LPN Home Health Weekend

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 with the RN the 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 preferred.

• 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 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 full system assessment, including assessment of physical and psychosocial aspects and identifies age‑specific criteria upon admission and each visit thereafter.
• Understands pathophysiologic processes and takes appropriate nursing action in accordance with changes in patient condition, collaborating with primary RN.
• Develops and updates problem list based upon continuing assessment with RN and records/updates care plan.
• Reports significant observed changes in patient condition to primary RN and Administrative Staff or physician.
• Follows a plan of care based on the 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 or appropriate representative.
• Demonstrates bag technique per policy and procedure.
• Observes and takes appropriate action, notifying RN/Administrative staff of conditions such as skin/venous conditions, circulation, mobility, infiltration, phlebitis, infection, circulatory overload and abnormal signs/symptoms.
• Performs and monitors patient teaching according to the policy and procedures, anticipating, modifying and adapting the teaching plan to accommodate the patient and family, evaluating effectiveness 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 the primary RN and Administrative staff.
• Collaborates with the primary RN to facilitate a change in the level of care in compliance with the change in level of care standard. Reports changes in level of care to primary RN and Administrative staff.
• Understands the stages of death and dying as it relates to home health patients and nursing care needed for terminally ill, acutely ill patients.
• Performs post mortem care as needed.
• Responsible for technical skills and duties including IV therapy (ports, PICCs, TLC catheters, sterile dressing changes, antibiotic therapy – no PPIs, TPN and chemo infusions, no titration of pain pumps; LPN cannot pull PICC), wound vacs, sterile wound care, pleurx drain care, ostomy care, trach care, G‑tube care, foley and suprapubic caths (LPN cannot remove OnQ pain pump), labs via peripheral and central access, revolution device changes, and complete head‑to‑toe assessments.

Frequent walking, standing, stooping, kneeling, reaching,…