch, talking, etc.
- Offer extra attention to a child who is alone by sitting with him/her , talking, or playing.
- Attend unit/hospital in-service education programs.
- Develop annual goals and a personal education program with the Supervisor to increase understanding of disease, treatments, etc.
- Assist a float or an orientee if he/she appears uncomfortable with a procedure within the scope of the LPN job description.
Documentation
- Immediately and accurately document observations, interventions, teaching and the child/family response on the correct form according to established policy and procedure.
- Participate in the admission/clinic unit data collection and document on appropriate forms.
- Document medication administration including time, route, signature, and patient responses, as appropriate, on the correct form.
Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification - Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication - Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving - Contribute to a positive work environment
- Demonstrate flexibility and willingness to change
- Identify opportunities to improve clinical and administrative processes
- Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility - Use resources efficiently
- Search for less costly ways of doing things
Safety - Speak up when team members appear to exhibit unsafe behavior or performance
- Continuously validate and verify information needed for decision making or documentation
- Stop in the face of uncertainty and takes time to resolve the situation
- Demonstrate accurate, clear and timely verbal and written communication
- Actively promote safety for patients, families, visitors and co-workers
- Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
: District of Columbia-Washington : Goldberg - Columbia Heights 3400 14th Street NW Washington 20010 : Nursing : Goldberg Cntr Cmnty Ped Hlth Position Status: R (Regular) - FT - Full-Time Shift: Variable Work Schedule: M- F 8:30 - 5:00pm - one Saturday per month : Feb 28, 2022, 11:32:19 PM | |