LPN - Tech - Home Care

Overview

To provide skilled high tech nursing care to technology-dependent individuals in a home care setting and in accordance with an established nursing plan of care. There is often a need to work evenings, weekends or holidays.

• Provide direct high tech nursing care to patients under minimal personal and procedural clinical supervision, following an established nursing plan of care, including: ongoing assessment of patient’s physical and family’s psycho/social health status; ventilator monitoring and care, tracheostomy care, use and care of feeding tubes, and other technical procedures; administration of medications, assisting with general exercise and specific physical therapy regimens;
  
  family teaching and support, exercise and physical therapy needs, medical procedures they can do at home and methods of carrying out daily living activities
• Discuss patients’ status, problems, and needs with family members, and educate family members similarly about patients’ illnesses, treatment and care
• Confer regularly with case manager and/or other clinical staff involved with cases to discuss changes in patient status and care plan
• Report changes in patients’ status to clinical manager and physician as appropriate
• Prepare all required clinical and administrative documentation related to assigned activities, adhering to all relevant legal regulations, technical requirements of government agencies, internal procedures, and professional standards
• Participate in orientation, training and staff development programs to expand clinical nursing knowledge and skills pertinent to home care nursing and related specialty areas
• Adhere to established protocols, guidelines and professional standards for Registered Nurse care, exercising clinical judgment and consulting with senior clinical staff regarding unusual situations
• Other duties as assigned by supervisor

• Education: Associates degree or higher in nursing (or other appropriate discipline)
• Experience: Minimum two or more years of directly related home/public health, hospice and/or high tech nursing experience
• License: Current Vermont Nursing License (RN or LPN)
• General: Must demonstrate and maintain any required competency; able to speak, read and write in English; be honest, self-directed, possess initiative, display good judgment and a positive attitude toward daily activities; ability to communicate clearly and effectively both orally and in writing; able to work cooperatively and in a productive manner with organization’s employees, clients, customers and the general public; maintain satisfactory standing with Adult Abuse Registry, Child Abuse & Neglect Registry, Vermont Criminal Information Center and OIG;
  
  free from illegal use and effects of drugs and alcohol in the workplace; able to carry out the functions of this job without risk of harm to health and safety of self and others; hold a valid driver’s license and have a reliable, registered vehicle with insurance as required by the organization

• Traveling may be required
• May work in community based settings, clients’ homes and outdoors
• May work during non-business hours
• May experience hostile and emotionally upset clients, family members, visitors and staff
• Stress due to a demanding profession
• Exposure to blood-borne pathogens
• Environmental exposures such as inclement weather, animals, firearms, tobacco use, dust, and other client-based activities and preferences

• Must walk, sit, stand, bend, lift and move intermittently during working hours
• Must have the ability to push, pull and lift up to 50 pounds and move with the weight as required by the organization
• Climbing: navigate stairs of varying heights and degrees
• Balancing, kneeling, crouching, stooping, twisting, reaching below waist level, reaching overhead and torso level
• Manual dexterity to perform duties and use equipment
• Visual acuity to drive, use office equipment and perform duties
• Auditory acuity to assist individuals in person and by telephone

• Performance Standards:
  Provide direct high tech nursing care to patients under supervision, following established nursing plan…