The Licensed Practical Nurse (LPN) functions as a member of the Interdisciplinary Care Team and assists with the assessment, planning, and implementation of nursing services. The nurse administers medications, treatments, and enteral feedings; monitors each client's physical and psychological status; and facilitates medical follow up as needed. The LPN provides education related to each client's individualized health care needs and promotes client independence.
The LPN practices within the scope of Pennsylvania's Nurse Practice Act and in accordance with Elwyn's policies and procedures and those of Elwyn's regulatory agencies.
DUTIES AND RESPONSIBILITIES:
- Complete a comprehensive nursing assessment including but not limited to medical, behavioral history and medications upon admission/readmission and as changing health needs indicate
- Collaborate with physicians, physical rehabilitation professionals, therapists, health care and mental health professionals and other members of the Treatment Team to plan and implement the therapeutic program of care
- Complete a Quarterly Nursing Assessment that includes a review of systems, full body exam, skin checks, Braden Scale, and Fall Risk Assessment
- Present clinical data obtained through direct observation, interview, physical assessment and other reports to the larger Treatment Team; present information in a concise and organized manner
- Attend and participate in team meetings by providing current client physical and psychiatrist and medication updates
- Develop a health care plan for clients requiring 24/7 nursing care that includes specific nursing goals and directions for meeting the client's health care needs
- Review and revise the health care plan at a minimum of every 30 days and incorporate data gathered through nursing assessment and communication with the Treatment Team
- Refer clients to physicians when assessment indicates further medical evaluation is required; facilitate transfer to the hospital/Emergency Department
- Complete hospital and Emergency Department transfer sheets; copy and forward the annual physical exam, last set of 90 Day Physician Orders, current Medication Administration Record (MARs), and other pertinent information
- Monitor weight, blood pressure, blood sugar, metabolic monitoring, body mass index (BMI) and other measurements as indicated by nursing judgement or physician orders
- Prepare and administer medication as ordered by the physician in accordance with Elwyn's medication policies and procedures; obtain verbal orders from the physician when necessary and transcribe the information as per policy
- Administer and document prescribed medications and treatments on hard copy MARs or in an electronic format (eMARs); use discretion during administration of medication(s) to provide as much client privacy as possible
- Administer enteral tube feedings, blood glucose testing, nebulizer treatments, and skin care as ordered by the physician; use discretion during administration to provide as much client privacy as possible
- Report any observed medication and treatment side effects or abnormal laboratory values to the Health Care Coordinator/Charge Nurse immediately
- Review the monthly MARs and validate that all medication and treatment orders are correct and update as needed; remove old MARs from the medication binder and replace with new MARs at the start of every month, if using hard copy MARs
- Assess client progress with the self-administration of medication and work to actively promote increased independence in client function, if applicable.
- Complete, upon discharge, a Discharge Summary that includes all relevant medication, medical follow up, and pertinent health care information
- Complete monthly medication exchanges with the pharmacy provider; immediately reconcile identified issues
- Administer and document immunizations as ordered by the physician; ensure that necessary immunization consents have been completed prior to administration
- Prepare clients for medical appointments through communication and maintenance of nothing by mouth (NPO) status, procedural preps, and the administration of pre-sedation medication
- Validate that all lab work has been completed as scheduled and document in the nursing progress note; if not completed, arrange follow up and document
- Document all behavioral and physical changes in the client's status and other pertinent information in the nursing progress notes; document all changes from baseline status
- Contact family members/guardians to report any new injuries that require more than basic First Aid; for the families requesting additional information, contact them via phone as soon as possible
- Communicate important health issues to staff in the program's shift change meeting/report
- Document all relevant information in the nursing progress notes
- Communicate all pertinent client and unit information to the incoming nurses through oral or written methods
- Provide emergent clinical and informational updates to the Campus Charge Nurse throughout the shift; contact the Charge Nurse by phone (1) hour prior to the end of the shift to provide verbal report when emergent situations occur.
- Contribute nursing knowledge to the development and maintenance of a safe and therapeutic living environment; inspect the general living areas for present and potential hazards and report to the Unit Director, Health Care Coordinator, or Charge Nurse
- Monitor for potential infectious disease among clients and staff and report to the Director of Nursing for Behavioral Health who will then report to the Chief Clinical Officer
- Provide clear and concise direction to Elwyn staff during a medical emergency pending the arrival of the Campus Charge Nurse
- Order medical and nursing supplies; restock supplies when needed
- Maintain medical equipment in proper working order in every medication dispensary; clean equipment and facilitate equipment repair as necessary; maintain medication dispensary in a clean and orderly fashion and all times; wipe down medication carts, counter tops, and work surfaces at the end of every shift
- Provide nursing coverage to all units as needed; demonstrate flexibility, adaptability, and team work when nursing assignments must be modified
- Adhere to Elwyn's policies and procedures related to HIPAA and the disclosure of health protected information
- Complete all Elwyn mandatory educational requirements by the annual due date
- Obtain a minimum of 24-hours of in-service training per year; attend nursing meetings and in-services as requested
- Submit new/current Nursing License, cardiopulmonary resuscitation (CPR) card, Driver's License, physical exam, and contact sheet on or before the actual due dates
- Perform CPR and crisis intervention using agency-trained protocols
- Perform other duties as assigned
- Graduate of an accredited LPN Program
- Licensed as a Practical Nurse in the Commonwealth of Pennsylvania
- One (1) year general nursing or medical surgical experience preferred.
- One (1) year of Developmental Disabilities nursing experience preferred
- Demonstrated skill using an electronic medical record (EMR) system
- Excellent planning, communication, customer interaction, collaboration, and documentation skills required
- Demonstrated ability to work effectively as part of a team
- Current CPR certification; must be able to perform CPR and crisis intervention techniques using agency-trained protocols
- Demonstrated intermediate experience with Microsoft Office applications, including Word, Excel and Outlook
- Demonstrated ability to work effectively as part of a team
- Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills
- Knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR) preferred
- Must have current, valid driver's license in state of residence, three (3) years driving experience in the United States, and acceptable driving record
Elwyn is an Equal Opportunity Employer.
"We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law."
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