LPN II - Ambulatory - Medical Specialties Clinic

Overview

Job Description - LPN II - Ambulatory - Medical Specialties Clinic (250002PC)

LPN II - Ambulatory - Medical Specialties Clinic - (250002PC)

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies, and procedures and in accordance with all applicable laws and regulations. The LPN II will be responsible to provide care under direct supervision of a Registered Nurse, Physician or Advanced Practice Nurse. Children’s National supports the development of the LPN within the community, specifically those relationships associated with the health and wellbeing of the community at large.

Minimum Education
High School Diploma or GED or equivalent; completion of a 1-year (minimum length) vocational/technical training program in a related field. (Required)

Minimum Work Experience
1 year Related experience (Required)

Required Skills/Knowledge
Ability to perform technical functions; interacts with children and families and has good verbal and written communication skills. Demonstrates competence in obtaining accurate vital signs, assessment and documentation of patient care. Successfully complete Division of Nursing & Patient Services LPN Medication Administration test. Successfully complete the hospital and nursing orientation. Identify resources and know when to ask for help or escalate.

Identify self-learning needs and seek resources to meet those needs. Demonstrate the basic knowledge, judgement, and skill in the delivery of the nursing process, secondary assessment, diagnosis, planning, implementation, education, and evaluation. Successfully completed LPN role if applicable.

Required Licenses and Certifications
Licensed Practical Nurse Upon Hire (Required). Basic Life Support for Healthcare Provider (BLS) Upon Hire.

Clinical Process

• Differentiate a new problem from a long-term problem at the time of admission/clinic visit; conduct a patient history in order to elicit information and establish the child’s normal baseline routine; respond to inquiries from families by answering questions; explain information clearly and thoroughly.
• Accurately take TPR, BP, height & weight, head circumference, and intake and output measurements according to procedure.
• Recognize physical and behavioral changes for groups of patients usually cared for in the assigned area; perform basic nursing care which may include bath, personal hygiene, dressing, linen change, positioning, assisting in the use of bedpan, urinal, diaper change, and ambulation or holding; perform therapeutic interventions including tube care, gastrostomy, chest tubes, urinary catheters, IV starts (IV solution without additives)/venipuncture, trach care per protocol, and skin care (wound, ostomy) and all associated procedures (i.e. chest physiotherapy, oral/nasal/pharyngeal suctioning, central line dressing change, PD catheter exit site care);
  
  exception:
  Nasotracheal/Endotracheal suctioning, insertion of oral/nasal airway.
• Immediately respond to and assess the child whose feeding or monitor is alarming; troubleshoot the alarm system and follow through on directives; inform Registered Nurse as needed; recognize basic changes in child such as apnea, wheezing, retractions, changes in behavior or LOC, seizure activity, skin lesions, and poor tissue perfusion.
• Collect and test specimens, pass NG tubes and catheters according to procedure and unit policy.
• Prepare for the setup of monitors and peripheral IVs after directed by a Registered Nurse.

• Follow infection control protocols and plans.
• Follow protocols for all organizational emergency plans.
• Follow nursing practice guidelines and protocols.
• Complete a patient assignment and/or assigned task related to Screening, intake, Admission, Discharges & Transfers for an assigned unit/clinic; accept patient assignments and participate with the registered nurse to implement and document care.
• Organize workload in collaboration with a coassigned registered nurse that must administer a medication or perform an assessment/care procedure. Contribute to the plan of care for the patient/family in collaboration with the health care team.
• Follow physician's orders and nursing directives precisely; carry out STAT orders immediately within the parameters of the LPN Job Description.

• Orient children and families to the geography and regulations of the area and expected routines for the child; prepare all assigned children for examination, procedure, or surgery according to the standards and incorporate principles of growth and development.
• Review the medical record (progress notes and care plans) and reinforce teaching that has been outlined by the Registered Nurse.
• Teach families how to administer routine medications at home including effects, side effects, and dosage according to preprinted sheets or guidelines outlined by the primary nurse.
• Implement aspects of the education plan…