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Licensed Practical Nurse in Southfield, MI at Oakland Regional Hospital

Date Posted: 6/26/2018

Job Snapshot

Job Description

Shift Time: Days
Shift Length: 0700 - 1930
Standard Hours Per Week: 24 hours/week

Role/Position Definition:

Responsible for the provision of nursing care to patients and to direct non-licensed staff in the same. Assesses, plans care, provides treatment regimes, evaluates care and collaborates with the physicians and interdisciplinary care delivery team to provide comprehensive nursing care. Serves as resource person to PCT staff, assuming leadership roles and responsibilities, as assigned.

Duties & Responsibilities:

A. Assesses the needs of the patients, including physical, emotional, psychological, spiritual, and social. Refers and collaborates with Registered Nurse on duty regarding abnormal findings, immediately upon assessment. Completes admission assessments, establishes nursing diagnosis and nursing care plans based on assessment, revises care plans as condition changes.
B. Reviews laboratory test results, diagnostic test results and consult reports and forwards to physician immediately if abnormal, initiates appropriate nursing interventions. Reviews all abnormal results with Registered Nurse on duty. Documents communication with physician, subsequent medical orders, nursing interventions and administered treatment.
C. Administers treatments following written physician orders and review of patient’s condition. Collaborates with interdisciplinary team in determining appropriate treatment type, duration and dosage. Operates a variety of equipment and performs a variety of treatments, including but not limited to, Tube feeding, EKG, foley catheter insertion/care, oxygen administration, care of the tracheostomy, wound care, IV insertion, phlebotomy. DOES NOT administer IV push medication.
D. Assists patients to optimize independence, including but not limited to, ADL skills, mobility needs, improving cognition, nutritional intake and bowel and bladder retraining. Provides direct patient care as needed and assists non-licensed staff members as necessary.
E. CPSI Documentation is accurate, consistent and concise supporting assessment of patients, all treatments given, patient’s response to treatment, and changes in treatment plans. Documentation is in approved format and on designated tools. All documentation, both narrative and flow sheets, is completed prior to the end of tour of duty, including co-signature and review of non-licensed staff documentation.
F. Provides patient education and discharge instructions related to medical and rehabilitation needs. Documentation reflects all teaching provided and patient/family understanding and return demonstration of self-care, on designated tools. Refers complicated cases to members of interdisciplinary team for further instruction. Participates as assigned at Team Conferences, communicating patient education and care needs.
G. Provides discharge instructions to patient/family. Documents all instructions and teaching on designated tools. Communicates, with facilities receiving patient upon transfer from Hospital.
H. Administers medication as per policy/procedure; oral, rectal, intramuscular, sub-cutaneous, subdermal, IVPB, PICC, ocular and otic. DOES NOT administer IVP medications. Demonstrates knowledge of medications and interactions, if questions arise demonstrates appropriate follow through. Appropriately documents medication held, refused or unavailable, communicating the same to the physician/designee.
I. Responds quickly and appropriately to emergency situations. Assumes roles during Code Blue emergency and conducts role without difficulty. Monitors and maintains necessary equipment and supplies.
J. Accurately notes and inputs physician/designee orders into CPSI. Exercises clinical judgment and discusses/questions orders as applicable, prior to executing.
K. Walking rounds done at least every hour on assigned patients.
L. Demonstrates customer focus and action orientation. Treats all customers, co-workers and supervisors with respect. Helps create and maintain a positive work environment. Adheres to and demonstrates Hospital policies, procedures, guidelines and protocols. Actively participates in process improvement activities and/or committees to improve care delivery and unit operations.

Job Requirements

Qualifications/Position Requirements:

A. Education/Experience

a) Graduate of accredited school of licensed practical nursing required.
b) 1+ years of experience as a LPN strongly preferred.
c) 1+ years of experience providing care in a hospital setting preferred.
d) Experience in a Skilled Nursing Facility or long-term care setting required.

B. Licensure/Certification

a) Current unrestricted LPN License from the State of Michigan required.
b) Current Basic Life Support Certification for Healthcare Providers, from the American Heart Association required.

C. Knowledge, Skills, and Abilities

a) Knowledge of BLS protocols in code situations, medication interaction/reactions, pain management, wound care, and performance of patient assessments.
b) Knowledge of medical terminology, human anatomy, and physiology.
c) Requires immediate judgment and response; occasionally in response to disasters or emergencies, actual events or drills.
d) Requires high-level visual and auditory acuity for timely response and patient care assessment activities.
e) Requires effective listening and language skills adequate for high-level written and interpersonal communication.
f) Must possess customer service skills and be able to demonstrate at all times.
g) Must be able to demonstrate leadership skills with necessary.
h) Must be able to answer call lights and multi-task.
i) Ability to measure/record/evaluate vital signs.
j) Ability to move quickly in response to physician and patient needs.
k) Ability to recognize and process confidential and sensitive information appropriately.


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