The LPN works under the supervision of a Registered Nurse and is responsible for the nursing care provided to the patients assigned to this position. Duties include, but are not limited to: Explains procedures to residents, using language which they understand. Ensures that the physical and emotional environment is consistent with the vision for resident-centered care. Maintains self-control and responds consistently to the requirements of the work situation. Maintains a positive attitude in accepting temporary reassignment to meet resident care needs. Responds to residents calls for assistance promptly and interacts with the resident in a tactful, courteous manner. Communicates respectfully and works effectively with administrative staff, the health care team, unit staff, residents, and visitors. Provides emotional support to residents, and families/significant others. Fosters an environment of respect for individual resident and family/significant other rights to privacy and dignity in all aspects of care delivery. Serves as Veteran's/family/significant others' advocate. Carrying out assignments for long-term, short-term rehabilitation, respite, hospice/palliative care, and psychiatric residents requiring skilled nursing care. Counts controlled substances with a RN and verifies current count. Prepares and administers prescribed oral, topical, subcutaneous, inhaled medications, controlled substances, intravenous piggybacks, continuous intravenous infusions, and injectable medications and suppositories. Documents when medications are given or omitted, documents effects. Initiates, maintains, and discontinues IV therapy and intermittent intravenous devices. Administers IV piggyback medications via continuous infusion or intermittent infusion device. Observes and documents resident changes in condition to the Charge Nurse or RN. Promptly reports resident incidents. Appropriately initiates emergency response teams as needed. Provides input into the care planning process, assists and provides teaching in activities of daily living (ADLs) to residents and encourages them to participate in ADLs leading to increase independence. Provides or reinforces resident/family/significant other teaching related to medications, disease process, procedures, and self-care activities. Performs a wide range of treatments and procedures including but not limited to: application of heat and cold, wound care, changing complex sterile and clean dressings, administering suppositories, cleansing and retention enemas, tube feedings, weights, vital signs, glucose finger sticks, specimen collection, intake and output, colostomy irrigation, oxygen, orthopedic traction, spirometry, nebulizer treatments, and standard 12 lead EKGs, and care of well-established tracheostomies and laryngectomies. Performs oropharyngeal, tracheostomy, and tracheal suctioning, and tracheostomy and laryngectomy care. Performs a range of resident care activities not limited to: Restorative Care, oral and enteral feeding, bathing, bed making, lifting, turning, positioning and ambulating residents; oral, hair, nail and related care; and other related care of similar complexity such as care of urinary drainage appliances. Collects specimens for laboratory analysis. Provides range of motion exercises for dependent residents. Escorts residents to various appointments on station. Orients residents to the unit. Adheres to and appropriately utilizes the Safe Patient Handling Program standards, practices, and recommendations. Lifts, transfers, and repositions residents safely, according to policy and procedure, seeking assistance when appropriate. Prepares residents for tests, examinations, treatments and surgery. Assists with a variety of diagnostic procedures by setting up trays, supplies, and equipment, using sterile technique and monitoring the patient's condition before, during and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs or NAs related to support duties for these more complex, specialized tests/procedures. Applies assistive/protective devices or prosthetic appliances. Understands we are a restraint free facility, but if warranted, have the knowledge to apply, observe and care for residents in restraints, documenting according to hospital policy and procedure. Documents observations, therapeutic measures performed, and care provided following established policy and procedure in correct medical record and completes clinical reminders. Collects subjective and objective data which contributes to the nursing admission assessment, resident reassessment, and discharge planning. Revises the resident's treatment plan. Provides competent care which is safe for both self and others under adverse conditions. Functions as a team leader under the supervision of the RN. Work Schedule: Primarily Evening/Nights which are 3:30pm-midnight and 7:00pm-7:00am Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.