The Specialty Clinic licensed practical nurse collaborates with multiple specialty care providers in scheduling and providing care to our Veterans. The Licensed Practical Nurse serves as a member of an interdisciplinary treatment team with an assigned patient load. Responsible for selected critically ill patients, or long-term care patients. 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, including blood pressure, heart rate, temperature Administer medication; monitor medication doses and patient response Assists patients with rehabilitation such as range of motion, ambulation, positioning, and self-help activities of daily living; assists with bowel and bladder training programs. Assists and instructs patients on how to keep lungs clear. Enters information about patient's condition, an assessment of patient's condition and a plan of action to carry out nursing care. Measures and records vital signs, neurochecks, 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, including the set-up and replacing of solutions for continuous Foley catheter irrigations; irrigation of nasogastric tubes and established colostomies; inserting and discontinuing Foley catheters; giving regular and medicated enemas; changing complicated extensive sterile dressings; performing finger sticks. Carries out respiratory treatments such as postural drainage, chest physiotherapy; sets up and initiates oxygen therapy, including nebulization treatments; performs oropharngeal, 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/administers prescribed medications (oral and intramuscular), including PRN medications orders, after carefully assessing the patient's condition; observes effectiveness and documents observations in the clinical record. Administers vaccines, administers, reads and records PPD's. Assist with monitoring patient's condition before, during and following the procedure. Identifies subtle changes in condition, both physical and emotional, which have relevance to health status. Applies knowledge/skill in performing support duties for complex diagnostic tests and/or specialized practices of procedures. Prepares patient by assisting in diagnostic examine, prepares/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/regulates the flow of intravenous fluids manually or via infusion pumps, 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 existing peripheral line/saline lock. Responds 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/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, 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 RN; provides report on assigned patients; participates and documents in providing patient/family education. Documents all patient observations and procedures performed on appropriate forms such as flow sheets and progress notes in the electronic record. Documents all medications and treatments in BCMA, CPRS, or computer- generated medication administration record (MAR) as a contingency backup record. Work Schedule: Monday-Friday, 8:00 am - 4:30 pm (Must be flexible and adaptable to work weekends and holidays as necessary) Financial Disclosure Report: Not required
Internal Number: 599073600
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.