Reference #: 5000982971006
Licensed Practical NurseShift Details
2pm-10pm every other weekend
POSITION SUMMARY: The Licensed Practical Nurse (LPN) functions as a member of the Interdisciplinary Care Team (IDT) and assists with the assessment, planning, and implementation of nursing services. This nurse administers medications, treatments, and enteral feedings; monitors each client's physical and psychological status; and facilities medical follow up as needed. The LPN provides education to the IDT related to each client's individualized health care needs and promotes client independence.
This nurse practices within the scope of Pennsylvania's Nurse Practice Act and in accordance with Elwyn's policies and procedures and those of Elwyn's regulatory agencies.
DUTIES & RESPONSIBILITIES
Complete a comprehensive nursing assessment upon admission/readmission and as changing health needs indicate
Complete a Quarterly Nursing Assessment every three (3) months that includes a review of systems, full body exam, skin checks, Braden Scale, and Fall Risk Assessment
Upon discharge, complete a Discharge Summary that includes all relevant medication, medical follow up, and pertinent health care information
Present clinical data obtained through direct observation, interview, physical assessment and other reports to the IDT; present information in a concise and organized manner
Set nursing priorities in accordance with professional judgment
Develop a health care plan for clients requiring 24/7 nursing care that includes specific nursing goals and directions for meeting the client's health care needs
Review and revise the health care plan at a minimum of every 90 days and incorporate data gathered through nursing assessments and communication with the IDT
Collaborate with Day and Work Services to ensure that the health care needs of the client are communicated and the necessary documentation forwarded
Refer clients to physicians when assessment indicates further medical evaluation is required; facilitate transfer to the hospital/Emergency Department as needed
Complete hospital and Emergency Department transfer sheets; copy and forward the annual physical exam, last set of 90 Day Physician Orders, current Medication Administration Records (MARS), and other pertinent information to the receiving facility
Monitor weight and blood pressure measurements at a minimum of monthly and more frequently as indicated by nursing judgement or physician orders
Prepare and administer medication as ordered by the physician in accordance with Elwyn's medication policies and procedures; obtain verbal orders when necessary and transcribe the information as per policy
Administer and document prescribed medications and treatments on hard copy MARs or in an electronic format (eMARs); use discretion during administration to provide as much client privacy as possible
Administer enteral tube feedings, blood glucose testing, nebulizer treatments, and skin care as ordered by the physician; use discretion during administration to provide as much client privacy as possible
Instruct direct care staff on the administration and documentation of specific treatments including but not limited to topical creams and other over the counter(OTCs) agents
Report any observed medication and treatment side effects and relevant laboratory values to the Health Care Coordinator/Charge Nurse timely; contact the physician as directed
If using hard copy MARs, review the monthly MAR and validate that all medication and treatment orders are correct and update as needed; remove old MARs from the medication binder and replace with new MARs at the start of every month
Assess client progress with the self-administration of medication and work to actively promote increased independence in client function. Assist with data collection related to medication goals
Complete monthly medication exchanges with the pharmacy provider; immediately reconcile identified issues
Administ r and document immunizations as ordered by the physician; ensure that necessary consents have been completed prior to administration
Prepare clients for medical appointments through communication and maintenance of NPO (nothing by mouth) status, procedural preps, and the administration of pre-sedation medication
Validate that all lab work has been completed as scheduled and document in the nursing progress note; if not completed, schedule follow up and document
Document all behavioral and physical changes in the client's status and other pertinent information in the nursing progress notes; document all changes from baseline status
Contact family members/guardians to report any new injuries that require more than basic First Aid or as otherwise requested by the family
Communicate important health issues to staff in the program's Alert Log
Document all relevant information in the MAR, nursing progress notes, and 24 Hour Change in Status Report
Communicate all pertinent client and unit information to the incoming nurses through written report
Provide significant clinical and informational updates to the Charge Nurse throughout the shift; contact the Charge Nurse by phone (1) hour prior to the end of the shift to provide final verbal report
Inspect the general living areas for present and potential hazards and report to the Unit Director, Health Care Coordinator, or Charge Nurse.
Monitor for potential infectious disease among clients and staff and report to the Health Care Coordinator/Charge Nurse who will in turn report to the Director of Nursing
Provide clear and concise direction to Elwyn staff during a medical emergency pending the arrival of the Charge Nurse.
Order medical and nursing supplies for assigned unit; restock supplies upon arrival
Maintain medical equipment in proper working order in every medication dispensary; clean equipment at least monthly and facilitate equipment repair as necessary
Maintain medication dispensary in a clean and orderly fashion and all times; wipe down medication carts, counter tops, and work surfaces at the end of every shift
Assist with the training and orientation of new LPN employees
Provide nursing coverage to all units as needed; demonstrate flexibility, adaptability, and team work when nursing assignments must be modified
Ensure timely reporting of all injuries or occupational exposures to blood, body fluids, infectious materials and hazardous chemical in accordance with the facility's policies and procedures and OSHA guidelines. Collaborate with Risk Management as needed
Adhere to Elwyn's policies and procedures related to HIPAA and the disclosure of health protected information
Complete all Elwyn mandatory educational requirements by the annual due date
Obtain a minimum of 24-hours of in-service training per year; attend nursing meetings and in-services as required
Perform cardiopulmonary resuscitation (CPR), and crisis intervention using agency-trained protocols
Submit new/current Nursing License, CPR card, Driver's License, physical exam, and contact sheet on or before the actual due dates
Perform other duties as assigned
CONTACTS: Elwyn consumers, personnel, families/guardians, physicians, health care providers, and service agencies such as pharmacies, hospitals, skilled nursing facilities, and hospice program personnel
EDUCATION/EXPERIENCE/SKILLS REQUIREMENTS:
Licensed as a Practical Nurse in the Commonwealth of Pennsylvania
One (1) year general nursing or medical surgical experience required; Developmental Disabilities nursing experience preferred
Current CPR certification