Job Information
Ellis Medicine LPN II in Schenectady, New York
The Licensed Practical Nurse II under the supervision of a registered professional nurse provides supportive and restorative care including basic patient care responsibilities. Activities include, but are not limited to, basic hygiene and comfort needs, nutrition and fluid balance including tube feeding and monitoring IV fluids (including the addition of pre-mixed IV meds), medication administration consistent with scope of practice and regulatory requirements, reinforcement of the established teaching plan and the contribution of information for the planning of care.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Graduation from an accredited LPN Program. Current licensure in New York State or eligibility for limited permit to practice. Documentation of successful completion of pharmacology course required, either through basic program or other approved coursework. Current BLS required. No previous experience required.
PHYSICAL REQUIREMENTS:
The position is located indoors under normal working conditions. Should be able to push/pull 25 lb., lift/move 15 lb. from floor to table, be able to perform moderately difficult manual manipulations such as using a keyboard, writing and filing for extended periods of time, must be able to perform tasks which require hand-eye coordination such as data entry, typing and using photo copiers. Mobility requirements may include the ability to sit at a computer terminal or work station for a prolonged period of time in addition to being able to squat, stand and walk for a reasonable length of time and distance. Sensory requirements include the ability to articulate and comprehend the spoken English language in addition to being able to read the English language.
FUNCTIONAL PERFORMANCE STANDARDS AND RELATED MEASUREMENT CRITERIA:
Performance Standards Measurement CriteriaA.
The Licensed Practical Nurse II will participate in data collection process and report findings to the RN to aid in ongoing development of patient plan of care.
Interviews patient and family to collect pertinent data regarding current illness.
Monitors patient as directed by RN. Communicates findings in a timely manner.
Accurately obtains and records vital signs as ordered, and reports significant variations in a timely manner.
Demonstrates knowledge of age-specific ranges and techniques to obtain vital signs (for unit assigned).
Provides information on patient progress to RN in order to have input into plan of care revision.
B.
The Licensed Practical Nurse II will implement the established plan of care for patient hygiene.
Assists the patient in all ADL including bathing, skin care, feeding, toilet, grooming, dressing and ambulation. Uses age-specific techniques as indicated.
Monitors when appropriate, the healing process of wounds including prescribed dressing changes using correct aseptic technique.
C.
The Licensed Practical Nurse II will monitor patient nutrition and fluid balance.
Measures and records intake of all fluids including intravenous admixtures, oral, diet and tube feedings.
After completion of orientation/clinical validation, administers intravenous solutions observing the following guidelines: a) initiates unmedicated IV solution for peripheral lines, b) replaces bottle/bags for peripheral lines with medicated solutions as outlined in nursing policies, c) changes dressing over IV site prn, d) monitors IV flow rates, e) changes IV tubing, f) discontinues peripheral IV lines, g) trouble shoots flow control devices.
D.
The Licensed Practical Nurse II will provide patients with safe environ-ment.
Monitors patient safety as outlined in PCP and hospital policy.
Monitors patient's skin condition as outlined in the hospital's policies.
Monitors patient in restraint as outlined in hospital policy.
Uses age-appropriate safety measures as indicated to maintain safe patient environment.
Moves and positions patients using correct body mechanics to avoid injury to self or patient.
Operates transportation equipment safely when necessary.
Initiates and maintains CPR until relieved by the Code Blue Team.
Maintains/checks emergency equip-ment on unit as assigned.
E.
The Licensed Practical Nurse II provides emotional support to patient and family.
Reinforces patient teaching as outlined in plan. Uses age-appropriate techniques as indicated.
Explains procedures, which she (he) is administering and refers to appropriate source for more complex procedures.
Communicates in an appropriate man-ner based upon the age and condition of the patient.
Demonstrates respect for the spiritual and cultural beliefs of patients and families.
F.
The Licensed Practical Nurse II will be proficient in use of Ellis Hospital information system.
Demonstrates ability to input infor-mation accurately and retrieve infor-mation as needed.
Documents accurately on appropriate flow sheets in medical record using paper and online methods.
G.
The Licensed Practical Nurse II will demonstrate professional growth in nursing practice. Will demonstrate knowledge of age-specific care for populations as outlined in assigned unit's scope of service.
Functions within the limits of the New York State Practice Act and hospital and nursing service policies and procedures.
Demonstrates skill in knowledge of lifespan development, and the ability to obtain and interpret information regarding patient needs.
Assists in identifying own learning needs and participates in programs and activities to meet these learning needs. Maintains record of own in-service program attendance and/or completion including outside pro-grams, activities and mandatory in-service requirements.
Demonstrates continuous effort to improve skills by participating in unit conferences, asking pertinent ques-tions, and taking initiative to learn in daily activities.
Participates in efforts to continuously improve unit operations.
Recognizes job relationships and functions effectively within the organi-zational structure.
H.
The Licensed Practical Nurse II will administer medication within the confines of the nurse practice act.
Follows hospital and nursing service policies/procedures for medication and intravenous administration.
Does not administer drugs which have to be computed or mixed unless under supervision of an RN.
Does not administer drugs that must be converted to the metric system.
Does not add any medications to an intravenous solution.
Does not administer a drug that has not been properly or clearly labeled.
Does not administer chemotherapy.
Does not administer any medication (except saline and heparin flushes) by direct IV push technique or administer an IV bolus for plasma volume expansion (except in hemodialysis per DOH regulations 400.15).
Administers mini-bags/bottles/ inter-mittent IV's and IV solutions with medication only after the first dose has been administered by an R.N., the "first dose" being defined as a new solution, new medication or changes in dosage of a medication.
Notifies the R.N. of orders for any medication, which Licensed Practical Nurse II is not permitted to administer.
Documents medications and IV administration according to policy/procedure.
Communicates questions and problems regarding medications and IV's to immediate supervisor (RN, NM).
Observes for signs and symptoms of expected action, side effects and toxic effects of medication.
Demonstrates knowledge of age-specific considerations related to medication administration.
May administer medications/IV therapy through central lines, except the venous chest port and venous arm port, and utilize infusion pumps as outlined in policy.
I.
Adheres to the policies and procedures as outlined in the Exposure Control Manual regarding:
Universal Precautions
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1.
Demonstrates knowledge and under-standing of the policies and procedures outlined in the Exposure Control Plan.
Bloodborne Pathogen
Disposal of Needles Syringes and Sharps
Cleanup Procedures for blood and body fluid spills
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2.
Practices safe work techniques and utilize proper engineering controls to minimize the risk of Bloodborne pathogen exposure.
Storage, Handling and Disposal of Medical Waste
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3.
Maintains clean and safe work area free of biohazardous waste.
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4.
Appropriate Personal Protective Equip-ment is utilized when perform-ing a task or responsibility associated with this position, which represents a potential occupational risk of exposure to Bloodborne pathogens.
Appropriate PPE shall include, but not limited to gloves, gown, goggles, laboratory coat, face shields or masks.
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5.
Demonstrates knowledge of the appropriate level of personal protective equipment to be used in relation to the specific tasks and responsibilities.
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6.
Degree of compliance as measured by personal observation of immediate supervisor/manager.
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7.
Degree of compliance as measured by feedback from other supervisors/ managers.
J.
Adheres to hospital policies and procedures related to:
Mandatory education
Annual health assessment
Licensure verification
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1.
Continuing education records will be completed and forwarded to Human Resources annually regarding manda-tory educational requirements.
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2.
Complete annual health assessment form as required, maintains current inoculations.
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3.
Current license as required by N.Y. State will be forwarded to Human Resources upon renewal or issuance.
Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex/gender, age, national origin, disability, genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual orientation, transgender status, gender identity, gender expression, reproductive health decisions, or domestic violence victim status.
Salary Range: $21.22-30.77/Hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.