LPN II - Full Time - Various Ambulatory Clinics
Company: Children's National
Location: Washington
Posted on: April 18, 2024
Job Description:
Qualifications - External
Minimum Education
High School Diploma or GED HS Diploma, GED or equivalent in
addition to completion of a 1-year (minimum length)
vocational/technical training program in a related field.
(Required)
Minimum Work Experience
1 year Related experience (Required)
Required Skills/Knowledge
Ability to perform technical functions interacts with children and
families and has good verbal and written communication skills.
Demonstrates competence in obtaining accurate vital signs,
assessment and documentation of patient care
Successfully complete Division of Nursing & Patient Services LPN
Medication Administration test.
Successfully complete the hospital and nursing orientation
Identify resources and know when to ask for help or escalate
Identify self-learning needs and seek resources to meet those
needs
Demonstrate the basic knowledge , judgement, and skill in the
delivery of the nursing process, secondary assessment, diagnosis,
planning , implementation, education , and evaluation
Successfully completed LPN l role if applicable.
Required Licenses and Certifications
Licensed Practical Nurse Upon Hire (Required)Basic Life Support for
Healthcare Provider (BLS) Upon Hire .
.
Functional Accountabilities
Clinical Process
- Differentiate a new problem from a long term problem at the
time of admission/clinic visit; conduct a patient history in order
to elicit information and establish child's normal baseline
routine; respond to inquiries from families by answering questions;
explain information clearly and thoroughly .
- Accurately take TPR, BP , height & weight, head circumference,
and intake and output measurements according to procedure
- Recognize physical and behavioral changes for groups of
patients usually cared for in the assigned area; perform basic
nursing care which may include bath, personal hygiene, dressing,
linen change, positioning, assisting in the use of bedpan, urinal,
diaper change, and ambulation or holding; perform therapeutic
interventions including tube care, gastrostomy, chest tubes,
urinary catheters, IV starts (IV solution without additives)/veni
puncture, trach care per protocol, and skin care (wound, ostomy)
and all associated procedures (i.e. chest physiotherapy ,
oral/nasal/pharyngeal auctioning, central line dressing change, PD
catheter exit site care); exception: Naso-tracheal/Endotracheal
auctioning, insertion of oral/nasal airway .
- Immediately respond to and assess the child whose feeding MV
pump or monitor is alarming to determine cause of alarm;
troubleshoot the alarm system and follow through on directives;
inform Registered Nurse as needed; recognize basic changes in child
such as: apnea, wheezing, retractions, changes in behavior or LOC,
seizure activity, skin lesions, and poor tissue perfusion.
- Collect and test specimens, pass NG tubes and catheters
according to procedure and unit policy.
- Prepare for the set up of monitors and D.C.'s peripheral IV's
after directed by a Registered Nurse.
Organizational process
- Follow infection control protocols and plans
- Follow protocols for all organizational emergency plans
- Follow nursing practice guidelines and protocols
- Complete a patient assignment and/or assigned task related to
Screening, intake, Admission, Discharges & Transfers for an
assigned unit/clinic; accept patient assignments and participate
with the registered nurse to implement and document care;
- Organize workload in collaboration with a coassigned registered
nurse that must administer a medication or perform an
assessment/care procedure. Contribute to the plan of care for the
patient/family in collaboration with the health care team.
- Follow physician's orders and nursing directives precisely;
carry out STA T orders immediately within the parameters of the LPN
Job Description.
Transformational leadership
- Orient children and families to the geography and regulations
of the area and expected routines for the child; prepare all
assigned children for examination, procedure, or surgery according
to the standards and incorporate principles of growth and
development.
- Review the medical record (progress notes and care plans) and
reinforce teaching that has been outlined by the Registered
Nurse.
- Teach families how to administer routine medications at home
including effects, side effects, and dosage according to preprinted
sheets or guidelines outlined by the primary nurse.
- Implement aspects of the education plan throughout
hospitalization/clinic visit under the direction of the Registered
Nurse or physician as appropriate; provide feedback to RN regarding
patient/family's to teaching.
- Recognize and escalate patient care via the chain of
command
- Contributes to Magnet re-designation as evidenced by timely
completion of education and participation in relevant councils,
committees, task forces and community outreach
- Utilize the current identified process to ensure accurate hand
off
- Demonstrate the ability to work cohesively with the team to
meet patient care needs
Structural empowerment
- Refer to physicians and registered nurses as indicated.
- Performs actions of preventive health care, health maintenance
and care of patients at the direction of the delegating registered
nurse.
- Offer extra attention to a child who is alone by sitting with
him/her , talking, or playing.
- Complete all mandatory education and regulatory
requirements
- Develop annual goals and a personal education program with the
Supervisor to increase understanding of disease, treatments,
etc.
- Assist a float or an orientee if he/she appears uncomfortable
with a procedure within the scope of the LPN job description.
- Work in a collaborative manner with all members of the the
healthcare team
- Participates in ongoing professional development
Exemplary Professional Practice
- Immediately and accurately document observations,
interventions, teaching and the child/family response on the
correct form according to established policy and procedure.
- Participate in the admission/clinic unit data collection and
document on appropriate forms.
- Document medication administration including time, route,
signature, and patient responses, as appropriate, on the correct
form.
- Accepts patient assignment and participates with the nurse to
implement and document care
- Gathers physical and psychological data on patient and family ,
complete accurate and timely patient assignment and required
screening. Docuuments accordingly
- Demonstrate competency in clinical skills within scope of
practice
- Develops and demonstrates assessment, organizational and
prioritization skills necessary to care for patients whose clinical
needs change
- Completes documentation in accordance with polisies and
procedures
- Assess and plan proactively for educational needs throughout
the patient's hospital/clinic visit
- Provide medications safely as ordered following the five
rights
- Organize care to complete assignment
- Demonstrate caring behaviors
- Propose medication refills after successful completion of
medication test based on the departmental or clinical policies and
procedures.
Safety
- Place safety first utilizing the safety axioms
- Recognize and remain with any patient in distress, institute
BLS when necessary
- Continuously validates and verifies information needed for
decision making or documentation
- Demonstrate competency in basic math calculations and
conversions
- Demonstrate accurate , clear and timely verbal and written
communication
- Promotes safety for patients, families, and coworkers
- Recognizes and escalates abnormal clinical findings and ensures
reassessment of all abnormal vital signs and assessments; documents
findings appropriately
Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
- Anticipate and responds to customer needs; follows up until
needs are met
Teamwork/Communication
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others' ideas and opinions
Performance Improvement/Problem-solving
- Contribute to a positive work environment
- Demonstrate flexibility and willingness to change
- Identify opportunities to improve clinical and administrative
processes
- Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
- Use resources efficiently
- Search for less costly ways of doing things
Safety
- Speak up when team members appear to exhibit unsafe behavior or
performance
- Continuously validate and verify information needed for
decision making or documentation
- Stop in the face of uncertainty and takes time to resolve the
situation
- Demonstrate accurate, clear and timely verbal and written
communication
- Actively promote safety for patients, families, visitors and
co-workers
- Attend carefully to important details - practicing Stop, Think,
Act and Review in order to self-check behavior and
performance
Keywords: Children's National, Alexandria , LPN II - Full Time - Various Ambulatory Clinics, Healthcare , Washington, Virginia
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