Part-time or PRN Registered Nurse or Licensed Practical Nurse

Job Type

Part-time

Description

PRIMARY RESPONSIBILITIES: This individual is responsible for the nature and quality of all nursing care delivered on that shift. He/she shall participate through an intradepartmental approach in meeting the nursing needs of the patients at Harbor House. The LPN will perform clinically privileged services to include a comprehensive assessment of a patient's health care needs (nursing) based on data collected through history, observation, and analysis of diagnostic data.

JOB SPECIFICATIONS

1. Performs comprehensive assessment of patient's health care needs (nursing) based on data collected through history, observation, biopsychosocial, and analysis of diagnostic data.

a. assists the physician with assessments of patients using available sources of information, including patient and family medical records.

b. Interview patients and or families using proper techniques appropriate for individuals' level of functioning to obtain necessary information regarding medical background.

c. Performs appropriate routine tests and takes vital signs; orders and or performs relevant laboratory studies according to established protocols (i.e., weight, height, blood pressure, and urinalysis).

d. Collects and disposes of specimens for diagnostic testing according to established procedures.

e. Thoroughly review patients' charts for background information and correctly identify biopsychosocial stressors.

f. Accurately document findings to produce a complete medical record (including physical, mental, and/or social problems) of patients in a clear, complete, and concise manner within established time frames.

g. Set up examination rooms and prepare patients for treatment by attending physicians according to established guidelines.

2. Develop individualized and comprehensive nursing/medical/problem assessment according to patients' level of need and functional ability.

a. Accurately analyzes and evaluates findings from all available assessment data. Prioritize patient treatments appropriately.

b. Collaborates effectively with patients' families, physicians, clinicians, other treatment team members, and other skills as needed.

c. Notifies dietary staff of any special diets needed for optimal patient care.

d. Consults physician/dietician as necessary for guidance in developing a special diet.

e. Assist with patient needs as indicated by physician and assessment of patient needs.

f. Schedules outside clinical appointments/special activities as necessary following established protocol or physician/clinician orders; follows up on appointments as needed; consistently reviews consultation forms for instructions or prescription orders.

3. Performs direct patient care activities by administering medications on the VA unit, observing, and recording patient responses and medication side effects.

a. Administers medication(s) in the proper method, time, and dosage as indicated by the physician's order. Explains medication and treatment to patients.

b. Observes and records patient response and/or medication side effects; immediately reports any significant reactions to attending physician or supervising nurse.

c. Assists with technical procedures (e.g., change dressing, clean wounds, etc.) according to established guidelines.

d. Immediately responds to patients in acute distress according to established guidelines.

e. Makes rounds with the physician or independently, as required and appropriate.

f. Provides clear and accurate instructions/demonstration of patient self-care.

g. Transports all newly prescribed or refilled medication to the unit as delivered.

h. Updates emergency sheet, list correct medication or amounts as may occur.

I. Monitors knowledge of electronic medication administration record (chart Meds).

J. Utilizes electronic MAR to document medication education on all medication information

4. Performs various administrative, clerical, and documentation activities to support unit activities.

a. Records patient care and other information on appropriate forms in a legible, clear, and timely manner according to established unit policy and standards of care.

b. Transcribes and or countersigns physicians' orders according to established guidelines.

c. Maintains and consistently ensures the confidentiality of patients' conditions and records, unit records, staff, and other data.

d. Maintains accurate and well-organized office files and patient medical records according to established guidelines.

e. Prepares complete and accurate reports, logs, control sheets, diet rosters, meeting minutes, etc., according to established procedures and formats and submits to appropriate personnel promptly.

5. Provides health education instruction to patients on various health issues. In addition, the LPN will provide in-service training and coaching for staff.

a. Develops complete teaching/discharge plans utilizing available resources.

b. Uses teaching methods appropriate to the audience.

c. Provides clear and accurate information to patients regarding diagnosis,…