Licensed Practical Nurses (LPN) provide important patient care within the Nursing Department. Under the direction and delegation of the registered nurse assigned to each patient, the LPN assists with patient care and other department activities as outlined in this job description and communicates effectively with the RN responsible for each patient. Work performed by each LPN must support the mission, vision, and values of Mary Free Bed.
Age Specific Responsibility: This employee must be able to demonstrate the knowledge and skills necessary to care for patients of all ages.
Patient Care - The LPN provides direct patient care, as delegated by the patient's RN and in accordance with departmental policies and procedures. Patient care performed by a LPN includes, but is not limited to, the following:
Collects, monitors, and reports physiological, psychological, socio-cultural, and spiritual needs of the patient and family as directed by and in coordination with the patient's assigned RN
Administers routine medications as ordered by the physician and as delegated by the RN, within their scope.
Provides input to the RN into an individualized plan of care for each patient.
Reinforces patient and family education and documents as such on the patient plan of care.
Obtains and records vital signs using appropriate equipment and technique.
Provides direct patient care including bowel programs, patient hygiene, recording intake and output, and other responsibilities as outlined in department policies.
Documents care via computer/written patient record according to department policies, including content and timeliness of documentation.
Transports patients in a safe and timely manner to facilitate patient diagnostic testing and therapy sessions, as needed. Communicates with other team members in order to ensure continuity of care and coordination of services.
Maintains the patient's living environment in a clean, safe manner
Cleans patient areas, work areas, and equipment, as needed. Communicates any equipment malfunctions to the Central Supply Department or Nursing Leadership and removes equipment from patient care in accordance with department policies.
Assists with collection of quality data, as assigned by the RN or management
- Demonstrates appropriate use of all patient care equipment, in accordance with departmental policies.
Communication - Each staff member in the Nursing Department is responsible to communicate in a timely, professional and respectful manner at all times. Responsibilities of the LPN include, but are not limited to:
Patients and their families or visitors are treated with kindness and respect.
Customers, physicians, and other staff members are treated with kindness and respect.
Maintains effective working relationships with employees throughout the organization.
Treats patient call lights as a primary communication method between the patient and the caregiver. Answers call lights in a timely, respectful manner.
Delivers care in a manner that is culturally sensitive and preserves the dignity and rights of each patient. Deals discreetly and sensitively with confidential information and follows all hospital policies related to protected health information.
Service Pillar of Excellence
Customer Service - Each LPN is required to demonstrate excellent customer service standards and behaviors in all interactions with colleagues, patients, family members, physicians, and other customers. This employee is responsible to understand how patient satisfaction is measured within the nursing department, the expectations related to customer service, and the action plans that are in place to improve the satisfaction of MFB customers.
People Pillar of Excellence
Employee communication - The LPN employee understands that communication with hospital and department leadership occurs in many ways, and that it is the responsibility of each employee to be aware of policy and practice changes. This information is shared through various methods such as administrative bulletins, staff meetings, bulletin board postings, email, department newsletters, individual discussions, and on the MFB intranet (Sharepoint).
Employee training and competency assessments - Each LPN is responsible to complete a competency based orientation at the time of hire, and all required training and competency assessments annually, prior to the posted deadlines. Questions about required education and competency modules should be addressed to the nurse educators or nursing supervisors to ensure that the requirements are completed prior to the deadlines.
Performance evaluations -Each LPN will meet with a nursing leader to complete an annual performance evaluation prior to the department or organizational deadline. The employee will provide input to the leader when reviewing goals and performance from the completed review period. The employee will work with the leader to review organizational and departmental action plans, and to identify personal goals for the upcoming review period. As a preceptor, each LPN will collaborate with the assigned RN, Nursing Leader and Clinical Nurse Educator to provide a thorough and accurate orientation for the new team member.
Safety policies - Each employee is responsible to demonstrate knowledge of and performance in accordance with hospital and department safety and infection control policies and procedures. Each employee maintains a safe and clean working environment for the benefit of patients and staff.
Financial Performance Pillar of Excellence
Fiscal Responsibility - Each LPN documents patient chargeable items according to department policies. Avoids duplication and waste of supplies. Arrives to work on time and works throughout the shift, unless taking a designated break. If the LPN does not have work to do, asks a RN or a nursing leader for work to avoid downtime. Avoids overtime, and if overtime is expected, communicates this in advance with the nursing leader so that alternatives can be explored.
The LPN is also responsible for other department and patient-related tasks, as assigned, and in alignment with departmental policies and procedures. This employee is expected to perform assignments as directed by management, and provides input on new services or revisions to new/existing policies and procedures as appropriate.
Limitations: A Licensed Practical Nurse:
May not take verbal or telephone orders from a physician.
May not perform venipuncture
May not administer initial dose of IV fluids or IV medications [RV1]
May not change tracheostomy tubes or insert nasogastric tubes
May not discontinue central lines
May not access portacaths[RV2]
May not do peritoneal dialysis
May not administer high risk medications such as heparin and argatroban gtts, blood and blood products
May not administer IV push medications[RV3]
Essential Job Qualifications:
Licensure Requirements: Active Michigan license as a Licensed Practical Nurse
Education: Graduate of an approved practical nursing program.
Current Basic Life Support (BLS) certification.
Physical Demands/Work Environment: The work environment described here are representative of those an employee will encounter while working as a LPN at Mary Free Bed. The ability to perform these tasks are required in order to provide the necessary patient care required by MFB patients:
Required to stand, sit, talk, type, read, and hear
Required to use hands and arms to handle, feel, carry and work
Required to frequently stand, walk, bend, kneel, and rise from a kneeling position while performing patient care.
Required to be independently mobile, with frequent bending, and reaching overhea