LICENSED PRACTICAL/VOCATIONAL NURSE
The LPN/LVN administers nursing care according to the plan of care to terminally ill patients of all ages in their place of residence, and coordinates care with the Interdisciplinary team, patient, family and referring agency, in accordance with the Nurse Practice Act and state law where the hospice program is located.
The role of the LPN/LVN is dependent in nature: All LPN/LVN nursing activities are to be assigned from an existing care plan and under the direction of the Registered Nurse.
• Provides direct skilled bedside nursing care as directed by the Registered Nurse and in accordance with the Nurse Practice Act and the nursing standard operating procedures.
• Evaluates patient/family needs and assists in the preparation and execution of the plan of care for each patient under the direction of the Registered Nurse.
• Provides, and evaluates the effectiveness of, intermittent skilled nursing services as permitted by state regulations, which may include assessment, evaluation, procedures, administration of treatments and medications, education and training as outlined in the patient plan of care under the direction of the Registered Nurse.
• Practices infection control measures and standard precautions.
• Reports findings or changes in the patient’s condition to the Registered Nurse, interdisciplinary team and referring physician. Documents reports in clinical notes per agency policy and procedures.
• Revises and resolves patient problems and goals as changes occur and/or recertification occurs after consultation with the Registered Nurse.
• Participates in the recertification process to assure patient eligibility by gathering data.
• Participates in providing bereavement support to families, including closure contacts and associated bereavement activities as assigned by the team.
• Attends staff meetings.
• Depending on Nurse Practice Act, may give on site direction to the Hospice Aide for activities listed on the Hospice Aide plan of care established by the RN.
• May participate in death pronouncement as per Nurse Practice Act, applicable state laws and under the supervision of a Registered Nurse.
• May participate in call activities by completing scheduled routine visits or on-call visits after triage by the Registered Nurse. Must participate in on call under the direction of a Registered Nurse.
• Performs other activities as assigned.
• This is a safety-sensitive position.
• Participates in quality assessment and improvement activities as assigned by the Director of Operations or designee.
• Participates in substantive chart reviews as assigned by the Director of Operations or designee.
• Participates in the orientation of new team members as assigned by the Director of Operations.
• Completes required Curo annual training.
• Actively participates in the coordination of all aspects of the patient’s hospice care and in the hospice’s quality assessment and performance improvement program.
• Develops and achieves professional growth goals and objectives and reviews with the Director of Operations, initially at 90 days and on an annual basis thereafter.
• Represents professional nursing, the hospice site and the company in a positive manner.
• Participates in instructional activities within the company as well as outside the company program.
• Promotes a customer service oriented approach to patient care delivery.
• Participates in patient conflict resolution.
• Consistently promotes company’s core values.
STATE-SPECIFIC REQUIREMENTS FOR:
Revision Date 2/24/2017 (Covers Minnesota & Nebraska)
MINNESOTA: allows licensed practical vocational nurses to perform the following additional job duties:
• Participate with other health care providers in the development and modification of a plan of care.
• Determine and implement appropriate interventions within a nursing plan of care or when delegated or assigned by a registered nurse.
• Implement interventions that are delegated, ordered, or prescribed by a licensed health care provider.
• Assign nursing activities or tasks to other licensed practical nurses.
• Assign and monitor nursing tasks or activities to unlicensed assistive personnel.
• Provide safe and effective nursing care delivery.
• Promote a safe and therapeutic environment.
• Advocate for the best interests of individual patients.
• Collaborate and communicate with other health care providers.
• Provide health care information to individual patients.
• Provide input into the development of policies and procedures.
• Hold accountability for the quality of care delivered, recognizing the limits of knowledge and experience; address situations beyond the nurse’s competency; and perform to the level of education, knowledge, and skill ordinarily expected of an individual who has completed an approved practical nursing education program.
NEBRASKA: licensed practical vocational nurses may perform, but are not limited to, the following job duties:
• Contributing to the assessment of the health status of individuals and groups;
• Participating in the development and modification of a plan of care;
• Implementing the appropriate aspects of the plan of care;
• Maintaining safe and effective nursing care rendered directly or indirectly;
• Participating in the evaluation of responses to interventions; and
• Assigning and directing nursing interventions that may be performed by others and that do not conflict with the Nurse Practice Act.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
• Education: Graduate of an approved school of Practical Nursing
• Experience: Minimum two years LPN/LVN experience, either in oncology, long-term care, or hospice or home health. Three to five years’ experience preferred.
• Licenses, Certifications and/or Registration:
o Currently licensed to practice nursing in the state where the hospice program is located
o CPR Certification
o Current automobile insurance and valid driver’s license
• Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work.
• Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, JCAHO, CMS, DADS) management principles.
• Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Make generalizations, evaluations or decisions based on sensory or judgmental criteria. Communicate effectively with people of all socioeconomic backgrounds. Influence people in their opinions, attitudes or judgments about ideas or things. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Display evidence of patient advocacy. Highly competent clinician.
• Working Conditions: Patient’s homes and/or institutional setting and automobile travel. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be requested by individuals with disabilities to allow them to perform the essential functions.
• Express or exchange ideas by means of the spoken word
• Must be able to read, write, and comprehend English
• Perceive the nature of sounds by the ear
• Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus.
• Endure long periods of driving
• Stand, walk and/or sit for extended periods of time.
• Recurring movement to fingers, hands, wrists, legs and feet.
• Moderate bending, kneeling, crouching, reaching, pushing, pulling
• Demonstrate manual dexterity
• Ambulate on rough surfaces and climb stairs
• Lift or move up to 25 lbs when transporting supplies and lift and turn patients in excess of 50 lbs
• The ability to work in a constant state of alertness and safe manner.
• Maintains high standards of integrity and business ethics.
• Abides by company rules, policies and procedures, and applicable laws and regulations.
• Conducts self in an honest, ethical manner.
• Reports promptly any suspected violation of compliance standards via the open door policy.
Reports to the Director of Operations