LPN Office Nurse - Per Diem - Physician Practices

apartment Fresenius Medical Care location_onRochester, NY

Outpatient Licensed Practical Nurse - LPN LVN - Dialysis

Located at Greece in Rochester, NY PURPOSE AND SCOPE: Functions as a member of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a registered nurse in accordance with Fresenius Kidney Care (FKC) policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists with clinical orientation precepting and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC. Participates in the implementation and evaluation of patient care. Promote and assist in the maintenance of a safe and clean working environment. Supports the FKC commitment to the Quality Enhancement Program (QEP) and Quality Assurance Indicators (QAI) activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED Participates in the recruitment process for new clinical staff. Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC. Functions as preceptor in direct patient care training programs to support the delivery of quality patient care as per the standards set forth in the FKC Clinical Services Clinical Training Manual(s), FKC policies and procedures, and FKC training standards. Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other LPNs and PCTs. Collaborates with the Clinical Manager and Education Coordinator in driving FKC quality standards through education regarding all Chronic Kidney Disease (CKD) regulatory and legal requirements and the practice of Continuous Quality Improvement. Assists in training of applicable direct patient care staff on appropriate programs. Provides coaching and developmental support to applicable clinical and facility staff. Education/Communication: Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives. Participates in implementing and potentially designs creative educational programs for direct patient care staff including contests and other team-based programs. Monitors processes in the delivery of patient care through regular Quality Assurance Indicator (QAI) activities. Ensures all FKC business policies, procedures and systems are incorporated into training, including compliance with ethical business practices. PATIENT RELATED: Education: Assists other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: Welcomes assigned patients and inquire as to their well-being since their last treatment. Evaluates vascular access for patency. Obtains necessary pre - and post - treatment vital signs and weight. Performs vascular access evaluation pre-treatment. Performs vascular access cannulation. Performs administration of Heparin, as delegated or as allowed by state law. Responsible for the setup and operation of hemodialysis machines. Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. Monitors patients' response to dialysis therapy. Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment Discontinues dialysis treatment according to established procedures. Evaluates patient prior to termination of venous access - standing & sitting blood pressure. Obtains Hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge. Performs and records pre and post dialysis evaluation, weight and vital signs with initial identification. Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. Responsible for accurate documentation of information related to patient treatment, including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Reports directly to the nurse supervisor. Responsible for reporting and documenting any significant information and/or change in patient condition, all new or unusual incidents, information, complaints, or problems to the nurse supervisor. Observes patient, and conducts machine safety checks according to facility policy. Reports any change or unusual findings to the nurse supervisor. Performs and documents any intervention for unusual patient status and document patients' response to intervention. Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures; provides appropriate intervention as needed, documents and reports any unusual findings to the nurse supervisor. Obtains all prescribed laboratory testing and prepare specimens for collection. Assists in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet, and medications. Assists with all emergency operational procedures. Administers medications including intravenous in accordance with physician orders and state nurse practice laws. Initiates basic CPR measures in the event of cardiac and/or pulmonary arrest and respond to emergency situations related to dialysis treatment. INFECTION CONTROL SPECIALIZATION: Assists with facility Quality Assurance Indicators (QAI) infection control audits. Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee, monitors staff and patient adherence to infection control practices. Reinforces new hire employee adherence to infection control Policies and Procedures. Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers or bulletin boards. Under the direction of the Education Department, participates in education response to internal and external facility surveys. Participates in and reinforces infection control education of new patients and families under the direction of the CM or designee. MAINTENANCE/TECHNICAL: Maintains environmental integrity and aesthetics; ensures all areas are safe and clean. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Conducts all tasks necessary for preparation for dialysis treatment and document where appropriate. Performs all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiates Solution Delivery System (SDS) system. Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent wastage. RECORD KEEPING: Completes and documents ongoing participation in Quality Assurance Indicators (QAI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Reviews treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. Prepares initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepares lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications. Ensures collection of lab specimens by appropriate lab courier. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION AND LICENSES : Graduate of an accredited School of Practical Nursing (LPN, LVN) Current appropriate state licensure Attendance and active participation in all applicable preceptor training programs as established by the Regional Education Manager Attends FKC and publicly offered skill-based training as assigned by Clinical Manager History of high performance as measured by no lower than a commendable performance evaluation rating on reviews with no recent corrective actions Participation in our Leading with Values and Patient Experience workshops desired EXPERIENCE AND REQUIRED SKILLS: At least five years patient care experience in a hospital setting or a related facility preferred Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment Continued employment is dependent on successful completion of the FKC dialysis training program and successful completion of CPR certification Intravenous Certification if required by State Nurse Practice Act Excellent communication skills - both verbal and written The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $22.00 - $36.00 Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans

apartment Helio Health location_onRochester, NY

Licensed Practical Nurse (LPN)- Comprehensive Outpatient Program

Overview Helio Health is on a mission to treat and promote recovery from the effects of substance use, mental health disorders, and other behavioral healthcare issues. To support the mission of Helio Health, the Licensed Practical Nurse (LPN) will work in a variety of clinical settings providing medical and counseling services as a member of the multi-disciplinary treatment team. The Licensed Practical Nurse (LPN) will work on a Full-time basis out of Helio Health’s Rochester Comprehensive Outpatient Program. The schedule will be Tuesday- Friday, 5:30am-3:00pm and Saturdays 7:00am-11:00am. Pay Rate: $26.00- $28.00 per hour. In addition to Helio Health’s comprehensive benefits package, all Full-Time LPNs are eligible for a Sign-On incentive up to $4,000 as well as shift differential! Responsibilities Works in a variety of clinical settings providing medical and counseling services as a member of the multi-disciplinary treatment team. Work primarily with methadone dosing. Provide client services for medical issues. Monitors and documents clients’ medical status, signs and symptoms of withdrawal and reports to supervisor or medical director. Works with other medical staff for continuity of clients’ medical care. Communicates with clinical staff regarding clients’ medical concerns. Works directly with clients in providing medical services and interpreting medical information. Provides direct client care of medical assessment, implementation of medical orders, communicable and infectious disease reporting in accordance with the law. Provides public health and screening protocols. Provides and documents medical consultation, assessment, examination, and treatment planning and review consistency with agency policy and requirements Qualifications Must be a licensed practical nurse currently registered by the New York State Education Department. Experience and/or training in the treatment of substance abuse and/or substance dependency preferred. Methadone experience preferred. Basic computer skills required. Our Comprehensive Employee Benefits Package Includes: Health insurance including dental and vision for employees and families. Paid Vacation and Sick leave - No Waiting Period for accruals. Paid Holidays, including a floating birthday holiday. 401(k) plan with up to 5% company match. Company-paid short-term disability insurance. Company-sponsored life insurance. Employee Assistance Program (EAP). Helio Health provides equal opportunity to all employees and applicants for employment, without regard to race, creed, color, sex (including pregnancy, gender identity and sexual orientation), parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status, handicap or disability, family medical history or predisposing genetic characteristics or carrier status, marital status, family status, political affiliation, felony conviction record, status as a victim of a crime, or status as an employee who has complained about discrimination, filed a charge of discrimination, or participated in an employment discrimination investigation or lawsuit, or any other categories, status or activity protected by federal, state or local law. Salary and hourly compensation ranges are provided in accordance with NYS law and are based on Helio Health's good faith belief of what is accurate at the time of posting. Salary and hourly compensation offers are based on candidate's education level and experience relevant to the position and also take into account information provided by the hiring manager and program. IND123B

apartment Rochester Regional Health location_onRochester, NY

LPN – Ambulatory Float Pool

$26 - $32 / HOUR

Department: Ambulatory Location: Rochester Ambulatory Sites Hours Per Week: 40 Schedule: Monday-Friday, Days $3 per hour float pool incentive SUMMARY: The Float – Licensed Practical Nurse (LPN) is responsible to float to ambulatory practices within primary care where a need has been identified. The Float – Licensed Practical Nurse (LPN) is responsible for providing direct patient care, usually under the direction of a Registered Nurse, in accordance with established plans. Unit/Department Specific Info> RESPONSIBILITIES: Conducts and documents a thorough observation of each patient’s medical status upon presentation and throughout the patient’s course of treatment. Assists with the patient’s treatment plan under the direction of the RN or provider. Provides routine nursing services for patients as directed by the RN or provider. Complies with the evaluation, treatment, and documentation guidelines of the department. Completes required documentation in an accurate and timely manner. Provides regular patient status updates to the appropriate personnel. Attends and participates in department/facility meetings as required. Acts in compliance with hospital, regulatory, and professional standards and policies. Maintains clinical competency by pursuing continuing education opportunities. Performs other duties as assigned. Maintenance of all adult and pediatric competencies within primary care. REQUIRED QUALIFICATIONS: Graduate from an accredited School of Practical Nursing 1 year of experience required Valid New York State (NYS) driver’s license required Current New York State (NYS) LPN license required Current Basic Life Support (BLS) certification required PREFERRED QUALIFICATIONS: Compassionate, warm and patient focused. Critical thinking skills, decisive judgment. Exceptional documentation skills and professional behavior. 3 Years of Experience in clinical setting, ambulatory experience preferred EDUCATION: LICENSES / CERTIFICATIONS: BLS - Basic Life Support - American Heart Association (AHA), LPN - Licensed Practical Nurse - New York State Education Department (NYSED) PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations. PAY RANGE: $26.00 - $32.00 CITY: Rochester POSTAL CODE: 14611 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

apartment Helio Health location_onRochester, NY

Licensed Practical Nurse (LPN)- Comprehensive Outpatient Program