LPN II - Anacostia

Washington, District of Columbia
Oct 30, 2017
Nov 28, 2017
Contract Type
Full Time
The LPN II will be responsible to provide care under the direct supervision of a Registered Professional Nurse.
Minimum Education
High School Diploma or GED

Specific Requirements and Preferences
HS Diploma, GED or equivalent in addition to completion of a 1-year (minimum length) vocational/technical training program in a related field.

Minimum Work Experience
1 Year(s)

Specific Requirements and Preferences
At least 1 to 2 years of related experience. Pediatric experience preferred.

Required Skills/Knowledge

Ability to perform technical functions interacts with children and families and has good verbal and written communication skills. Demonstrates competence in assisting with procedures.
Must pass Division of Nursing & Patient Services LPN Medication Administration test.

Required Licenses and Certifications

Licensed Practical Nurse

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.
  • Unit Functions

  • Complete a patient assignment and/or assigned task related to Admission, Discharges & Transfers for an assigned unit; accept patient assignments and participate with the primary 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.

  • Recognize and remain with any child in distress, immediately institute Basic Life Support procedure when necessary.

  • Follow physician's orders and nursing directives precisely; carry out STAT orders immediately within the parameters of the LPN Job Description.

  • Follow protocols for Code Blue, Fire and Disaster plans.
  • Patient Services

  • 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 PRN & PO 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.

  • Regularly consult with other nurses and refer to resources on the unit and in the library to gain procedures.
  • Clinical Support

  • Refer to physicians and registered nurses as indicated.

  • Comfort a child using redirection such as touch, talking, etc.

  • Offer extra attention to a child who is alone by sitting with him/her, talking, or playing.

  • Attend unit/hospital inservice education programs.

  • 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.
  • Documentation

  • 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.

  • Organizational Accountabilities (Staff)

    Organizational Commitment/Identification

  • Partner in the mission and upholds the core principles of the organization

  • Committed to diversity and recognizes value of cultural ethnic differences

  • Demonstrate personal and professional integrity

  • Maintain confidentiality at all times
  • Customer Service

  • 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
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