Lvn (Medical Floor) - Groesbeck, United States - Limestone Medical Center

Description

LVN Job Summary:

Assists the professional nursing staff in providing maximum patient care, assessment, planning, implementation and evaluation of each assigned patient.

Under supervision gives direct and indirect patient care as assigned.


ESSENTIAL FUNCTIONS:

Utilizing the nursing process, completes basic physical and psychosocial assessment of patients and takes nursing histories to provide a basis for development of patient care plans under the direct supervision of the licensed professional

• Identifies teaching/learning/discharge needs at time of admission and throughout hospitalization
• Provides a basic assessment which accurately reflects overt physiological and psychosocial needs of patients and reports unusual findings to appropriate licensed personnel
• Uses input from patient, family, significant others, physician and health care team members

Using nursing care process, plans and provides patient and family care and evaluates patients' response to care provided and redirects care as necessary under the supervision of a Registered Nurse

• Assists with formulating appropriate nursing diagnosis and identifies patient problems from admission data base and ongoing assessment
• Establishes patient outcome goals that are realistic, specific, measurable and progressive
• Initiates interdisciplinary communications and incorporates recommendations
• Consults with a Registered Nurse to formulate care plans that reflect concerns for holistic patient needs for the patient, family and significant others
• Assesses and evaluates patient's response and outcome and makes appropriate modifications on the care plan
• Reviews and updates the care plan as needed with the assistance of the Registered Nurse to reflect patient's current status throughout hospitalization

Implements and monitors appropriate nursing care to meet patient's needs and identifies expected outcome for planned nursing intervention and insures vital information is passed between shifts

• Administers medications according to policy including IV's and IVPB's as prescribed by physicians
• Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient and verifies against medication administration record for accuracy on each shift and on an ongoing basis.
• Monitors all blood transfusions after started by the Registered Nurse and notifies Registered Nurse of any IV push medication to be administered
• Gives exchange report to other health care personnel providing accurate and complete information on each patient at the change of shift, when transferring patient to another unit, at intervals during the shift
• Assesses patients at the beginning of shift for acuity of patient needs/problems and based on that assessment, establishes priority in which work activities are consistently completed by the end of the shift.
• Performs basic nursing skills competently to include but not limited to: intake and output, vital signs, urine testing, specimens/cultures, dressing changes, personal hygiene for patient, skin care, glucose monitoring, airway/suctioning, basic oxygen administration, tube feedings, urinary catheterizations, drains, enemas and intravenous catheterization
• Notifies supervisor and physicians of emergency situations promptly
• Recognizes variances of vital signs and assessments that should be reported to the Registered Nurse, supervisor and the physician and notify physician in time appropriate to the variance
• Functions proficiently in unit nursing modalities
• Consistently checks for new patient orders throughout the shift and implements them in an appropriate time frame

Participates in health care educational needs for the client family and others with regard to patient care needs, disease prevention and health maintenance measures

• Assists the Registered Nurse in the developing and implementing an individualized teaching and discharge plan at admission and throughout hospitalization
• Initiates and documents progressive patient, family or significant other teaching on admission and throughout hospitalization

Maintains accurate and timely records according to hospital policy and procedures.

• Accurately documents on each shift the nursing patient care activities and the patient response to nursing interventions and delegated medical management
• Assists with maintaining a patient care plan that is current and reflects individual needs and preferences of patients and others
• Documents teaching completed and patient and family response in the patient record
• Transcribes and/or cosigns physicians' orders completely and accurately according to hospital policy and practice

OTHER SIGNIFICANT REQUIREMENTS

• Maintains HIPAA required and all other confidentiality while working with confidential matters on a daily basis
• Provides service direct to patients while maintaining a positive patient relations atmosphere
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