CMT/CNA/LPN

DEFINITION:

Implement and assist with nursing care for patients under supervision of Registered Nurse and/or the Physician.  Provides care to a population including adults and geriatrics. Functions within the scope of practice as defined by the Oklahoma Board of Nursing.

‍EDUCATION:

As required by the State Board of Nursing.

‍REGULATORY REQUIREMENTS (IF APPLICABLE):

• Current Basic Life Support.
• As required by the State Board of Nursing

‍MINIMUM QUALIFICATIONS:

• Graduate of a Licensed Practical Nurse program with current Oklahoma Licensed Practical Nurse license.

‍PREFERRED QUALIFICATIONS:

Experience, school attendance record and performance record may be considered.  LPN will have the ability to room patients for multiple physicians and obtain vital signs, medication reconciliation, and assist the physician with obtaining necessary medical records.  Nurse will assist the Provider with bone marrow biopsy procedures and Dermatology procedures within the nurse’s scope of practice.  

‍PRINCIPLE RESPONSIBILITIES:

• Participates and implements age specific care and interaction.
• Employee has attended departmental orientation (training) and annual in service education for age specific training.  Implements age specific training.‍
• Collaborates with the healthcare team (RN, LPN, NA, Physician and ancillary disciplines) in the assessment of the patient/family.
• Contributes data for a head-to-toe assessment on assigned patients.  This includes:  adults, geriatric and the patient population.
• Performs medication reconciliation each time when rooming a patient for the Provider and reconciles the med list in MOSAIQ.
• Prepares for upcoming day(s) by reviewing the last Provider Progress Note and obtaining reports that may not show up on the "MO LPN" QCL assignments.
• Adequately scores patient’s pain using pain scale appropriate to patient. 
• Utilizes appropriate pain management techniques (Joint commission requirement) including documentation of what type of pain (chronic/acute) is described.  
• Identifies and addresses psychosocial needs of patients and family.  Manages a positive depression screening by the established process including notification of the Provider.  
• Flexible to work with different specialists and Providers including Medical Oncology, Radiation Oncology, and Dermatology.  
• Implements the plan of care to meet the physiological, spiritual, emotional, mental, social and developmental needs of the patient.
• Treats patients and their families with respect and dignity.  Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.
• Notifies charge nurse of need for additional resources to assist with patient care or issue resolution.
• Implements the teaching plan and notes outcomes of learning.  Family is included in teaching, as directed.
• Implements the patient’s plan of care.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
• Performs patient care responsibilities considering needs specific to the standard of care for patient’s age and clinical condition.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills including venipuncture for blood draw and central line blood draw.  
• Demonstrates ability to perform treatments and provide services within the scope of practice.
• Provides eScribe Education Documents to patients that report falls or nearly falling and adds the Alert in MOSAIQ.   
• Provides eScribe Education Documents to assist patients using tobacco products with information on how to quit and/or Quit Now tobacco cessation assistance.
• Completes CDS Alerts in MOSAIQ as assigned.  
• Administers medications accurately and safely.
• Knows medications and their correct administration based on age of the patient and their clinical condition.
• Follows the five medication rights and reduces the potential for medication errors.
• Intravenous fluids, IV medications, and oral medications may be administered by the LPN with approved orders according to CCSWOK policy.  LPN's may only administer IV fluids/medications with the supervision of an RN or the Physician available to assist or take over care of the patient.  Under no circumstances will LPN's administer chemotherapy agents.  
• Communicates (verbal and written) effectively, accurately and professionally with patient/family and all members of the healthcare team.some text
• Communicates appropriately and clearly to patient, family, co-workers, physicians and charge nurse.
• Documents to current standards and policies.
• Appropriately utilizes available technology (iPad Video Remote Interpreting) to ensure good communication and enhance patient safety. 
• Participates in the education/development of staff and students.
• Facilitates the orientation of new employees and professional development of members of the healthcare team by providing instruction and demonstration of skills, principles and practice of nursing.
• Fosters healthy relationships with students and faculty.
• Complies with professional requirements, organizational and departmental policies and procedures.some text
• Maintains patient confidentiality at all times.
• Reports to work on time, as scheduled and uses computerized punch time system correctly
• Completes work within designated time.
• Completes annual educational requirements and in-services in a timely fashion.
• Adheres to dress code, appearance is neat and clean.
• Wears identification badge while on duty.
• Attends 75% of nursing staff meetings as appropriate.
• Actively participates in performance improvement.
• Participates in OCM data collection including pain management and depression screening.
• Legally complies with all regulatory agencies including, but not limited to, the Oklahoma Nurse Practice Act.

SPECIFIC UNIT/AREA RESPONSIBILITIES:

‍WORKING CONDITIONS:

• Exposure to diseases and foul odors.
• Exposure to hazardous chemicals.
• Exposure to sharp objects.

PHYSICAL REQUIREMENTS:

HAND AND ARM USE:

• Must possess sufficient dexterity to initiate IV’s, to prepare medications and to give injections.
• Must be able to operate and handle medical equipment and technologically complex devices, including but not limited to, keyboards, monitors and IV pumps
• Must be able to write neatly and legibly.

LIFTING AND CARRYING:

• Requires lifting of adult and patients.
• Requires lifting of monitors, oxygen tanks, backboards, boxes of supplies and other equipment on a daily basis.
• Must obtain assistance when weight exceeds individual ability.

PUSHING AND PULLING:

• Requires transfers and transports of patients and/or various equipment including but not limited to:  beds, wheel chairs, patients.
• Must obtain assistance when weight exceeds individual ability.

STANDING/WALKING/SITTING/CLIMBING:

• Required to stand, walk, reach or stoop more than 75% of the working day.
• Required to work in a cramped position while assisting with medical procedures such as bone marrow, lumbar punctures and other required procedures.
• May be required to run or climb during emergency situations.

SENSE OF TOUCH:

• Must possess sense of touch in order to palpate pulses, veins, body temperature and for assessment of possible physical abnormalities.
• Ability to determine different degrees of temperature and textures.

HEARING:

• Must be able to hear patients speak to obtain history and to complete physical assessment, including but not limited to, auscultation with a stethoscope.
• Must be able to hear to obtain physician orders verbally and per telephone and to hear various ringing alarms while performing other job duties.
• Ability to hear and understand through mask and personal protective equipment.

VISION:

• Must be able to see to assess patient condition and to perform various procedures, including but not limited to, initiating IV’s, preparing and giving medications, evaluate monitor tracings, blood pressure and pulse oximetry reading.
• Must have accurate color perception to evaluate skin color, circulation, abrasions and body fluid color.

MENTAL REQUIREMENTS:

MATHEMATICS:

• Must be able to count, add, subtract, multiply and divide, to record information such as patient’s intake and output, as evidenced by successfully passing medication test.

MEMORY:

• Must be able to remember activities related to the care of the patient.

LANGUAGE ABILITY:

READING:

• Must have reading skills in the English language to comprehend all materials regarding all aspects of patient care within the limits of the essential performance standards identified in the appropriate job description.

WRITING:

• Must be able to write in English neatly and legibly with a high degree of accuracy.

SPEAKING:

• Must be able to speak clearly and be able to verbally communicate in English all aspects of patient care which includes, but is not limited to, physicians, patients, family and other healthcare workers.

REASONING:

• Must be able to assimilate complex data concerning patient diagnoses and in all procedures.
• Must be able to utilize inductive and deductive reasoning in the care of the patient.

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