LPN II, Med Surg, Full Time

Education:

Graduate of accredited school of nursing.

Experience:

1 year preferred with medical surgical nursing.

Licenses, Certifications and/or Registrations:

Current registration to practice nursing as a Licensed Practical Nurse within the State of Florida. Current BLS. ACLS and PALS recommended.

Specialized Knowledge and Skills:

30 hour IV therapy course required. Computer skills.

Supervises (Headcount):

Supervises (Job titles): CNA’s

Interrelations/Contacts:

Includes, but not limited to: other staff members, physicians, patients, families and ancillary departments.

For Direct Patient Care Positions Only:

Must have the knowledge and skills necessary to provide patient care as defined by job responsibilities and performance

standards in this job description to include Patient Safety Performance Standards for the identified population served below:

• Pre-term/High Risk Neonate
• Neonate (newborn to 28 days)
• Pediatric (One month to 12 years)
• Young Adult (18 to 35 years)
• Adult (35 to 65 years)
• Geriatric (65 years and over)

ESSENTIAL FUNCTIONS OF COMPETENT PERFORMANCE FOR THIS POSITION

• Uses at least two patient identifiers (name, date of birth and wristband) whenever administering medications or blood products; taking blood samples and other specimens for clinical testing; or providing any other treatments or procedures.
• Labels all specimens with patient identification, collector’s initials and time of collection before taking to lab.
• Performs reassessments based on the dynamics of the patient’s condition. Vital signs, cardiac monitoring and pain management should reflect patient’s clinical condition.
• Documents pain reassessment on all patients after interventions/medications as required by policy.
• Patient education and care plan is continuously created, reviewed and revised daily and PRN on each patient assigned on unit.
• Provides direct patient care in an organized and timely manner. Demonstrates necessary skills in providing age appropriate care and documents per unit policy including linen changes, ADLs, obtaining specimens etc. with minimal supervision.
• Initiates and assists with emergency measures as directed by RN in charge.
• Has a thorough understanding of all equipment on acute care units, including but not limited to; beds, scales, IV pumps, enteral feeding pumps, SCDs, respiratory equipment, etc.
• Can initiate and maintain a sterile field and assist the physician as necessary with suturing, chest tube insertion, lumbar puncture, etc.
• Maintains current knowledge of medications and their correct administration based on age specific criteria, patient clinical condition and safety policy.
• Ensures that nursing performs daily/nightly narcotic medication reconciliation checks with another licensed nurse to verify correct administration/documentation of scheduled drugs.
• Performs AccuChek testing per policy, ensures that controls are dated with opened and expiration date; responds and documents any actions taken in response to results.
• Labels all medications, medication containers (e.g., syringes, medicine cups, basins) or other solutions on and off the sterile field in procedural settings.
• Compiles a complete list of the patient’s medications to assist in reconciliation of medications across the continuum of care.
• Prioritizes activities for proper balance of patient care activities/assignments within assigned shift.
• Maintains and updates patient charts per unit policy. Checks each chart for completeness prior to releasing record to health information.
• Provides complete documentation on nurse’s notes, flow sheets and graphic sheets.
• Transcribes physician orders for medications to the MAR correctly; charting correct medication, dose, route, frequency and timing all doses to be given correctly.
• Maintains current knowledge of medical staff approved hospital pharmacy formulary and uses correct substitutions when indicated.
• Provides a safe environment for patients and family members. Reduce the risk of patient falls by keeping patient rooms and areas free of excess clutter, removes trash at the end of shift
• Complies with infection control standards, performs personal safety precautions (PPE) appropriately. Takes professional responsibility to wear personal protective equipment based on potential risk exposure.
• Follows infection control standards by washing hands or using alcohol gel between all patients and before/after performing any procedures.
• Provides appropriate discharge instructions to patients and family members in a timely manner. Includes instructions and referrals based on patient/family needs and physician orders.
• Notifies physicians or caretakers of all critical test or lab results in a timely manner and verifies understanding by having physician repeat values back as same. Documents the communication and information reported in patient record.
• Gives accurate and complete patient report to any nurse assuming responsibility for any patient. Provides accurate information and includes an opportunity for questions to be asked/answered.
• Ensure shift duties are completed to include stocking, narcotic count, crash cart and ensuring that refrigerator temperatures are checked on a daily basis.
• Assists new personnel orient to department, reviews and completes skills assessments for new personnel, and reports educational needs and concerns to nurse manager.
• Assists other staff members keep work area clean and tidy. Uses break room for all meals and snacks. Removes personal items from work area when shift complete.
• Dates all personal food/drink kept in the staff refrigerator and disposes of such in a timely manner.
• Stays focused on hospital duties and patients while at work. Keeps personal phone calls (hospital phone and cell phone) and taking care of personal business at a minimum while on assigned shift.
• Demonstrates reliability by giving advance notices of absences, appropriate uses of computerized time system, avoids tardiness, and completes shift without unnecessary overtime.
• Avoids clutter, picks up after self, cleans examination rooms between patients and helps maintain general cleanliness of the department.
• Adheres to departmental dress code and keeps ID badge visible at all times.
• Attends and participates meetings and in services as scheduled for nursing and Med/Surg staff.
• Commits to outstanding guest relations and customer service; demonstrates the customer service program in an effort to meet the expectations of patients, visitors, and fellow associates; maintains courteous and professional conduct.
• Demonstrates teamwork; supports, assists, and praises fellow associates whenever possible; feels a sense of ownership and takes pride in the hospital and the unit; looks beyond assigned tasks to achieve goals.
• Supports and promotes the Mission, Vision, and Values; adheres to all hospital policies and procedures; commits to the Standards of Conduct; maintains professional appearance

Light to medium duty work.  May be exposed to infectious and contagious diseases.  May be exposed to blood and body fluids.  Regularly exposed to risk of blood borne diseases. 

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year.

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