LPN - Med / Surg

LPN Position at Cass Regional Medical Center

Primary Purpose : To provide prescribed medical treatment to patients, quality nursing care and comfort to patients, while promoting teamwork and to provide proper documentation for billing. Performs other duties as assigned.

Formal Policy-Setting Responsibilities : No formal responsibility. The policies associated with the job's purpose and essential responsibilities are set by others.

Routine Decision Making : Changes in patient assessment and what observations need to be reported immediately.

Formal Supervisory Responsibility : No formal supervisory responsibility.

Required Knowledge : Knowledge of hospital policies and procedures; knowledge of disease process; medication reaction and interaction; medications and treatments.

Required Skills and Ability : Techniques of nursing care; assessment skills; good communication skills; proficient computer skills and time management skills.

Unusual Working Conditions : Risk of blood, body fluid contamination. Risk of injury related to poor body mechanics. Risk for injury from aggressive, combative or disoriented patients. Potential exposure to hazardous drugs and chemicals.

Education and Certification : Technical or vocational school education required. Current LPN licensure in the state of Missouri or compact licensure to practice in Missouri required; BLS and NIH certification required within 90 days of hire. NVCI or equivalent class as determined to be required by the facility.

Age Specific Competencies : May provide care for birth to pediatric (birth-2 yrs.), pediatric / child patients between (2 yrs-12 yrs.); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

Qualifications

A. Assists with the implementation phase of the nursing process. (20% of time)

• Implements patient care through team approach each shift.
• Documents and reports significant findings to the charge nurse / provider / manager immediately.
• Is knowledgeable of location, care and operation of Medical Surgical equipment each shift.
• Acts rapidly, effectively and manages self and others during emergency situations.
• Administers medications within scope of care, as ordered, within one (1) hour of time scheduled according to the five rights on every patient.
• Observes all provider orders each shift and as needed.
• Accurately documents the IV starts, tubing changes and administration of all medications prior to the end of the shift.
• Ensures all provider orders are reviewed on the EMAR.
• Accurately and correctly wastes unused portion of controlled substances within a timely manner.
• Attaches patient's name band, fall risk, allergy band, etc. immediately after patient's arrival and upon bands being removed.
• Ensures fall protocol is followed on each patient.
• Utilizing the 'AIDET' (Acknowledge, Introduction, Duration, Explain, Thank) model, conducts an appropriate introduction, reviews the plan of care, mutually sets attainable patient goals.
• Bedside report to be performed each shift with the off-going nurse.
• White boards to be updated during shift change and throughout the shift. To include personalized patient goals and pain control.

B. Assists with performing the assessment phase of the nursing process. (15% of time)

C. Assists with performing the planning phase of the nursing process. (5% of time)

D. Assists with performing the evaluation phase of the nursing process. (10% of time)

E. Provides patient and family education. (15% of time)

F. Maintains a safe and comfortable unit. (10% of time)

G. Demonstrates accountability to the nursing process through documentation. (15% of time)

H. Develops and promotes performance improvement initiatives. (10% of time)

Essential Physical Requirements

Type of Work (Check One)