Float LPN PRN

WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION                                                                                                                                                               Licensed Practical Nurse                                                                                                                                                              MAIN FUNCTION: Provides nursing care to patients in an efficient, competent and caring manner. Works under the direction of an RN and within the Nurse Practice Act to provide care via the applicable portions of the Nursing Process.  Communicates effectively with patients, support person(s) and other members of the health care team.  Acts in compliance with the hospital and nursing policies and procedures.  Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook.   RESPONSIBLE TO:  Department Manager, Assistant Manager, Charge Nurses, RN staff     MUST HAVE REQUIREMENTS: * Licensed in the State of Ohio * Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.LPN with one year of home care experience * IV Certification for the following units: TCU, IRU, Float, PCU, MS, ED, WP   OTHER REQUIREMENTS: Employees in this position may be: 1. Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment 2. Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks   100. Required to take "on call" status   500. Reassigned to another nursing unit to provide nursing care within current job description   5. Subject to STHR (short term hour reduction) according to policy                                                                                                                                                              POSITION EXPECTATIONS:   All expectations detailed below are considered ADA (American Disabilities Act) Essential.                                                                                                                                                              Leadership 1. Embraces teamwork by adhering to Nursing Practice Model    2. Accepts and responds to change productively, while maintaining a positive attitude 3. Demonstrates professional behavior and competent nursing practice 4. Demonstrates basic conflict resolution skills 5. Participates in the implementation of the nursing process within the scope of LPN practice       _______________________________________________________________________________            Communication 1. Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families 2. Maintains patient confidentiality in all communication interactions: written, verbal, electronic and digital 3. Collaborates and communicates effectively with all members of the health care team 4. Demonstrates basic ability to initiate and manage crucial conversations  5. Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication 6. Demonstrates acceptance of supervisory authority, guidance and instruction. Follows   appropriate channels of communication. 7. Participates in team collaboration/huddles 8. Reports critical information to RN 9. Interact with clinical students in a positive, productive manner                                                                                                                                                               Operations 1. Maintains appropriate clinical skills: * Administers care according to WCH/unit policy/procedure current standards of care and Ohio Nurse Practice Act * Under direction of RN, performs data collection and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines.  Communicates changes in patient condition to team leader/Clinical Coordinator in timely manner * Reviews plan of care developed by RN Team Leader/Clinical Coordinator * Under direction of the RN, provides age appropriate health teaching related to diagnosis,     patient/family need, and medication using available teaching resources * Work habits are consistently adjusted to accommodate multiple responsibilities and are    prioritized and completed in a timely manner.  * Effectively utilizes time management and organizational skills * Other duties as assigned by management team 2. Administers medication safely: * Correctly demonstrates use of electronic MAR to document medication administration * Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis * Follows 6 rights of medication administration (6th is right documentation) * Demonstrates appropriate/safe medication handling * Reassesses and documents effectiveness of medication   100. Participates, in conjunction with the RN/Clinical Coordinator (Home Health role), in huddles and patient rounds to:  * Evaluate the environment to assure safety & infection control standards met * Evaluate the care provided according to standards and evidence based practice * Evaluate the educational plan and its implementation, assessing for gaps in care * Evaluate for any additional /alternative care needs, and patient/family satisfaction * Evaluate adherence to documentation of care    101. Coordinate work to achieve maximum productivity.   Able to multitask and prioritize workload. 102. Demonstrate reasonable and rational judgment in decision making                                                                                                                                                              Customer Service 1. Displays positive attitude.  Treats others with honesty and respect.  Speaks positively in all customer interactions internal and external. 2. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems 3. Use AIDET to: * Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing      the patient’s compliance * Develop positive relationships with other departments to foster patient satisfaction 4. Use face to face resolutions (crucial conversation) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution                                                                                                                                                              Staff Development / Personal Growth In conjunction with the Department Manager, Clinical Specialist and / or Educator: 1. Function as a mentor, seeking learning opportunities for students 2. Demonstrates initiative and responsibility to develop personal, leadership and career goals  3. Demonstrate professional development by attending conferences, participating in committees/unit projects 4. Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care 5. Accept feedback as opportunity for growth 6. Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives.  Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers.                                                                                                                                                               Performance Improvement 1.  Identify processes to be improved and communicate to management team. Assists in data collection as directed. 2. Participates on at least one team, project and/or committee:   unit, departmental or hospital based 3. Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures 4. Develop and maintain ongoing understanding of nursing best practices for the types of patients for whom care is provided   AGE SPECIFIC COMPETENCY   Dependent upon department and the population served:                                                                                                                                                              Neonatal (Birth thru 28 days)                                                                                                                                                              1. Handles infants in gentle manner 2. Speaks in soothing voice 3. Holds and cuddles infant when necessary 4. Facilitates parental interaction and care of infant                                                                                                                                                              Infant (29 days thru 12 months)                                                                                                                                                              1. Approaches infant in slow, non-threatening way 2. Speaks in soothing way 3. Holds and cuddles infant as much as possible 4. Encourages parental interaction with infant 5. Allows for familiar toys/blankets to be brought from home                                                                                                                                                              Pediatrics (one year thru 11 years)                                                                                                                                                              1. Allows choices when possible 2. Speaks directly using few, clear, simple terms and explanations 3. Limits number of strangers entering room 4. Provides consistent nursing assignments 5. Does not shame parents for lack of cooperation 6. Holds child for painful procedures                                                                                                                                                              Adolescents (12 years thru 18 years)                                                                                                                                                              1. Allows participation in care and choices as appropriate 2. Provides for patient's modesty 3. Tells patient exactly what will be expected 4. Allows patient control 5. Speaks directly to patient in simple medical terms                                                                                                                                                              Geriatrics (65 years and older)                                                                                                                                                              1. Identifies physical/social/emotional barriers and physical limitations at discharge 2. Teaches patient about one item at a time 3. Repeats instructions several times 4. Speaks slowly and distinctly when talking to the patient                                                                                                                                                              Float LPN (Med Surg, Inpt Rehab, PCU)                                                                                                                                                              MAIN FUNCTION:  Float staff will be assigned to one unit manager for performance evaluation, but will also be responsible to management team where they are assigned each shift. Float staff are held accountable to the job description for their base units.   MUST HAVE REQUIREMENTS: * 1 year current hospital experience as a LPN   PREFERRED ATTRIBUTES: * Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms and institute appropriate interventions.   Additional Position Expectations 1. Demonstrates basic knowledge of orthopedic procedures, treatments and equipment 2. Maintains quarterly unit specific competency in each float unit   Inpatient Rehab LPN                                                                                                                                                              MAIN FUNCTION:  Provide and document the care of Rehabilitation patient under the direction of the RN, using the Functional Instrument of Measure to support the goals identified by the rehabilitation physician and team.   PREFERRED ATTRIBUTES: * One year experience in rehabilitation nursing or acceptable related training and experience   Additional Position Expectations 1. Maintains unit specific clinical skills 2. Demonstrates basic knowledge of rehabilitation nursing 3. Demonstrates basic knowledge and care of stroke patients 4. Demonstrates accuracy in documenting FIMS (Functional Independent Measure Scores)   ____________________________________________________________________________________ Med Surg LPN                                                                                                                                                              MAIN FUNCTION:   Provide and document the care of medical/surgical, and orthopedic adolescent/adult patients under the direction of the RN.    PREFERRED ATTRIBUTES: * Orthopedic experience * Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions   Additional Position Expectations * Demonstrate basic knowledge of orthopedic procedures, treatments, and equipment                                                                                                                                                                    Progressive Care LPN                                                                                                                                                              MAIN FUNCTION: Under the direction of Registered Nurse staff, participates in the care of medical and surgical adolescent/adult patients with a cardiac focus.     PREFERRED ATTRIBUTES: * Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions. Additional Position Expectations 1. Demonstrate knowledge and use of oral Vasoactive medications for Step-down patients under direction of RN 2. Demonstrate competency using cardiac monitor and other equipment 3. Recognize cardiac arrhythmias and institute appropriate interventions under direction of RN     Transitional Care Unit LPN                                                                                                                                                              MAIN FUNCTION: Provide and document the care of rehabilitation patient under the direction of the RN.    PREFERRED ATTRIBUTES: * One year experience in rehab nursing or long term care is preferred   Additional Position Expectations 1. Demonstrates basic knowledge of rehab nursing 2. Demonstrates basic knowledge and care of stroke patients 3. Demonstrates accuracy in documenting MDS   REV: 2/23, 9/2/25 Approved: TMMYERS PRN- 24 hrs per 4 week schedule PRN