POSITION SUMMARY The Licensed Practical Nurse (LPN) in the Medically Ready for Discharge Unit (RDU) works under the supervision of the RN to provide direct patient care for patients medically ready for discharge but experiencing delays due to various barriers. This role involves working collaboratively with a multidisciplinary team, and assigning/supervising tasks to LPNs, Certified Nursing Assistants (CNAs), and unregulated assistive persons (UAPs). The LPN maintains an in-depth knowledge of nursing principles, practices, standards and techniques, and applies knowledge in accordance with Sky Lakes Medical Center policies and procedures and within the standards and scope of practice for LPNs in the State of Oregon. QUALIFICATIONS Required : Current Oregon State LPN licensure; proficiency in basic nursing skills, patient assessment, and documentation; knowledge of discharge planning processes and basic patient education techniques; strong communication and interpersonal skills; ability to work collaboratively within a multidisciplinary team; flexibility and adaptability in a dynamic healthcare environment focused on discharge readiness. Preferred: Prior experience in acute or transitional care settings. Lic/Reg/Cert: Current Oregon LPN license. TYPICAL PHYSICAL/MENTAL DEMANDS Must be in good general health, able to frequently stoop, bend, reach, stand, walk, and sit. Must be able to lift at least 50 pounds or more and push/pull hospital equipment. Must be able to function during periods of stress, trauma and/or disease. ESSENTIAL JOB FUNCTIONS Patient Care: The LPNs practice of practical nursing occurs at the clinical direction of an RNs plan of care and includes: Provision of Direct Patient Care - Perform a focused assessment of the patient’s priority condition, as identified by the RN. Develop a focused plan of care that addresses the patient’s priority condition and interventions, as identified by the RN. Implement prioritized focused plan of care interventions. Evaluation of Patient - Response to focused plan of care interventions. Progress toward expected outcomes as identified by the RN’s plan of care. Communicates patient status, and any concerns or issues regarding the RN’s plan of care. Assignment of Interventions - The LPN may assign focused plan of care interventions to an LPN, CNA, or UAP according to their license, certification, or organizational job description, and to patient needs. The LPN must assign and supervise tasks based on the focused plan of care. The LPN’s practice of practical nursing includes the following limitations: The LPN cannot conduct a focused assessment or create a focused plan of care outside the parameters of the RN’s plan of care. For a situation that presents outside of the parameters of the RN’s plan of care, the LPN may collect patient data and must communicate patient data to and seek direction from the RN. Documentation: Accurately document focused assessments, focused interventions, patient responses, and progress in electronic health record. Ensure completion of all required documentation in a timely manner, per hospital policy and regulatory standards. Patient Education: Assist in providing patient/family education, reinforcing discharge plans, medication instructions, and follow-up care needs. Communication and Collaboration: Communicate effectively with the interdisciplinary team to ensure care continuity, timely updates, and smooth transitions. Collaborate with RNs, case managers, social workers, and interdisciplinary team members to assist with discharge planning Quality Improvement, Safety, and Compliance: Adhere to all hospital policies, procedures, and protocols. Report any concerns promptly to the charge nurse, unit manager or appropriate staff. Demonstrate awareness of cost containment and economical use of supplies and equipment. Participate in unit-based quality improvement initiatives to enhance patient outcomes and discharge efficiency. MARGINAL JOB FUNCTIONS Performs other duties as assigned.
QUALIFICATIONS Required: Willing to work varied hours with flexible schedules and every other weekend; Supplemental RN’s must be available 50% day shift and 50% night shift; and Excellent communication skills both orally and written. Preferred: Basic knowledge of psychosocial concepts and problem-solving skills. Lic/Reg/Cert: Current Oregon RN license. TYPICAL PHYSICAL/MENTAL DEMANDS Must maintain knowledge of and practice safe body mechanics. Must be physically able to stoop, bend, reach and frequently lift 50 pounds or more. Continuous walking and/or standing throughout shift required. ESSENTIAL JOB FUNCTIONS Maintains overall responsibility for patient care/ non RN employee’s job performance on assigned unit and delegates patient care tasks to team members within respective practice parameters. Evaluates/corrects/directs/redirects care and assignment of staff as patient needs, outcome and staffing activity dictate. Identify and communicate unit staffing needs as per Nursing Department staffing matrix, patient acuity, professional judgment and reports valid inadequate staffing to management. Gathers data, accurately documents information and observations that contribute to the patient’s plan of care. Set patient outcomes and evaluate progress. Assures, as a responsible member of the total healthcare team, that nursing care is accomplished effectively and that the medical regime for each patient is carried out as prescribed by the physician in collaboration with other disciplines. Participates with health care team members in facilitating patients and families learning throughout the hospital experience in preparation for discharge. Reinforces patients continued health care through teaching and/or referral to case management/resource management for community agency follow-up. Maintains a constant awareness of the legal aspects of nursing and demonstrates this in his/her decisions and documentation regarding patient care within the Registered Nurses scope of practice. Demonstrates an awareness of cost containment and economical use of supplies and equipment. Properly charges items as appropriate. Demonstrates time management effectively. Attends 75% of staff meetings, other meetings and in-services as requested. Is accountable for information given. Supervises, reviews and assists other team members in providing appropriate, timely care. Listens to and resolves immediate problems/grievances of supervised non RN employees. Recommend higher levels of discipline when appropriate. Participates in peer evaluations, evaluates those supervised and recommends appropriate personnel action of work improvement plans. Reports to Nursing Management any work performance problems, policy violations, or misconduct by coworkers on unit. Provides ongoing education to hospital staff regarding patient care in the form of in-services and individual orientation to the philosophy of health care and health care procedures. Participates in orientation of new personnel. Participates in activities which promote professional growth and self-development and is evidenced in daily practice. Maintains quality and efficiency standards as set by the immediate supervisor and makes recommendations for improvements. Performs and maintains skills and competency on an annual basis in Labor and Delivery, Mother/Baby, Special Care Nursery, and Pediatrics as evidenced by completion of initial orientation, annual, and new procedure checklist. MARGINAL JOB FUNCTIONS Performs other duties as assigned. PAY RANGE - $51.80 - $73.96
QUALIFICATIONS Required: Willing to work varied hours with flexible schedules & every other weekend; Supplemental RN’s must be available 50% day shift and 50% night shift; Excellent communication skills both orally and written. Preferred: AHA PALS certification; Basic knowledge of psychosocial concepts and problem-solving skills. EFM Advanced for Charge Nurses. Lic/Reg/Cert: Current Oregon RN license. TYPICAL PHYSICAL/MENTAL DEMANDS Must maintain knowledge of and practice safe body mechanics. Must be physically able to stoop, bend, reach and frequently lift 50 pounds or more. Continuous walking and/or standing throughout shift required. ESSENTIAL JOB FUNCTIONS Maintains overall responsibility for patient care/ non RN employee’s job performance on assigned unit & delegates patient care tasks to team members within respective practice parameters. Evaluates/corrects/directs/redirects care & assignment of staff as patient needs, outcome, & staffing activity dictate. Identify & communicate unit staffing needs as per Nursing Department staffing matrix, patient acuity & professional judgment & reports valid inadequate staffing to management. Gathers data & accurately documents information & observations that contribute to the patient’s plan of care. Set patient outcomes & evaluate progress. Assures, as a responsible member of the total healthcare team, that nursing care is accomplished effectively & that the medical regime for each patient is carried out as prescribed by the physician in collaboration with other disciplines. Participates with health care team members in facilitating patients & families learning throughout the hospital experience in preparation for discharge. Reinforces patients continued health care through teaching and/or referral to case management/resource management for community agency follow-up. Maintains a constant awareness of the legal aspects of nursing & demonstrates this in his/her decisions & documentation regarding patient care within the Registered Nurses scope of practice. Demonstrates an awareness of cost containment & economical use of supplies and equipment. Properly charges items as appropriate. Demonstrates time management effectively. Attends 75% of staff meetings & other meetings & in-services as requested. Is accountable for information given. Supervises, reviews, & assists other team members in providing appropriate, timely care. Listens to & resolves immediate problems/grievances of supervised non-RN employees. Recommend higher levels of discipline when appropriate. Participates in peer evaluations & evaluates those supervised & recommends appropriate personnel action of work improvement plans. Reports to Nursing Management any work performance problems, policy violations, or misconduct by coworkers on unit. Provides ongoing education to hospital staff regarding patient care in the form of in-services & individual orientation to the philosophy of health care & health care procedures. Participates in orientation of new personnel. Participates in activities which promote professional growth & self development & is evidenced in daily practice. Maintains quality & efficiency standards as set by the immediate supervisor & makes recommendations for improvements. Performs and maintains skills and competency on an annual basis in Labor & Delivery, Mother/Baby, Special Care Nursery, and Pediatrics as evidenced by completion of initial orientation, annual, and new procedure checklists. MARGINAL JOB FUNCTIONS Performs other duties as assigned. PAY RANGE - $51.80- $73.96
QUALIFICATIONS Required: Basic nursing skills; Terminology, theory, techniques and practices of professional nursing including the normal conditions of the specialty to which assigned; Concepts of medical, surgical asepsis and disease processes; Effective communication skills in writing and speaking; Skills essential to the position are efficiency in care management, flexibility with priorities and activity; Demonstrated skills in analyzing problems, decision-making, planning and implementing action; Knowledge of and ability to use specialized equipment for assigned unit; Ability to establish and maintain effective relationships with patients and their families, physicians, and fellow co-workers; Demonstrate leadership abilities and be able to counsel and guide employees as necessary; Courteous and accountable, with maturity to accept responsibility for self; Demonstrates active listening skills and is objective and impartial; Demonstrate a calm, sure demeanor and be able to prioritize appropriately in a multi-tasks, busy, acute care environment; Adaptive to a multi-cultural, multi-lingual patient and staff population. Preferred: BSN; PCCN; one year of acute care experience. Lic/Reg/Cert: Current Oregon RN license. TYPICAL PHYSICAL/MENTAL DEMANDS Must be in good general health, be able to frequently stoop, bend, and reach. Must be able to withstand constant walking, standing, lifting at least 50 pounds or more, push/pull regulation hospital equipment, occasional sitting. Must be able to function during periods of stress, trauma and/or disease. Demonstrate knowledge of and practice of safe body mechanics and willing to be flexible, within reason, to meet the staffing needs of an assigned unit. ESSENTIAL JOB FUNCTIONS Demonstrates and applies an in-depth knowledge of nursing principles, practices, standards and techniques Applies nursing knowledge in accordance with department and Medical Center policies and procedures. Maintains a current awareness of the abilities and limitations of each staff member and assigns duties appropriate to each individual. Assesses the patient and implements appropriate nursing actions to meet the patient’s physical, emotional, spiritual, social and intellectual needs; documents those needs with appropriate multidisciplinary approach, in a clear, concise, objective and legible way. Actively initiates, reviews and documents patients’ Plan of Care elements every shift. Maintains an active involvement in issues of cost containment at all times. Demonstrates ability to identify and solve problems using critical thinking and professional judgment. Demonstrates an ability to communicate effectively using pertinent data with physicians, patients, families and peers. Demonstrates a positive role in supporting, educating, and managing-up co-workers. Effective, accurate and timely communication of problems and participation in resolution. Initiates, supports, modifies and improves nursing practice in providing patient care as departmental goals / objectives change and as nursing practice dictates. Regularly reviews work in progress to ensure care is proceeding as scheduled. Involves patient and families in education and preparation for discharge. Takes personal accountability for ongoing professional development in partnership with department leadership. Demonstrates the ability to prioritize and effectively utilize time management techniques. MARGINAL JOB FUNCTIONS Performs other duties as assigned. PAY RANGE - $51.80 - $73.96
QUALIFICATIONS Required: Basic nursing skills; Terminology, theory, techniques and practices of professional nursing including the normal conditions of the specialty to which assigned; Concepts of medical, surgical asepsis and disease processes; Effective communication skills in writing and speaking; Skills essential to the position are efficiency in care management, flexibility with priorities and activity; Demonstrated skills in analyzing problems, decision-making, planning and implementing action; Knowledge of and ability to use specialized equipment for assigned unit; Ability to establish and maintain effective relationships with patients and their families, physicians, and fellow co-workers; Demonstrate leadership abilities and be able to counsel and guide employees as necessary; Courteous and accountable, with maturity to accept responsibility for self; Demonstrates active listening skills and is objective and impartial; Demonstrate a calm, sure demeanor and be able to prioritize appropriately in a multi-tasks, busy, acute care environment; Adaptive to a multi-cultural, multi-lingual patient and staff population. Preferred: BSN Lic/Reg/Cert: Current Oregon RN license. TYPICAL PHYSICAL/MENTAL DEMANDS Must be in good general health, be able to frequently stoop, bend, and reach. Must be able to withstand constant walking, standing, lifting at least 50 pounds or more, push/pull regulation hospital equipment, occasional sitting. Must be able to function during periods of stress, trauma and/or disease. Demonstrate knowledge of and practice of safe body mechanics and willing to be flexible, within reason, to meet the staffing needs of an assigned unit. ESSENTIAL JOB FUNCTIONS Demonstrates and applies an in-depth knowledge of nursing principles, practices, standards and techniques. · Applies nursing knowledge in accordance with corporate and procedures and adheres to policies and procedures of the department and Medical Center. · Maintains a current awareness of the abilities and limitations of each staff member and assigns duties appropriate to each individual. · Demonstrates patients plan of care by setting outcomes, follow through and documents progress/lack of progress and teaching efforts during every shift worked. · Assesses the patient and implements appropriate nursing actions to meet the patient’s physical, emotional, spiritual, social and intellectual needs; documents those needs with appropriate multidisciplinary approach, in a clear, concise, objective and legible way. · Maintains an active involvement in issues of cost containment at all times. · Demonstrates ability to identify and solve problems using critical thinking and professional judgment. · Demonstrates an ability to communicate effectively using pertinent data with physicians, patients, families and peers. · Demonstrates a positive role in evaluating, correcting and re-directing patient care staff as needed. · Effective and accurate and timely communication of problems and participation in resolution. · Serves as clinical resource person to staff members in their daily activities. · Initiates, supports, modifies and improves nursing practice in providing patient care as departmental goals / objectives change and as nursing practice dictates. · Regularly reviews work in progress to ensure care is proceeding as schedules. Involves patient and families in education and preparation for discharge. · Demonstrates the ability to prioritize and effectively utilize time management techniques. · Completes required hours of orthopedic education topics annually as directed by the Ortho Steering team for the Hip and Knee program certification. · Meets clinical competencies of hip and knee certification program in order to directly care for a Hip and Knee patient. MARGINAL JOB FUNCTIONS Performs other duties as assigned. PAY RANGE - $51.80-$73.96
