LPN Home Care VNA

Job Description Summary

A professional member of the VNA team, responsible for complete care of all assigned patients within the scope of the Nurse Practice Act, regulations of the State Board of Nursing and the policies and procedures of the Home Care Division. The LPN is responsible and accountable for making decisions and providing care according to these regulations.

• 1 – Performs all skills, treatments, procedures competently and within the regulations and licensing laws of the State Nurse Practice Acts, institutions’ and department policies, and other applicable local and federal laws.
  • a – Coordinates and communicates with other clinical team members any changes in the patients' medical or physical condition resulting in a change in the plan of care.
  • b – Completes required documentation to communicate changes in the plan of care, or changes in medications, treatments or visit frequency.
  • c – Performs comprehensive physical and psychosocial re‑assessment at each visit.
  • d – Assesses pain every visit using appropriate pain scale tool based on patient's abilities and completes documentation as required.
  • e – Evaluates outcome of pain and symptom control measures, creates a plan for management of symptoms in collaboration with the RN, teaches patient and family as needed and documents all necessary information.
  • f – Demonstrates knowledge of Visiting Nurse Association’s policies and procedures for administering and recording medications.
  • g – Adheres to the Fall Risk Assessment Process and completes documentation as required.
  • h – Individualizes Pathway, Tasks and Directives, to guide skilled care for scheduled visit.
  • i – In collaboration with RN case manager determines appropriate visit schedule based on patient acuity.
  • j – Communicates at a minimum of weekly with supervising RN to discuss patient status and revisions to the plan of care as established by the RN with input by the LPN.
• 2 – Demonstrates the skills and judgment necessary to implement medical and nursing Plan of Care, nursing interventions and procedures as necessary for the care of the patient.
  • a – Demonstrates knowledge of commonly used medications: action, dose, and side effects and readily utilizes resources for research.
  • b – Observes the rights for medication administration:
    • a – right patient
    • b – right drug
    • c – right dose
    • d – right method
    • e – right time
    • f – right documentation
  • c – Demonstrates proper procedures in all methods of medication administration.
  • d – Assesses and documents IV site, patency and fluid administration, when applicable.
  • e – Maintains accurate medication profile and reviews medication profile with the patient/family/caregiver at each home visit.
  • f – Completes DRR and medication reconciliation upon admission and with every new medication.
  • g – Demonstrates knowledge of commonly used medications' action, dose and side effects, and readily utilizes resources for research.
• 3 – Performs routine nursing responsibilities and other general tasks required to provide for the safety, emotional, spiritual, and physical comfort of the patient(s), based on established care plan.
  • a – Collaborates with all members of the interdisciplinary team to meet the needs of the patient.
  • b – Communicates with other clinical team members any changes in the patients' medical or physical condition resulting in a change in the plan of care.
  • c – Participates in and initiates patient care conferences as needed.
  • d – Involves and documents patient/family/caregiver participation in Plan of Care.
• 4 – Reassesses the identified problems, care provided and patient’s responses in order to meet patient and family needs to assure overall quality of care.
  • a – Assists in assessment of patient needs; then plans, implements, and documents nursing care under the direction of an RN.
  • b – Based on reassessment, the Plan of Care will remain the same or modified to meet the patient/caregiver's identified needs and notification of any changes will be communicated to nurse manager or designee.
  • c – Assesses the patient/caregiver's response to teaching plan in order to evaluate the effectiveness of the plan.
  • d – Observes the patient's condition and reports changes of condition…