Quality LPN Medical Records

1 week ago


Taylorsville GA, United States eTeam Full time

Duties
Job Summary Performs nursing care and assists with planning and implementing care for the comfort and well being of the patient under the direct supervision of a registered nurse. Assists in maintaining a safe working environment, performs all related job responsibilities in a safe manner and maintains clinical and professional competency as appropriate to the ages, developmental stages, and special needs of the patients served. Essential Functions Participates in patient assessments by determining nursing care needs based upon collection and interpretation of relevant data. Recognizes and determines need for immediate intervention. Demonstrates knowledge which enables the following: documentation of patient observations, treatments, patient response to treatment and nursing care utilizing the nursing process, participates actively in treatment and assisting with procedures. Assists with development/revision of the plan of care by providing data and identifying potential goals and intervention for review by the RN - . Communicates with the appropriate clinical staff on the status of a patient if a significant change has occurred. Implements the identified plan under the supervision of the RN - , ensuring tasks have been completed. Aware of patient's progress and goals as demonstrated by documentation in the medical records. Organizes workload and prioritizes responsibilities to ensure quality patient care is delivered in a time efficient manner. Attains knowledge and competence that reflects current nursing practice and performs only those nursing skills which they are competent to perform in accordance with legal boundaries and facility policies and procedures. Documents assessments, procedures, patient/family education, and the communication of information to appropriate members of the healthcare team in a timely manner. Provides and assesses effectiveness of patient and family education under the direction of the registered nurse within the scope of practice as defined by law. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, bending, pushing, and pulling. Must be able to lift and support the weight of 35 pounds when handling patients, medical equipment and supplies. Understands and speaks fluent English. Must have intact sense of sight, hearing, smell, and touch, finger dexterity, critical thinking and ability to concentrate. Must be able to respond quickly to changes in the patient and unit conditions. Based on the physical requirements for this position all applicants for this position are required to undergo a physical ability test as a condition of employment
Skills
Skills: Current LPN licensure or temporary license as a licensed practical nurse petitioner required. Basic Life Support for Healthcare Provider (BLS HCP) from AHA required



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