LPN Senior Care Unit (PRN)
- Posted: over a month ago
- Per Diem
Position Title: LPN
Department: SENIOR CARE UNIT
Supervisor: CNO-RN/SCU NURSING SUPERVISOR
Position Summary: The LPN should have knowledge and skills necessary to
function within his/her role using the nursing process. Functions under the RN
to participate in assessment, planning, implementation, and evaluation of patient
care. Should demonstrate effective verbal and non-verbal communication skills.
Should participate in continuing education and professional development activities.
JOB SPECIFIC CRITERIA:
- Receive report before giving care.
- Makes rounds on patients and assesses appropriately for the following as
applicable: Cardiovascular status, Respiratory status, Appropriate status,
I & O, Special equipment-IV's NG, foley, etc., Special Needs.
- Admit new patients and assist in performing initial assessment.
- Check medical record for physician orders and results of diagnostic studies.
- Prepare appropriately for medication administration: Research medication;
Aware of patient vital signs, telemetry pattern; Aware of lab results, i.e.
K+levels, BUN, CR, theophlline levels, digoxin levels, blood sugar as
related to ordered medications; Assess patient's need for pain medication on
rounds and alert care giver; Assess IV sites and need changes, note rate and
- Perform nursing skills according to skills check list and return
PLANNING AND ORGANIZATION:
- Preplan nursing care to perform in an organized manner.
- Obtain materials and supplies needed for patient care.
- Use resource material as necessary to include nursing policy and procedure
books and manuals from other departments.
- Utilize time effectively and productively.
- Assist in updating individualized nursing care plans as per initiation by RN.
- Involve patient/family in the planning of his/her care.
- Organize work according to priorities.
- Maintain patient kardex as indicated.
- Plan appropriately for administration of medications: (1) First initial and
last name on MAR; (2) Organize in order to give meds on time; (3) Alert
pharmacy to immediate needs in the nursing unit; (4) Check the five rights
before giving meds.
IMPLEMENTATION OF CARE:
- Deliver basic patient care according to standards of nursing care established
by Bradley County Medical Center.
- Check patient identity before initiating nursing activities.
- Perform technical skills according to policy and procedure including the
following: (1) TPR, B/P; (2) Specimen collection; (3) Catheterization;
(4) Tube feedings; (5) Irrigation (bowel, bladder, NG, colostomy);
(5) Sterile dressings; (6) Oxygen administration; (7) Preparation of patient
for diagnostic studies; (8) Orphyaryngeal, sterile suctioning; (9) Restraints.
- Administer medications according to policy/procedure including the
following: (1) Has knowledge from attending shift report, i.e., knows
diagnosis, special needs, etc., (2) Administer meds by all routes according to
approved procedure; (3) Teach patients appropriately regarding meds; (4)
Keep med carts locked when not in use; (5) Keeps carts and drug room
clean and organized; (6) Check unusual dosages on meds (insulin, heparin,
etc.,) with another nurse before administering; (7) Sign out for narcotic
correctly; (8) Dispose of drug/narcotics as required and in accordance with
- Interprets written and verbal directions correctly.
- Question situations in which underlying principals on standards of care
- Seek guidance from RN in making judgments in questionable or uncertain
situations and functions within the LPN role as defined by the Arkansas
Nurse Practice Act.
- Use appropriate safety measures including: (1) Use aseptic technique
appropriately; (2) Act to prevent accidents and injury; (3) Use correct
body mechanics; (4) Keep all necessary items within reach of patient;
(5) Use siderails as indicated according to policy and procedure; (6)
Do concurrent cleaning in patient areas and staff areas.
- Adhere to isolation technique.
- Respond to codes within the hospital as indicated according to procedure.
EVALUATION AND NURSING COMMUNICATION:
- Evaluate results of specific nursing intervention and documents in the
- Evaluate own learning needs and seek opportunities for new learning
- Explain nursing procedures to patient prior to the procedure.
- Instruct patients and visitors regarding hospital rules and regulations
and reinforces as needed.
- Reports all pertinent information appropriately:
- Changes in condition.
- Effects of treatments or meds.
- Patient/family concerns.
- Physician concerns.
- Equipment malfunctions/safety hazards.
- Maintains accurate and concise records of observations, treatment and
care of patients:
- Flow Sheet
- Nurses Notes
- Nursing Care Plan
- Discharge Summary
- Transfer sheets
- Medication Records
- Properly chart medications to include:
- First initial, last name and title to correspond with initials.
- Note proper dose, date, time
- Indicate injection sites appropriately.
- Correct errors appropriately.
- Document effect of p.r.n.
- Utilize and document nursing care according to nursing process:
- Skills Check List: Demonstrate proficiency in the following areas:
- Basic Nursing Skills
- Medication/IV Nurse
- LPN emergency room
- LPN OR
- LPN Nursery
- LPN OB/L&D
- Listen and initiate feed-back to ensure effective communication.
- Use constructive feed-back to improve performance.
- Resolve problems with interpersonal relationships, referring them when
- Participate in the development of solutions to communication problems.
- Communicate complete and accurate information.
- Practice discretion in information shared with patients and peers.
- Apply basic communication skills (verbal and non-verbal) in all
interactions with patients, peers, other departments and the public.
- Avoid excessive noise and protect patient privacy.
- Acknowledge validity of communication from others.
- Address people by name.
- Identify yourself on the telephone by name, title, department.
- Express frustrations in appropriate time and manner.
- Support other staff in the performance of their duties:
- Respond promptly to request from supervisor, peers and other
- Communicate criticism in constructive, private manner.
- Accept constructive criticism in appropriate manner.
- Praise peers on quality job performance.
Graduate of an accredited Vocational-Technical School and current
State licensure which is renewed every two years.
Must possess current CPR certification which is renewed annually.
Bradley County Medical Center
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