Practical Nurse (GEC) Long Term Care - Miami, Florida - Long Term Care

Company: Bruce W. Carter VA Medical Center
Location: Miami
Posted on: May 16, 2022

Job Description:

Practical Nurse (GEC) Long Term Care - Miami, Florida
Duties


The Licensed Practical Nurse engages in nursing care, which requires the knowledge and skills represented by licensure as an LPN. The LPN maintains acceptable standards of practice under the direction of a Registered Nurse. Assignments are limited to situations demanding an exceptional degree of practical nursing knowledge and skills.

Other duties include but are not limited to:

• 
  
• Provides nursing care to patients in meeting personal hygiene needs such as bathing, lifting, turning and feeding; administers tube feeding via feeding pump and changes administration sets.
  
• Take vitals.
  
• Administer medication.
  
• Assists selected patients with rehabilitation such as range of motion, ambulation, positioning, and self-help activities of daily living; and bowel and bladder training programs.
  
• Enters information about the patient's condition, an assessment of the patient's condition and a plan of action to carry out nursing care.
  
• Measures and records vital signs, neuro checks, intake and output, weights; collects urine, stool, sputum and drainage specimens; measures and records PH from nasogastric tubes; measures and records urine specific gravity.
  
• Performs procedures such as application of external urinary catheters; routine Foley catheter care; irrigation of Foley catheters.
  
• Carries out respiratory treatments such as postural drainage, chest physiotherapy; sets up and initiates oxygen therapy, including nebulization treatments; performs oropharyngeal, nasopharyngeal and tracheal suctioning, performs routine tracheostomy care, instructs patient in use of incentive spirometer; monitors and records observations of chest tubes and pleurovacs; assembles water-sealed chest drainage systems.
  
• Prepares and administers prescribed medications, including PRN medication orders, after carefully assessing the patient's condition; observe effectiveness and document observations in the clinical record. Administer vaccines, reads and records PPD's.
  
• Assist with monitoring the patient's condition before, during and following the procedure.
  
• Applies knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices of procedures. Which include preparing the patient, assisting in the diagnostic examine, preparing and handing specialized instruments.
  
• Observes for physical and/or emotional changes in patients' condition from prescribed medications/treatments, while promptly and accurately documenting noted changes, and reporting deviation from normal to RN or Provider.
  
• Monitors and regulates the flow of intravenous fluids manually or via infusion pumps and reports observations to the registered nurse; observes IV site for infiltration and inflammation and reports to the Registered Nurse; changes peripheral IV and saline lock dressings; changes IV solution administration sets following established protocols; discontinues peripheral intravenous catheters when authorized by the Registered Nurse; monitors and adds maintenance IV fluids (as approved) via mini-bags, prepared by pharmacy, through an existing peripheral line/saline lock.
  
• Responds appropriately to emergency situations such as cardiopulmonary arrest; provides for environmental safety, security and patient privacy, checks the code cart except for the weekly defibrillator check (done by the RN).
  
• Assists physicians and nurses with patients undergoing diagnostic and therapeutic procedures; accompanies patients off units for appointments as necessary.
  
• Observes patient's changing conditions and provides specialized care to patients who may be helpless, comatose, and/or critically ill, including the patient on a ventilator; uses judgment in adapting and varying procedures and/or approaches based on patient's current condition, and in accordance with appropriate nursing care and prescribed medical treatment, may direct non-professional nursing personnel of lower grade level.
  
• Participates in patient care planning conferences contributing to the identification of patient problems/needs; updates care plans and reflecting current patient status in collaboration with the Registered Nurse; provides report on assigned patients; participates and documents in providing patient/family education.
  
• Documents all patient observations and procedures performed on appropriate forms.
  
  Work Schedule
  
  Telework
  
  Virtual:
  
  Relocation/Recruitment Incentives
  
  EDRP Authorized: *See "Additional Information" section below for more details.
  
  Permanent Change of Station (PCS):
  
  Fi
  nancial Disclosure Report:

Keywords: Bruce W. Carter VA Medical Center, Miami , Practical Nurse (GEC) Long Term Care - Miami, Florida - Long Term Care, Healthcare , Miami, Florida