Licensed Practical Nurse (LPN) - Emergency Department, Mid Shift

Overview

Our Emergency Department unit has 43 beds staffed by RN's, LPN's, Paramedics, EMT's, and LNA's. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical / neurological / cardiac / obstetrical / medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.

ROTATING MID SHIFTS 9-9 or 11-11 and INCLUDEs ALTERNATE WEEKENDS

Responsibilities

The Licensed Practical Nurse - Inpatient / Procedural is responsible for providing safe, high quality care to general care patients as a team member in an assignment supervised by a Registered Nurse. Demonstrates commitment to patient / family engagement and effective communication. Practices consistently with applicable state nursing practice regulations, applicable D-H policies and procedures. The LPN-IP / Prcd may administer intravenous medications upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse.

• Provides and documents nursing care assessments, nursing interventions and patient / family education to stable patients under the supervision of a Registered Nurse in accordance with the patient's plan of care. Alerts Registered Nurse to any observed change in patient presentation or unexpected assessment findings.
• Reviews assigned patient plan of care and pertinent active orders in the patient medical record prior to providing care. Assists assigned patients with activities of daily living, nutrition and hydration according to orders and goals of care.
• Performs and documents focused nursing assessments of assigned patients, including but not limited to vital signs, assessment of pain, skin and wound assessment, functional status assessment, assessment of drains and ostomies, assessment of fluid balance, assessment of nutritional status.
• Administers oral, topical and inhaled medications. May administer intravenous medications to upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse.
• Applies dressings and assistive devices as indicated by assessment or as ordered by the interdisciplinary team, if applicable.
• Reports relevant assessment findings and suggestions to enhance patient care directly to members of the interdisciplinary team in addition to the supervising Registered Nurse.
• Complies with policies, procedures, and area-specific expectations related to maintaining a safe environment of care. Initiates reporting or action when needed to address safety concerns.
• Complies with policies, procedures and area-specific expectations related to medication safety; patient identification; specimen collection and specimen labeling activities; documentation of patient information and patient care activities; as well as dependability, attendance and scheduling.
• Participates in staff meetings, required learning, attestation, competency, and training activities according to area-specific and organizational expectations. Independently monitors email and other communications as necessary to meet these expectations.
• Performs other duties as required or assigned.

Qualifications

Required Licensure / Certifications