LPN Home Health

Responsible for the direct and indirect nursing care of patients in the home under the supervision of an RN. In collaboration with the patient, family and health care team, the LPN will implement and evaluate nursing care according to the following systems/functions.

• Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi‑state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).
• Valid driver’s license.
• CPR certification within 30 days of hire date.

• One year of Home Care Nursing experience.

• Performs and monitors basic patient care according to policies and procedures.
• Uses nursing process including assessment, planning, implementing and evaluating to meet the patient’s physical and psychological needs.
• Provides a safe and comfortable environment in the patient’s home.
• Ensures privacy and demonstrates concern for the dignity of patient in performing all patient care.
• Completes assignments in a timely manner.
• Communicates patient care problems or potential problems to the primary RN, administrative staff and/or other IDT members as identified/occur to assure continuity and coordination of care.
• Maintains patient confidentiality according to policies and procedures.
• Functions effectively as an LPN in respect to organization, communication, and prioritization.
• Completes and documents a full system assessment, including assessment of level of cognitive and psychosocial aspects and identifies age‑specific criteria upon admission and each visit thereafter.
• Assesses physiological changes by taking appropriate nursing action in accordance with changes in patient condition, collaborating with primary RN.
• Develops and upgrades problem lists based upon continuing assessment with RN and records/updates care plan.
• Reports significant observed changes in patient condition to primary RN and administrative staff and/or physician.
• Follows a plan of care based on assessed findings and updates under physician orders and primary RN.
• Documents patient status and care or services furnished in appropriate areas as defined by the documentation policy and procedure. Provides appropriate documentation of nursing intervention, patient response, effectiveness, complications and other pertinent information with RN supervision.
• Performs CPR when directed by patients’ wishes/appropriate representative.
• Demonstrates bag technique per policy and procedure.
• Observes documents and takes appropriate action and notifies RN/administrative staff of conditions such as skin, venous, extremity circulation and mobility, complications, allergic reactions.
• Performs treatments/procedures according to specific standards: vital signs, patient weights, specimen collection, ostomy care, urethral catheterization, pressure wound care, dressing changes, oral suction, ROM, bladder training, bowel training, patient ambulation/transfer and positioning, pacemaker, diabetes.
• Performs and monitors patient teaching according to policy and procedures; anticipates, modifies and adapts the teaching plan to accommodate patient and family; evaluates the effectiveness of the plan regularly.
• Coordinates care so that medications are administered as ordered by a physician and in compliance with Medication Administration Standards. Reports findings of discrepancies to primary RN and administrative staff.
• Collaborates with primary RN to facilitate changes in level of care in compliance with the change in level of care standard; reports changes in level of care to RN and staff.
• Understands the stages of death and dying as it relates to home health patients; understands nursing care needed for terminally ill, acutely ill patients.
• Performs post‑mortem care as needed.
• Responsible for technical skills including IV therapy (ports, PICCs, TLC catheters), sterile dressing changes, antibiotic therapy, TPN and chemo infusions, wound VACs, pleural drain care, ostomy care, trach care, G‑tube care, foley and suprapubic catheters; not responsible for removing pain pumps.
• Obtains…