LPN II - Anacostia Facility

6 days left

Location
Washington, District of Columbia
Salary
Competitive
Posted
Oct 30, 2017
Closes
Nov 29, 2017
Specialty
LPN / LVN
Contract Type
Permanent
Hours
Full Time
Children's National is the leading provider of pediatric care in the Washington, DC, area. Our team of 6,000 employees provide world-class care in a warm and caring environment designed with kids in mind. Children’s National is a Magnet® designated hospital and is consistently ranked among the best pediatric hospitals in America by U.S.News and World Report.

We’re more than just a hospital, we’re a health system for kids. From our main hospital to our outpatient centers and primary care facilities, we are dedicated to serving children’s health needs in any illness or injury.

We have a great opening! Our Anacostia Center is seeking a dynamic LPN to support the unit. The LPN II will be responsible to provide care under the direct supervision of a Registered Professional Nurse.
Qualifications
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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