Atlantic Baptist Housing
Position Summary:
Within an interdisciplinary, team orientated, collaborative practice, the Licensed Practical Nurse (LPN) will work as an independent practitioner. The LPN will be responsible and accountable to assess, plan, implement and evaluate resident care within the LPN Scope of Practice, (where resident needs have been assessed by an RN and deemed relatively unchanging from day – today), LPN Code of Ethics, Operational Care Standards for Private Nursing Homes, Community Care Facilities and Nursing Homes Act, facility policies and procedures, nursing department policies and procedures and the philosophy of the Long-Term Care facility.
The LPN will provide holistic resident care taking into consideration their physical, emotional, spiritual and psychological health needs.
The LPN will collaborate with other health care team members as needed and when the resident’s needs change, their condition deteriorates, and /or the LPN realizes that the resident’s needs are beyond the LPN’s Scope. At this time, the LPN will work under the direction of an RN supervisor.
The LPN will function as a team leader and provide direction and supervision for Resident Care Workers on the assigned wings. A primary responsibility is to become acquainted with the resident, his/her hopes, dreams and goals, and work on establishing a relationship with him/her and their family.
The LPN, as an integral member of the care team, is responsible to:
A. Demonstrate Professionalism:
1. practice within appropriate legal parameters
2. verify resident consent before initiating care
3. advocate and protect the rights of the resident
4. assume responsibility for one’s own actions at all times
5. verify orders and procedures
6. take steps to maintain optimal personal health and safe work environment
7. perform within role parameters, meets and maintains expected level of competency
8. report to appropriate authority all incidents of unsafe practice or professional misconduct of nursing or other health providers
9. seeks assistance and guidance when the care required exceeds personal training
10. incorporate, model and encourage the behaviour of others to reflect occupational professionalism and the Nursing Code of Ethics
11. manage time
12. accept change
13. Be flexible – be adaptive and accepting of new ideas, be willing to approach new challenges and adjust plans to meet new priorities.
14. promote cooperation and teamwork
15. respect spiritual beliefs of the resident
16. respects the dignity and right to privacy of every resident
17. promote person centered care philosophy
B. Perform Assessments:
1. monitor temperature
2. monitor pulse
3. monitor respirations
4. monitor blood pressure
5. assess resident’s appearance
6. assess resident’s health condition
7. assess skin changes
8. assess changes in elimination
9. assess changes in circulation and oxygenation
10. assess acute symptoms of respiratory distress, circulatory distress, gastric distress, inflammation, shock, fluid and electrolyte imbalance, intestinal distress, urinary distress, cerebral and neurological distress, infection and pain
11. monitor blood glucose and respond to diabetic symptoms and reactions
12. perform assessments using observation, auscultation, palpation
13. monitor, report and record oral intake
14. perform phlebotomy
15. catheter insertion and care
16. measure report and record intake and output
17. measure report and record height and weight
18. test urine for glucose and ketones and report and record findings
19. respond to neurological signs
20. measure, record and report abdominal girth
21. O2 saturation measurement
C. Conduct Planning:
1. Participate in the development of nursing care plans and functional profiles to meet the residents’ needs
2. involve the resident and family in identification of needs and setting of goals
3. organize nursing care and set priorities that reflect individual needs
4. participate in establishing nursing interventions to achieve expected outcomes
5. establish priorities for nursing interventions
6. participate in discharge planning
7. organize nursing care and set priorities that reflect individual needs and maximize use of time
D. Demonstrate Leadership:
1. promote advancement of nursing knowledge
2. promote the person centered care philosophy
3. assist with special projects
4. acts as team leader
5. provide leadership and guidance for RCWs when acting as team leader
6. lead unit meetings
7. give end of shift report to oncoming
8. provide input for performance reviews of RCWs
9. orientate new LPNs and summer BN students
10. be capable of listening and assimilating information from others, identifying various potential outcomes and consequences, presenting persuasive arguments and winning concessions while maintaining relationships.
11. Leadership Skills – encourage and support others while building valued and trusting relationships with others. Practice open communication, lead by example and effectively provide honest and constructive feedback.
12. Team Building Skills – Promote collective achievement, contribute to the development and achievement of group objectives is respectful, actively listen to and seek out opinions and ideas from others.
E. Utilize Therapeutic Communication
1. provide appropriate information to and receive information from the resident, their family and all members of the health care team
2. communicate with the resident to facilitate their understanding
3. encourage the resident’s participation in planning and implementing their care plan
4. encourage the resident to assume responsibility for their own health
5. establish therapeutic communication with the resident
6. apply charting principles
7. foster good communications within and amongst departments and services
8. create a welcoming environment for residents, families and all staff
9. utilize conflict resolution and mediation skills to resolve issues between residents, their families and staff
10. prepare and deliver shift report to oncoming nursing team
11. participate in physician rounds
12. communicate in a respectful, courteous and helpful manner
F. Implement Clinical duties such as
1. Provide Wound Care:
1.1 apply sterile dressings
1.2 apply, change and maintain simple wound dressings with open or closed drain
1.3 apply change and maintain medicated gauze or specialty wound care
1.4 apply, change and maintain compresses using medical asepsis
1.5 report and record pertinent wound care findings
2. Conduct Admission, Discharge and Transfer:
2.1 orientate resident to agency, unit and room
2.2 care for and secure resident valuables
2.3 assist in discharge planning
2.4 provide and reinforce discharge orders with the resident and / or family
3. Utilize Devices and Equipment:
3.1 use equipment that helps promote healing, prevention of deformities or minimizes the effects of immobility
3.2 use resident’s lifts 3.3 care for residents who require assistive devices, including assessment and maintenance of equipment
3.3 operate manual and electric beds
3.4 make beds
3.5 operate equipment safely
3.6 clean and prepare utensils for sterilizing
3.7 identify equipment needs
3.8 monitor the maintenance, use and cleaning of equipment
3.9 evaluate client equipment needs and communicate same to the appropriate authority
3.10 apply bandages, triangular slings, cervical collars, splints, TED stockings, tensors, braces
3.11 determine equipment needs
4. Monitor and Assist with Elimination
4.1 use regular nursing measures to help the resident maintain regular elimination
4.2 assist the resident to use the bedpan, urinal, commode and toilet
4.3 participate in bowel and bladder training
4.4 provide catheter care
4.5 perform manual disimpaction of feces
4.6 provide ostomy care
4.7 apply condom catheter
4.8 obtain sterile catheter specimens
4.9 monitor and maintain continuous bladder irrigation
4.10 clamp and release retention catheters as ordered
4.11 insertions of urinary drainage catheters
5. Assist with Nutrition
5.1 understand and promote Canada’s Food Guide
5.2 monitor and assist the resident with oral intake as necessary
5.3 assist in maintaining dietary or fluid restrictions
5.4 serve prescribed food supplements
5.5 follow safe food handling guidelines in light meal preparation and serving
5.6 prepare the resident for meals
5.7 feed resident through gastrostomy tube
5.8 report and record any resident and or nursing staff concerns relating to nutrition to appropriate authority P
6. Person Centered Hygiene and Daily Living Support:
6.1 working with the resident as a partner in care assist with personal care: bathing, oral care, and hair care, nail care (non-diabetics), peri care. Will start care from the position that the elder’s decision and choice will direct care. Facilitate independence and coach through activities of daily living. Assist only when necessary.
6.2 assist with eye care
6.3 assist with foot care (non-diabetics)
6.4 assist with dressing and undressing
6.5 Diabetic Foot Care if LPN has successfully completed Foot Care Training Program
7. Provide Pre-Operative and Post- Operative Care
7.1 prepare resident for surgery
7.2 provide post-operative care for the stabilized resident
8. Support Respiration and Ventilation
8.1 set up equipment and initiate oxygen therapy
8.2 monitor and maintain oxygen and humidity
8.3 remove oxygen therapy as ordered
8.4 teach and promote safe us of oxygen
8.5 teach and reinforce deep breathing exercises
8.6 Recognize complications of oxygen therapy
8.7 monitor oxygen saturation
8.8 auscultate and assess lung sounds
8.9 perform prescribed chest physio
8.10 use suction via nasal or oral routes to maintain a clear airway
9. Monitor and Provide Protection and Comfort
9.1 assist and maintain a safe resident environment
9.2 verify resident identification
9.3 ensure resident accessibility to the call bell system
9.4 promote relaxation and sleep
9.5 develop relationships with resident to meet emotional, psychological and mental needs
9.6 follow falls management program and least restraint policy
9.7 apply principles of good body mechanics and follow transfer, lifting and repositioning policy
9.8 remove from resident’s room and dispose of soiled incontinent pads, soiled linens etc.
9.9 stock and keep adequate linens for use with residents
10. Provide Specimen Collection and Diagnostic Tests Support
10.1 collect and label urine, stool or sterile urine and sputum specimens
10.2 collect and label throat, nasal and rectal swabs
10.3 strain urine
10.4 test blood sugar using diagnostic device
10.5 prepare resident for undergoing a diagnostic test, procedure or exam
10.6 collect and label wound swabs
11. Promote Teaching and Education
11.1 identify modifications which promote resident independence
11.2 identify functional and dysfunctional health behaviours
11.3 attend work related in-services and workshops
11.4 identify resident and family health needs and provide appropriate teaching for health promotion
11.5 implement and evaluate resident teaching strategies
11.6 orientate new LPN staff and students
12. End of Life Care
12.1 participate in meeting the needs of the dying resident and their family
12.2 care for the deceased resident, the family and the resident’s personal possession
13. Provide Safety and Emergency Care
13.1 perform basic first aid measures
13.2 perform basic emergency procedures including CPR, Heimlich manoeuver
13.3 practice principles of safety and accident prevention
13.4 implement routine practices and additional precautions as per infection control manual
13.5 clean used utensils, carts and chairs
13.6 monitor and oversee equipment preventative maintenance
13.7 Maintains a culture of safety within the organization and will be aware of their role in supporting client safety with the organization and; Remains up to date and current with department and facility policies and processes that support client safety.
14. Assist with Mobility
14.1 perform passive exercises
14.2 encourage resident to practice active exercise and range of motion
14.3 organize and encourage recreational activities
14.4 aid when positioning a resident
14.5 assist and encourage resident mobility
14.6 assist with the use of ambulatory devices
14.7 collaborate with other health team members to deliver special exercise programs
15. Monitor Drainage, Irrigation and Suctioning
15.1 monitor and maintain body drainage tubes
15.2 irrigate eyes
15.3 perform oral and nasal suctioning
15.4 monitor and maintain gastric suction tubes
16. IV Therapy in appropriate setting
16.1 discontinue intravenous therapy as ordered
16.2 change non-medicated IV therapy bags
16.3 assist to dress and undress resident receiving intravenous therapy
16.4 adjust the flow rate of a non-medicated IV solution with or without an infusion pump
16.5 monitor IV therapy site
17. Administer Medication
17.1 verify medication orders
17.2 research ordered medication prior to administering it
17.3 prepare and administer medications by various routes:
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- oral
- rectal
- topical
- subcutaneous including hypodermaclysis
- intramuscular
- ophthalmic
- octic
- sublingual
- inhalants
- vaginal
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17.4 demonstrate use of the medication cart
17.5 monitor, report and record resident’s response to medication administration
17.6 Dr’s rounds
17.7 processing of Dr’s orders
G. Conduct Evaluations
1. continually evaluate nursing care delivery
2. evaluate the quality and effectiveness of resident care
3. conduct chart audits
4. collect and utilize objective and subjective data regarding the outcomes of nursing actions on the resident and family
5. participate with resident, family and health professionals in the revision of goals, priorities and nursing actions
H. Other Duties and Responsibilities:
1. participate in facility meetings as required.
2. attend on sight education and training seminars
3. educate and stay current with all policy and procedures
4. Maintains own professional development
I. Qualifications:
1. successful completion of a recognized Practical Nursing Program including pharmacology, health assessment and medication administration.
2. current license / registration with the College of Licensed Practical Nurses of Prince Edward Island and the PEI Licensed Practical Nurses Registration Board
J. Health and Safety:
1. Observe and practice safe work habits
2. Has made a commitment to Health and Safety and is committed to doing his/her part in keeping their workplace safe and to safeguarding their fellow employees by:
3. Observing all rules related to safety
4. Using equipment as directed in a safe manner.
5. Transfers and positions residents using proper body mechanics and equipment.
6. Reporting any safety hazard immediately to their supervisor
7. Taking part in all Safety Programs provided and performs duties as assigned (i.e. Emergency Preparedness, WHMIS, TLR and Infection Control).
K. Resident Safety:
1. Reports any safety hazard that may affect resident safety to the Supervisor
2. Has a strong commitment to providing a healthy, safe and caring environment for residents.
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