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LPN Senior Care Unit (NIGHTS)
LPN Senior Care Unit (NIGHTS)Bradley County Medical Center • Warren, AR, USA
LPN Senior Care Unit (NIGHTS)

LPN Senior Care Unit (NIGHTS)

Bradley County Medical Center • Warren, AR, USA
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

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. This is SAFETY SENSITIVE POSITION.

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 tubing dates.
  • Perform nursing skills according to skills check list and return demonstration.

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 procedures.
  • Interprets written and verbal directions correctly.
  • Question situations in which underlying principals on standards of care are violated.
  • 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 pa tient 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 medical record.
  • Evaluate own learning needs and seek opportunities for new learning experiences.
  • 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 : Assessment; Flow Sheet; Nurses Notes; Nursing Care Plan; Kardex Orders; 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 :

  • Assessment
  • Implementation
  • Evaluation

    • Skills Check List : Demonstrate proficiency in the following areas :

  • Basic Nursing Skills
  • MCU
  • Medication / IV Nurse
  • LPN emergency room
  • LPN OR
  • LPN Nursery
  • LPN OB / L&D

    • COMMUNICATION :

  • Listen and initiate feed-back to ensure effective communication.
  • Use constructive feed-back to improve performance.
  • Resolve problems with interpersonal relationships, referring them when necessary.
  • 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 employees; communicate criticism in constructive, private manner, accept constructive criticism in appropriate manner, praise peers on quality job performance.

    • Job Qualifications

    Education / Licenses

    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.

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    Lpn Senior Care Unit • Warren, AR, USA