LPN
Lowell General Hospital - Lowell, MA

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MA Licensed RN or LPN
  • Experience Necessary
  • Position Title

    Title Licensed Practical Nurse

    Job Summary

    The LPN works under the direction of the registered nurse and utilizes the nursing process in the planning, implementing and evaluation of nursing care to the patient. This individual collaborates with other members of the team in providing heath information, maintenance and restoration. The LPN may collect data on the heath status of the patient, in conjunction with other members of the health care team, for the identification of health goals. The LPN assures care for patient and families that is reflective of the organization’s core values.

    Minimum Education Requirements

    Requires that the LPN has graduated from an approved practical nursing program (LPN).

    Minimum Licensure/Certification/Registration Requirements
    • Requires current license as Licensed Practical Nurse.
    • Basic CPR Certification immediately. CPR Instructor highly recommended.

    Key Result Areas (KRAs ) Competency Section III

    Clinical Judgment: utilizes clinical reasoning, which requires collaboration with an RN, critical thinking, and a clinical understanding of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge, and evidence-based guidelines.
    • Conducts accurate data collection; identifies and prioritizes patient/family strengths, needs and priorities; implements, under the direction of an RN, the patient’s individualized plan of care; to meet mutually agreed-upon clinical outcomes.
    • Care is consistent with established policies, procedures and standards of care (follows algorithms, decision trees, and protocols in the delivery of patient care).
    • Identifies the normal course of illness in patient population recognizing the need to communicate with the RN to intervene when deviations occur.
    • Provides for and maintains a safe patient/family environment.
    • Accurately communicates patient information and thoroughly documents nursing actions and plan of care.
    • Seeks validation of clinical judgment from RN and other experienced clinicians.
    • Implements an effective transfer/discharge plan as directed by the RN.

    Caring Practices: executes nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to, vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel.
    • Shows respect for patients/family dignity and privacy in all patient/family interactions.
    • Establishes and maintains mutual trust within the nurse-patient/family relationship.
    • Corrects patient’s service problems promptly and objectively.
    • Listens and acknowledges patients/family knowledge of self and engages their participation in care.
    • Able to successfully use multiple forms of communication to appropriately provide patient/family support (presence, touch, eye contact, etc.).
    • Supportive to new staff members and helps facilitate their transition into unit.
    • Demonstrates self-care in order to preserve ones endurance as a care giver within a stressful environment.

    Response to Diversity: recognizes, appreciates and incorporates differences into the provision of care. Differences may include, but are not limited to, cultural differences, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values.
    • Seeks opportunities for individual growth in diversity training and responsiveness.
    • Upon identification of unique needs of patients and families will collaborate with RN to modify and implement the plan of care.
    • Aware of the usual cultural norms for key patient population seeking validation in individual situations.
    • Provides age specific and developmentally appropriate patient/family care.
    • Embraces diversity in the work environment as a means to achieve enhanced patient care outcomes.

    Advocacy/Moral Agency: working on another's behalf and representing the concerns of the patient/family and nursing staff; serving as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting.
    • Does not allow own values/beliefs to bias the care given to patients and families.
    • Respects patient/family confidentiality and autonomy.
    • Recognizes patient/family rights through support of their informed decisions and advanced directives.
    • Recognizes ethical dilemmas within one’s practice area and uses available resources to intervene effectively.
    • Communicates patient/family needs/values and priorities and consistently meets those needs on a daily basis.
    • Recognizes the impact of words and actions when creating a case to influence others.
    • Participates in effective and appropriate therapeutic, collaborative relationships with patient/family and health care team, facilitating and fostering independence to the extent possible for both patient and family.

    Facilitator of Learning: exhibits the ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and community. Includes both formal and informal facilitation of learning.
    • Assesses common learning needs and develops an educational plan for patients and families within ones practice area.
    • Recognizes patients/families as active participants in their own learning.
    • Identifies patient/family-learning priorities and minimizes common barriers to patient/family learning.
    • Participates in the completion of teaching plan by evaluating then documenting patient/family learning.
    • Completes an accurate self-evaluation and actively seeks opportunities to improve one’s personal performance.
    • Sets and works to meet challenging professional goals.

    Collaboration: works with others (e.g., patients, families, RN’s and healthcare providers) in a way that promotes/encourages each person's contributions toward achieving optimal/realistic patient/family goals. Involves intra- and inter-disciplinary work with colleagues and community.
    • Recognizes patient and families as integral members of health care team and establishes patient/families relationships that facilitate their participation in care and decision-making.
    • Works effectively within teams to help achieve both patient and team goals.
    • In consultation with the RN seeks appropriate referrals for continuing care needs throughout the care continuum.
    • Seeks guidance when facing novel situations and is receptive to input from others.
    • Participates in peer review.
    • Practices conflict resolution skills to support patient/family, peer and team relations.
    • Demonstrates pride, pleasure and dedication about being part of the BH team.

    Clinical Inquiry: provides for the ongoing process of questioning and evaluating practice and providing informed practice. Identifying and implementing practice changes through research utilization, education and learning.
    • Demonstrates awareness of current process improvement initiatives within ones clinical setting.
    • Identifies and takes personal accountability to systematically resolve patient/family problems within one’s clinical area.
    • Stays informed of patient/family satisfaction results and incorporates behavior expectations to improve or maintain patient/family satisfaction scores.
    • Implements identified appropriate evidence-based practice changes and system improvements.
    • Contributes to the spirit of inquiry by supporting the clinical research of colleagues.
    • Evaluates clinical outcomes and recommends practice changes.

    Systems Thinking: utilizes process and tools that allow the LPN to assist the RN to manage whatever environmental and system resources exist for the patient/family and staff, within or across healthcare and non-healthcare systems.
    • Uses available tools and resources to effectively resolve patient care problems and to facilitate patient/family transition across the continuum of care.
    • Participates in the development, implementation and evaluation of unit-based goals for improvement ; links unit based goals to organization’s strategic mission.
    • Recognizes that patients/families have insight into what can improve the experience and system of care and collectively identifies opportunities to improve services provided to patients/families at the unit-level.
    • Remains flexible and positive towards change and actively participates in change processes and/or work methods to enhance the care environment.
    • Remains informed about changes in departmental and organizational policy, procedure, and equipment.
    • Recognizes the impact of one’s performance on system functioning.

    Excellence Orientation: Takes actions to continually improve quality and safety in daily work.
    • Actively participates in improving safe work processes to meet and exceed customer expectations and clinical outcomes.
    • Is compliant with all hospital policy and procedure and understands the safety risks posed to patients when short cuts are taken.
    • Participates in activities to identify opportunities for improvement based upon process, observation, outcomes measures, and feedback from patients and other customers.
    • Takes actions to continually improve quality and safety in daily work.
    • Reports errors in a timely and appropriate manner and participates in process improvements as indicated.

    Cardiopulmonary Rehab: Provides a safe environment for patients to perform exercise while providing advice regarding life style modification to reduce risk of further events.
    • Monitors response to exercise programs.
    • Makes appropriate adjustments to exercise program based on physiological response to exercise.
    • Performs all rehabilitation related activities including exercise modalities for cardiovascular, pulmonary, and special population patients.
    • Is knowledgeable about and able to demonstrate use of exercise equipment in the department.
    • Performs exercise leadership techniques.
    • Assists the RN with performing pharmacological testing.
    • Conducts cardiovascular or pulmonary education with the patient and family/significant others
    • Facilitates behavior change by counseling patients and families on how to adopt informed lifestyle decisions and incorporate healthier choices into their self-management. Focus on healthy eating, being active, monitoring, taking medication, problem solving, healthy coping and reducing risks.

    Congestive Heart Failure Clinic: COLLABORATES WITH THE RN for the administration of medications, patient education, assessment of laboratory and patient status and conferring with physicians on progress or complications for those patients with congestive heart failure.
    • Actively collaborates with the RN to develop care plan for the CHF patient.
    • Accurately assesses medical stability and presenting symptoms for CHF patients, under the direction of the RN.
    • Monitors response to treatment program recommended by the physician. Recommends appropriate adjustments to the treatment plan based on monitoring and response to care provided, under the direction of the RN.
    • Actively participates in the initiation/revision of the education plan for inpatients regarding CHF.
    • Performs appropriate monitoring of CHF patient including vital signs, telemetry and pulse oximetry.
    • Assists the RN during the administration of infusion therapy.
    • Facilitates behavior change by counseling patients and families on how to adopt informed lifestyle decisions and incorporate healthier choices into their self-management. Focus on healthy eating, being active, monitoring, taking medication, problem solving, healthy coping and reducing risks.

  • Lowell General Hospital - 13 months ago - save job - block
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