Facility Licensed Practical Nurse (LPN)

Position Overview
The Facility Licensed Nurse (LPN/LVN) is a full-time employee working 36+ hours per week (average) in our Pediatric Day Health Centers. The Facility LPN/LVN provides direct patient care under the supervision of a Registered Nurse to deliver safe and effective nursing services.

Essential Job Functions
• Monitors and documents patient’s status through on-going observation and assessment.
• Identifies patient care priorities which result in quality nursing care.
• Notifies RN of changes in the patient’s status, new physician orders, or changes in the plan of care.
• Implements physician’s orders and communicates any changes in patient status to the primary physician.
• Documents in nursing progress notes the nursing care rendered, including but not limited to, patient’s condition, changes in patient status, communication with the physician, changes in treatment plan and patient/family teaching.
• Fosters and maintains a collaborative relationship with the interdisciplinary health team.
• Assesses the family dynamics, strengths and weaknesses, particularly in regard to the patient’s medical condition and developmental status.
• Provides teaching, counseling and support to families in an effort to facilitate adjustment to their child’s medical problems and/or developmental status.
• Maintains awareness of and complies with company policies and procedures.
• Acts in accordance with the Nurse Practice Act while complying with company policy and procedure.
• Maintains professional, supportive and responsive interpersonal communication skills.
• Participates in case management conferences, staff meetings and in-services.
• Demonstrates initiative, ability to problem solve and makes appropriate nursing judgments.
• Reflects current knowledge of trends, research and recent advances in the care of the medically complex child.
• Assists in orientation of new employees, acting as a resource person.
• Maintain awareness of available resources and the process by which to access them.
• Performs other duties as assigned by Supervisory staff.
• Maintains patients/family confidentiality.
• Coordinates activities appropriate to age group and handicaps based on growth and development.
• Able to administer oxygen and/or aerosol treatments; able to administer and monitor intermittent/continuous feedings; able to administer medications as ordered; able to start a peripheral IV and administer medications via the IV site or port; able to supervise the preparation of meals and snacks.
• Aware of pediatric emergencies and the interventions necessary.
• Capable of opening and closing the center as needed based on assigned shift.
• Successfully completes annual skills lab, mandatory in –services and required licensing CEU’s

Requirements
• Current license as a licensed nurse in the state.
• No disciplinary board action related to nursing license.
• Demonstrates knowledge of home ventilators, apnea monitors, oxygen, trachs and trach care, suctioning, special feedings, G-tubes, N/G tubes, J-tubes and IVs.
• Current Basic Life Support Certification.
• Evidence of negative TB skin test of X-ray.
• Satisfactory criminal records check.
• Knowledge of quality care for medically complex children.

Other Skills/Abilities
• Must be able to adhere to confidentiality standards and professional boundaries at all times
• Ability to remain calm and professional in stressful situations
• Strong commitment to clinical excellence
• Ability to train and supervise staff
• Ability to interact comfortably with culturally and linguistically diverse families
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Excellent organization and communication skills
• Leadership skills
• Quick-thinking and astute decision making skills

Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to walk into the center and be able to ride in a vehicle when transporting patients to and from their residence approximately 50% of the work week.
• Physical activities including standing, lifting or assist in lifting the patient for feeding, changing and emergency response:
• Patients weighing up to 25 pounds – frequently, 80 – 90% of the work day
• Patients weighing 26 to 49 pounds – occasionally, 20 – 30% of the work day
• Patients weighing in excess of 50 pounds – with assistance only, 5 – 10% of the work day
• Must be able to bend, stoop, kneel, squat and generally demonstrate flexibility to play, render treatment, rock, hold or transfer children from beds/cribs to floor, bathe and assist in the restroom approximately 90% of the work day.
• Must be able to see with visual and listen with hearing acuity to sufficiently monitor lights, sounds and alarms on applicable equipment as well as patient pulse and respirations.
• Must have sufficient strength and manual dexterity to safely operate equipment, including grasping and manipulating small objects, approximately 80 – 90% of the workday.
• Must be able to discern changes in temperature or texture by touching.
• Must be able to respond to unanticipated emergency situations in the center by providing physical support to the suddenly weak or disabled patient, as needed approximately 25% of the work week. Due to spontaneous nature of children, sudden movements and physical agility may be necessary to protect the patient.
• Must be able to function in a wide variety of environments which may involve exposure to latex or other sources of allergic response and that cannot always be controlled by the employer.

Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases

Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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