Licensed Practical Nurse

4 weeks ago

Lebanon, United States Veterans Health Administration Full time

Summary

This Licensed Practical Nurse Float Pool position at Lebanon, PA VAMC is opened to current employees of this facility.

Duties

The Float LPN GS-0620-7 charge nurse is responsible for the evidence-based care of a group of patients as follows: Functions independently as the charge nurse for the shift, responsible for the care provided to the community living center (CLC) Veterans or the Mental Health (MH) veterans by the other licensed and non-licensed nursing staff during the assigned shift. Assists the RN and other members of the IDT with providing input in the development of the care plan, based on the Veterans care needs. This includes input into completion of the Minimum Data Set (MDS) assessment at required and various time points. Performs support duties for diagnostic procedures, which include preparing the Veteran and monitoring the Veteran's condition.\Assists with discharge planning of Veterans to more appropriate level of care. Coordinates the transfer of Veterans to more appropriate levels of care dependent on acuity needs. Promotes Veteran participation in the therapeutic community by fostering self-reliance and independence. Administers prescribed medications and performs more complex treatments in accordance with hospital policy and procedure and standard operating procedures (SOPs). Verifies physician orders in compliance with hospital policies and procedures and SOPs. Seeks clarification, as needed, for orders with medical providers, pharmacy, or other departments, as applicable. Identifies, initiates, and acts as a leader in the rehabilitation aspect of Veteran care, such as maintaining and/or improving current functional status through consideration of therapy programs such as Nursing Restorative Therapy, Resistance Therapy, Kinesiotherapy, and other Veteran therapy groups. Ensures that Veterans' recreational needs are met. Performs nursing care to the unit's Veterans including all aspects of personal care and rs bladder and bowel functioning, tracking of I&O and hydration and initiates intervention when it is indicated. Performs rehabilitative and restorative nursing care, as applicable. Consistently follows policies, SOPS, and procedures applicable to reusable medical equipment (RME) and infection control. Monitors staff compliance with RME procedures/policies. Assigns care and required documentation to the most appropriate level of skill required for the tasks/duties. Determines priority of care needs and communicating to staff expectations of care. Reports required information for hand-off communication to the oncoming shift and at other times to applicable staff and departments. Completes the necessary documentation for these duties. Educates Veterans on their care needs. Communicates with families and significant others, as appropriate. Ensures completion of all shift documentation by other nursing staff, such as activities of daily living (ADL) notes, pain management notes, and nursing entries. Completes all assigned routine documentation, such as monthly summary notes; psychotropic drug review notes; MDS assessments, as applicable; and care plans. Completes or ensures the completion of all shift reports. Evaluates unit for safety issues, taking appropriate action when indicated, to include routine equipment checks (.,Wanderguard unit, crash cart, refrigerators, and any equipment malfunction. Communicates, to appropriate staff, when immediate intervention is needed for safe care. Initiates and maintains standards of cleanliness and safety in Veteran environment and exercises proper use and maintenance of equipment. Monitoring Veterans for risk behaviors, including but not limited to: Elopement, Wandering, Suicide, Fall, Behavior, Pressure injury, and Acting, when indicated, to include communicating to appropriate personnel when further intervention is needed and completing necessary documentation. Additional Duties as assigned. Work Schedule : 4pm - Midnight - Rotating Weekends and Holidays
EDRP Authorized: EDRP Coordinator for questions/assistance.
Financial Disclosure Report: Not required
Physical Requirements: The population of male and female Veterans served ranges from the adult, age 18, to the elderly adult, age 65 and over. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs

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