Licensed Practical Nurse — Ambulatory Care Dialysis

Description The practice of nursing as a Licensed Practical Nurse is defined as performing tasks & responsibilities within the scope of supportive & restorative care; medication administration and specialized tasks under the direction of a Registered Professional Nurse of licensed or otherwise legally authorized physician or dentist Responsibilities A. Clinical/Technical/Service

1. Participates in the application of the nursing process to an assigned group of patients.
2. Demonstrates those behaviors which reflect the scientific knowledge, judgment, and technical skills of a Licensed Practical Nurse
3. Performs job duties under supervision of a Registered Professional Nurse.
4. Demonstrates a competent level of approved skilled nursing care tasks and procedures using approved technical skills related to vital signs, pulse oximetry, venipuncture, starting standard peripheral IVs only (not midlines or long peripheral lines), urinary catheter insertion/catheter care; and simple dressings, remove/discontinue a peripheral line.
5. Administer IV fluids, provided completion of annual competency IV therapy training.
6. Monitors patients receiving blood and blood products and TPN under the direction of the RN, who administers the transfusion.
7. Makes recommendations in the application of the nursing process.
8. Participates in planning, and administers direct patient care, including activities of daily living (ADL).
9. Performs point of care testing including blood glucose.
10. Performs nursing procedures as defined in the nursing procedure manual.
11. Administers medication as defined in nursing policy. ALL routes except cannot administer medications IV push/bolus (except for a Normal Saline or heparin flush) or via a central line. LPNs do not administer chemotherapy or immunotherapy.
12. LPNs cannot administer first dose of an IV drug. The RN will administer the first dose of an IV drug and assess for side effects, after which the LPN can administer subsequent doses.
13. LPNs working exclusively in chronic outpatient hemodialysis settings may, under the direct supervision of a Registered Professional Nurse (RN) and after completing an approved hemodialysis training and competency program, perform dialysis-related tasks as permitted by the New York State Education Department (NYSED) Office of the Professions and 10 NYCRR §700.4(b). See Section D for more details regarding role of LPNs in the Outpatient Hemodialysis setting.

This exception does not permit independent practice or unsupervised access to central venous lines. 14.Assists in patient assessment after the RN has completed the initial patient assessment, including pain management. 15.Carries out medical and nursing orders. Cannot accept verbal orders or carry out RN standing orders. 16.Makes, reports and records observations on assigned patients within the EMR. 17.Observes and reports any signs and symptoms of change in a patient’s condition to the appropriate person. 18.Participates in health teaching to patients and families following the RNs development of the teaching plan. 19.Establishes an environment that promotes optimum physical and emotional comfort. 20.Performs purposeful hourly care checks and supports the patient experience in accordance with Relationship Centered Care Professional Practice Model 21.Organizes supplies and equipment necessary for carrying out the plan of care is identified and communicated by the charge nurse/designee. 22.Contributes specified data to the patients’ medical record. 23.Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area. Age Specific Competencies (Neonate/Infant, Pediatric, Adolescent, Adult, Geriatric) a.Identifies physical, behavioral and emotional characteristics typical for the age group. b.Modifies approaches based on patient age-specific needs and responses to treatment. c.Provides care for patients based on age-specific needs. d.Uses communication techniques which are age appropriate. 24.Behavior demonstrates an awareness of the goals of the Nursing Department 25.Supports the patient experience to achieve safe and quality care. 26.Adaptation to changing departmental needs reflects awareness of institutional needs. 27.Time management meets needs of unit/department. 28.Interprets hospital policies and regulatory standards of care. 29.Recommends changes in nursing practice of practical nurses and policy through the appropriate leadership person or nursing committee. B. Organizational/Managerial 30.Participates in the Nursing Department Quality Improvement Program/ activities. 31.Maintains patient/employee confidentiality in the management of information. C. Educational/Professional Development 32.Participates in the development of other staff members. 33.Meets regulatory, licensure and annual health assessment requirements. 34.Participates in patient care conferences. 35.Maintains nursing care standards through participation in workshops, in-service programs and staff meetings. 36.Maintains competence through participation in continuing education and other appropriate experiences. 37.D. Communication/Relationships 38.Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others. 39.Displays courtesy, professionalism and respect during interactions with all members of the hospital staff and extended community. 40.Responsible to the leadership person of the unit 41.Provides direction, assistance and support to auxiliary staff. 42.Participates in interdepartmental and intergroup communication to provide a continuity of patient care. 43.Participates in departmental committees, as assigned. 44.Adheres to the MSHS legal and ethical standards. 45.May be required to perform other duties as assigned. D. LPNs in the Outpatient Hemodialysis Setting An LPN can practice in the chronic hemodialysis outpatient department under the direct supervision of an RN. The LPN will participate in educational programs on a regular basis, including initial orientation and continuing in service training to care for patients with central venous access devices (CVAD). The training should include a written examination and competency demonstration. A Hemodialysis LPN may: •Administer bolus of medications by IV push in a chronic outpatient hemodialysis treatment center, excluding first dose administration which is administered by an RN. The RN will access and care for patient’s initial catheter use. Subsequently, and following the MSHS CVAD care policy, the LPN can:

• Identify and set up supplies necessary for accessing a CVAD.
• Initiate treatment with a CVAD.
• Draw blood specimens from a CVAD.
• Perform CVAD dressing change and exit site care.
• Monitor and adjust flow rates of central venous catheter access device/line.
• Intervene if there is a catheter/blood line disconnection or other complications associated with a CVAD.
• Provide CVAD care at the end of dialysis treatment.

Qualifications Completion of educational program for licensure as a LPN Successful completion of required New York State Department of Health LPN IV Therapy Initial Program for the demonstration of competence in the performance of intravenous therapy/blood administration procedures as part of Centralized Orientation Successful completion of annual unit-based review & update program in procedures associated with intravenous therapy Appropriate experience in a health care setting preferred Licensure: Registration as a LPN (Current) Issuing Agency: New York State Name: Basic Life Saver (BLS) Issuing Agency: AHA Name: Heartsaver Issuing Agency AHA Collective bargaining unit: SEIU 1199-NYEE Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $34.6352 - $39.8361 Hourly. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai