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The LPN assigned to these areas provides direct and indirect nursing care, by contributing to the patient's assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes. The position requires independent judgment and nursing actions, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care.
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Organizational Relationship. The LPN is subject to the professional direction of the VA Nurse Manager or designee during the workweek. On evenings, nights, holidays and weekends, the LPN reports through the Charge Nurse to the Nursing Supervisor.
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Duties and Responsibilities. Specific duties and responsibilities of these LPNs include:
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Obtain patient history and pertinent family history.
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Assess patient and plan appropriate nursing care.
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Document plan of care and care given in patient's medical record.
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Communicate pertinent patient data to charge nurse and/or physician as appropriate.
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Re-assess patient's condition and revise plans of care based on identified nursing problem.
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Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.
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Assess and document patient response to medication that have been administered.
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Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished.
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Instruct patient/family regarding prescribed medications/therapies and surgical/diagnostic procedures that shall be accomplished.
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Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
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Operate defibrillator, EKG machines and cardiac monitor and other emergency technical equipment.
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Participate in discharge planning, as appropriate.
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Be able to initiate life saving measures in the absence of physicians.
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Assure content and correctness of a prepared report and sign the document to validate its content.
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Maintain neat, personal appearance and maintain professional decorum
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Consistently, apply VA customer service standards, demonstrating helpful, courteous, and respectful conduct at all times.
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Respect patient's rights, including but not limited to visual and auditory privacy.
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May accept a verbal order in compliance with the facility policy.
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Intake and output are assessed every shift, and more frequently if indicated by specific standard nursing drug care.
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Reviews all laboratory data, and electronic medical records
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Shall perform central line and ventilator care in compliance with HCS policy.
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Perform skin assessment and initiate measures to prevent HAPU.
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Ensure that medication orders from the previous shift have been noted and either carried out or transcribed onto the medical records appropriately.
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Carry out prescribed physician orders and document in patient's medical record.
