Licensed Practical Nurse - On-Call

Licensed Practical Nurse - On-Call

PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent — managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.

Status: On-Call/Pool

Supervisors: Nursing Coordinator

Job Description:

Provision of nursing service to chronically and severely mentally ill adults with personality and behavioral deficits. Manage and coordinate the patient's medical health needs, using a holistic approach to care and ensuring the resident's environment is safe, and that the resident remains healthy during their life cycle in care. Ability to make emergency determinations of care and follow through. Maintain clinical supervision of Mental Health Technicians on shift.

Specific:

• Provide professional nursing services, including the provision of the following: health education, counseling, supportive and restorative care, and scheduled/emergency treatments.
• Utilize the Medical Director and the Nursing Coordinator on-call in the management of episodic and or chronic health problems that may occur during the shift. Alternatively, arrange to transport the resident to the hospital's emergency room for immediate treatment.
• Complete shift review of all medication and treatment orders for the day, initial and validate correct transcription of orders, including weekly laboratory preparation schedules. Prepare laboratory requests for each resident.
• Identify for the Senior Nurse Coordinator medications that need to be reordered.
• Follow protocol utilizing the electronic medication administration record (EMAR) to record medications needed and leave information (labels) in the designated location for next-day ordering. In addition, identify any supplies needed by the medical department and leave for the supervisor to order the next day.
• Complete all treatments as ordered during the morning shift, glucose monitoring, medication administration, and ensure diabetic residents have adequate dietary intake as identified by symptom management.
• Adherence to all medical documentation requirements, e.g., document when medical issues arise, after any specific procedure or test is performed, e.g., pulse ox, and when utilizing the Emergency Medical Protocol, and document educational client sessions' individual and group.
• Perform nightly chart checks and chart maintenance.
• Review weekly team meeting updates and identify treatments or reassessments that should occur on the following shift.
• Offer resident individualized health education during the shift on an as-needed basis.
• Report all resident and staff incidents that occur using required forms and complete a nursing note describing the incident, what actions were taken, and the patient's response to the incident, and if medications were given to aid in de-escalation of the resident. When residents are 302'd, complete the required paperwork, notify the Nurse Coordinator, and contact outside agencies. Maintain appropriate contact with the emergency management system for the safe transport of the resident. Complete all external and internal incident reports. Complete all written and verbal nursing reports before leaving the shift.
• Demonstrate competency within the domains of clinical judgment and decision-making, nurse-patient-family relationships, clinical leadership, and clinical knowledge-skills.
• Maintain Standard Precautions among staff and residents. Report concerns regarding inappropriate adherence to infection control procedures.
• Adhere to regulations described in the PHMC/WestHaven Personnel Policies and Procedure Manual.
• Adherence to all medical documentation requirements under the Office of Mental Health and Substance Abuse Services and Community Behavioral Health.

Regulatory:

• Adhere to regulatory standards outlined in the CBH, OMSHA, DPW, and Division Manuals.

Qualifications (Minimum):

• LPN licensure is required.
• Possess a minimum of 1–3 years of experience providing services to adults with chronic medical conditions within an LSTR residential setting is required.
• Experience with populations having both chronic medical and mental health disorders is required.
• Experience working with diverse populations and knowledge of individuals' diverse cultural practices, beliefs, and providing culturally congruent care.
• Experience with the 302 process and working with regulatory agencies.

Requirements:

• Current CPR Certification
• A valid Pennsylvania Driver's License
• Good Verbal and writing skills, and basic computer operational ability
• Experience supervising professional and non-professional personnel
• Knowledge and understanding of regulatory standards of care and the ability to implement policies and procedures.

Physical Demands:

• Experience, knowledge, and demonstrated skills in De-escalation Management and therapeutic Hold Techniques.

Impact of Error:

Clinical Errors in this position, poor judgment, and missed opportunities can result in serious consequences, including injury, illness, and death. Measures to reduce the probability of clinical errors and their consequences include:

• Credentialing and privileging process
• Orientation program
• Training in CPR and use of emergency equipment
• Supervision and review of clinical records
• Tracking and recall systems
• Verbal and written information to clients
• Peer Review Process
• Internal and External Audits

PHMC is an Equal Opportunity and E-Verify Employer.