RN/LPN Home Health Care (PRN)

Licensed Practical NurseResponsible 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.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).One year of Home Care Nursing preferred.Performs and monitors basic patient care according to policies and procedures2. 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 procedures4. Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care.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 procedures9. 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 physician14. 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.Demonstrates bag technique per policy and procedure.Observes documents and takes appropriate action and notifies RN/Administrative staff of the following conditions.· 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· Diabetes20. Performs and monitors patient teaching according to the policy and procedures. 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 home health patients. Understands nursing care needed for terminally ill, acutely ill patient24. Performs post mortem care as needed.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).· Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties throughout the work shift.Must be able to lift, move, and position patients of all weights, with varying amounts of assistance in a fair manner on a regular and recurring basis.Visual acuity must be within normal range.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Exposure to bodily fluids, human tissues, contagious diseases, sharps, and explosive gases.Exposure to toxic gases, fumes, and odors.Exposure to electrical current.Exposure to wind, rain, snow, sleet, mud, high and low temperatures, animals and insects, and hazardous roadways.The majority of work is performed in the patient's home and may require extensive travel.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.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.