Weekend LVN Home Health Shift Care

4 weeks ago

Rockland MA, United States South Shore Health Full time

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.
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 Associations policies and procedures for administering and recording medications.
g - Adheres to the Fall Risk Assessment Process and completes documentation as required.
h - Individualize Pathway, Tasks and Directives, to guide skilled care for scheduled visit.
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.
d - Assesses and documents IV site, patency and fluid administration, when applicable.
f - Completes DRR and medication reconciliation upon admission and with every new medication.
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.
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 patients responses in order to meet patient and family needs to assure overall quality of care.
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/caregivers identified needs and notification of any changes will be communicated to nurse manager or designee.
d - Observes the patients condition and reports changes of condition and the need for nursing measures beyond her/his knowledge to nurse manager or designee.
5 - Maintains uptodate and accurate documentation of nursing care provided to assure the integration of information for use by the healthcare team, in order to assure quality care.
a - Each identified problem must be addressed and appropriately documented in the patient record.
a - Makes scheduled home visits to patients during the day or evening shift, as evidenced by documentation in the clinical record and nursing daysheet or daily log.
b - The LPN demonstrates responsibility and accountability for the plan of care for each patient on caseload under the direction of a Registered Nurse.
c - Schedules and prioritizes nursing visits according to patient status.
e - Provides verbal/written update of Plan of Care to third party payors as required.
f - Orders durable medical equipment (DME) and/or supplies as needed.
h - Coordinates and communicates any changes in the plan of care to the appropriate members of the interdisciplinary team.
Required graduate of an accredited LPN program.
Minimum Work Experience
Two (2) years of recent experience in acute care facility or homecare.
Computer skills preferable

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