Position Summary :
Provides nursing care to an assigned group of homebound patients under the supervision of a Registered Nurse; administers care with other disciplines.
The LPN / LVN reports to the assigned Clinical Supervisor.
Responsibilities
- Performs and records cardiovascular assessments, pulmonary assessments, neurological assessments, GI assessments, skin assessments, intake and output assessments, and pain assessments.
- Performs treatment procedures which include, but are not limited to, insertion of nasogastric / gastrostomy tube, replacement of gastrostomy tube, giving medications by N / G tube, gastrostomy tube and JeJunostomy tubes, providing teaching / training for patient / caregiver on care of feeding tube, insertion of weighted feeding tube, and providing care for patients with bolus tube feeding method and tube feeding per enteral pump.
- Performs intravenous procedures such as inserting peripheral IV line; calculating and maintaining correct rate of IV infusion, labeling, and changing tubing;
and performing venipuncture. (Must have IV Certification to perform.)
- Provides colostomy care, tracheostomy care, and suctioning.
- Administers medications per HomeCare policy. Clearly documents administration of medications. Checks for allergies and MD orders before administering medications.
- Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines.
- Follows appropriate plan of care after admission, including discharge and on-call as outlined by HomeCare policy. Consults RN and / or Clinical Supervisor regarding plan of care and care plan changes, including needs for other disciplines (HHA, OT, PT, MSW, ST, and Dietician).
- Supplements the nursing care needs of the patient as provided for by the RN in the plan of care including :
- providing services in accordance with program policies;
- preparing clinical and progress notes;
- assisting the RN or physician in performing specialized duties;
- assisting the RN in carrying out the plan of care;
- assisting the client in learning appropriate self-care techniques; and reporting changes in client's condition to the RN.
- Works collaboratively with members of the team to help meet positive patient care outcomes.
- Performs basic infection control techniques according to Covenant HomeCare policy. Examples are proper hand-washing; glove usage;
- appropriate handling and disposing of wastes, body fluids, contaminated trash, and needles; proper handling of soiled or contaminated linens or garments;
and cleaning all equipment used in the home properly.
- Checks schedule and calls patients to provide patients with arrival times.
- Demonstrates ability to perform skills on annual skills check list.
- Local travel required.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications
Minimum Education :
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and / or certification as required by the issuing authority.
Minimum Experience :
One (1) year of professional experience in hospital or prior home health experience. Successful completion of LPN advanced skills course.
Licensure Requirement :
Must have and maintain Tennessee LPN license or Licensed Vocational Nurse. CPR required. Employee must have a valid Tennessee driver’s license and state mandated minimum insurance coverage.
Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.