The Licensed Practical Nurse works under the direction of an RN and reports to the primary care manager. The LPN is responsible for observing, recording and reporting changes in the patient's condition, as well as assisting in the development and revision of the patient-driven holistic care plan for life. Duties may include: - Utilize knowledge of physical, social, and emotional factors when planning patient care, and uses this knowledge effectively in day-to-day interactions with patients and families. - Recognize deviations from patient's baseline. Demonstrates ability to respond to patient's immediate and long-term needs. - Prepare and administer medications correctly and understands the action and side effects of all medications administered. Observe for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO. - Perform complex treatments and procedures with exceptional skill and knowledge, to include venipuncture as defined in policy. - Apply knowledge of Medical Center Policies and Procedures to daily clinical functions and responsibilities. - Deliver nursing care that reflects the various phases of the life cycle from 18 to 85 years and over. Distinguishes individual age need differences, considers maturation changes, promotes health in all phases, differentiates the need for special equipment, and considers the young adults and older adults' exposure to substance abuse problems. - Participate in Interdisciplinary Team meetings to develop the patients' care plan goals. - Document patient's responses to interdisciplinary plans for, group care, group therapy, patient teaching and planned activities. - Perform escort duties based upon the care needs of the veteran. - Assist in the performance of diagnostic procedures and treatments. - After competency, may administer standard Intravenous solution via PICC line as defined in policy. - After competency, may perform central line dressing changes as defined in policy. - After competency, may perform heparin or saline flushes in peripheral lines and PICC lines as defined in policy. - Apply knowledge of effective verbal interactions and preventative tactics, such as the use of the least restrictive environment, when confronted by aggressive or potentially assaultive patients. - Use knowledge appropriately to respond to Code Blue emergencies. - Recognize and initiate life saving measures appropriately in the absence of other members of the Healthcare Team. - Participate in the planning and/or implementation of various codes and emergency management procedures. - Use safe techniques when giving patient care and handling equipment, using standard precautions and personal/patient protective equipment. - Recognize and report unsafe situations. Initiate appropriate emergency interventions. - Assess acute and subtle changes and consistency in patients' mental and physical condition and intervenes appropriately. - Adjust assignments or prioritize care based on assessment of the overall workload of the team assignment and patient care needs - Recognize and report signs of physical and emotional abuse of patient, family and significant others. - Conduct group meetings to help patients share feelings, improve socialization skills and enhance their self-esteem. - Apply knowledge of human behavior and the various degrees of physical and mental impairment, is able to modify patient/family teaching methods. - Assist the professional nurse in planning and implementation of patient educational or recreational activities. - Motivate patients to participate in learning and recreational activities to improve their quality of life. - Recognize patient care management difficulties or problems and makes suggestions for change. - Communicate with patients and families in a calming, reassuring, and supportive manner. - Assess the need for and provide emotional support to the dying patient and family. - Observe patient while on the unit and more frequently as directed in accordance with facility policies. - Maintain courtesy during telephone and direct verbal interactions with patients, families, and visitors. - Establish therapeutic relationships with patients and all members of the Interdisciplinary Team. - Motivate others to support Medical Center policies and procedures. - Provide assistance to team members in managing difficult patients when acting as a team leader or team member. - Maintain a safe work environment and adheres to Safety and Infection Control Guidelines. - Utilize proper body mechanics, encourages others to do so, and includes information regarding prevention of injury during unit In-service and Patient Care Conferences. - Respond promptly and effectively to Fire and Disaster Drills and alarms, actively assisting others as needed. Work Schedule: Rotating to include nights, weekends and holidays Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.