Licensed Practical Nurse

Overview

Title of Position: Licensed Practical Nurse
Title of Immediate supervisor: Clinical Manager 
Risk of exposure to Bloodborne Pathogens - High

General Duties

  • Provide skilled nursing care under the direct supervision of the Registered Nurse.
  • Perform selected skilled actions in the provision of curative, rehabilitative, palliative or preventative nursing care.
  • Is responsible and accountable for making decisions that are based on the individual's nursing experience and educational preparation.

Responsibilities

  • Submit clinical notes within forty-eight (48) hours after visit completed and progress notes and other clinical record forms outlining the services rendered as indicated.
  • Assist the Registered Nurse in carrying out the plan of care.
  • Assist the Registered Nurse in performing specialized procedures as directed by the Registered Nurse under physician's orders.
  • Assist with the preparation, implementation and continuing evaluation of the patient care plan.
  • Recognize and understand the effects of social and economic problems upon patients and provides for the emotional and physical comfort and safety of patients.
  • Help teach the patient the appropriate self-care techniques.
  • Foster cooperative effort among personnel by understanding the functions of other persons involved in patient care and by active participation in team and staff conferences.
  • Assume responsibility for personal and vocational growth and development through active participation in nursing organizations and participating in in-service programs and other on the job learning.
  • Prepare clinical and progress notes (not to include admission).
  • Observe, record, and report immediately to the appropriate person patient  symptoms, reactions and changes indicative of a change in condition including, but not limited to:
  • The general physical and mental condition of patients and signs and symptoms which may be indicative of untoward changes.
  • Stresses in human relationships between the patients and staff personnel and between patients and their families and visitors.
  • Observe, record and report to the appropriate person the general physical and mental condition of patients and signs and symptoms which may be indicative of changes in condition.
  • Assist with the rehabilitation of patients according to the medical care plan by encouraging the interests and special aptitudes of the patient and encouraging patients to help themselves using their own capabilities.
  • Further assist in rehabilitation by reporting any abnormality in the patient’s range of motion, body mechanics or body alignment. 
  • Actively participate in nursing organizations and promotes and participates in in-service programs.
  • Calls patient and/or patient family on a daily basis to confirm appointments the day before a scheduled visit.

Treatments and Procedures

The Licensed Practical Nurse with the education and proven clinical competence may perform certain treatments/procedures provided the Home Health Agency’s policies and the State’s Regulatory Acts allow their performance. Only advance LPNs with documented skill in performing these functions may:



  • Administer medications
  • Hang hydrating fluid without medications
  • Flush peripheral lines with  saline or heparin solutions
  • Calculate and adjust flow rates
  • Hang I.V.s premixed with medications
  • Start peripheral I.V.s
  • Inspect insertion sites, change dressings, and remove peripheral I.V. needles/catheters
  • Check blood with a Registered Nurse


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