Licensed Practical Nurse | 36 hours per week | Medical Surgical Unit

Minimum Hiring Wage:

From $26.89 per hour

Job Details:

Scheduled Hours:

6:00am

• 6:30pm, every other weekend
• this position will also be working as a CNA in the unit

•

Job Description:

A Brief Overview Delivers care to patients and assists the Registered Nurse in monitoring, observing and reporting reactions to treatments. Participates in the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing. Provides high quality care to the following patient populations: Geriatric, Medical/Surgical, Adult, Pediatric, Obstetric, and Telemetry.

Duties are included but are not limited to those below for specified units.

• Perform Bedside shift report and beginning and end of shift.
• Utilize policies and procedures to keep patients safe from falls.
• Assist in wound prevention and Hospital acquired pressure injuries.

Assessment

• Demonstrates the ability to obtain a comprehensive admission history, performs physical assessment of patient
• Differentiates variations of normal and abnormal assessment findings
• Analyzes and prioritizes abnormal findings. Initiates appropriate response
• Anticipates actual or potential problems or health concerns in the hospital and/or home setting
• Demonstrates ongoing assessment of patient's psychosocial, physiological and educational process per unit policy
• Anticipates, recognizes and documents subtle changes in patient's physical and mental status
• Integrates analysis of diagnostic information in patient assessment and care
• Analyzes ongoing assessments to determine patient's and/or significant others learning and discharge needsDiagnosis
• Integrates assessment data and formulates an individual nursing diagnosis according to policies and proceduresPlanning
• Formulates an individualized plan of care including discharge planning based on standards of care and policies and procedures
• Modifies individualized plan of care based on ongoing assessment and changes in patient status
• Anticipates and manages changing situationsImplementation
• Administers prescribed treatments and medications promptly according to hospital policies and procedures
• Recognizes and questions unsafe, incorrect or inadequate orders. Intervenes to clarify patient order
• Utilizes opportunities during delivery of patient care to teach the patient information necessary to attain the optimal level of self-careEvaluation
• Evaluates patient's response to care and comprehension of educationDocumentation
• Documents all aspects of the nursing process in a legible, concise, clear, and timely manner utilizing PCS or appropriate hospital forms, utilizing correct medical terminology and accepted abbreviationsCommunication
• Involves patient and significant other(s) in all aspects of the nursing process
• Acts as a patient advocate and respects the rights and confidentiality of patients
• Promotes communication and relays information in a clear manner
• Understand and acts within the guidelines for addressing ethical concerns
• Communicates delays or wait times to patient/significant otherJudgment
• Demonstrates sound judgment with the Nursing Process based upon critical thinking skills and a problem-solving approach
• Anticipates and takes proper action in emergency and complex patient care situationsEquipment
• Demonstrates the ability to utilize appropriate equipment when providing nursing care according to unit/organizational policies, including ability to trouble shoot equipment What you will do Assess and monitor patient condition, documenting and communicating results to physician as appropriate.

Confer with RN regarding abnormal/critical lab values and communicates to physician appropriately. Document all aspects of patient care provided in the medical record, adhering to documentation standards. Administer prescribed medications adhering to the six rights of medication administration, IV fluids, enteral feedings, monitoring their effectiveness, and addressing needs. Answer patients' calls and provides assistance or determines how to assist them. Assemble equipment, performs procedures and treatments and/or assists medical staff with patient procedures Provide basic patient care and treatments such as dressing wounds, preventing and treating pressure ulcers or performing catheterizations. Prepare patients for examinations, tests or treatments and explain procedures. Collect samples such as urine and sputum from patients and perform routine laboratory tests on samples (such as blood glucose monitoring) or sends the specimen to lab appropriately labeled. Evaluate nursing intervention outcomes, conferring with other health care team members as necessary. Help patients with bathing, dressing, maintaining personal hygiene, moving in bed, or standing and walking. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, respiration, oxygen saturation and pain. Provide patient and family education. Work as part of a health care team to assess patient needs, plan and modify care and implement interventions. Participate in performance improvement activities, including quality assurance, quality monitoring and improvement efforts. Delegate aspects of care to others including certified nursing assistants and patient service associates; provides oversight for ensuring completion of the functions. Adhere to safety practices and evidence-based practices. Prioritize specific aspects of assignment based on patient care needs. Coordinate and oversee nursing care provided for patient care assignment. Access resources to plan and coordinate patient care. Qualifications Graduate of practical nursing program, Required 4-6 years Hospital based nursing Health care experience Preferred Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders. Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions. Knowledge of basic math to calculate medication doses. Being aware of others' reactions and understanding why they react as they do. Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. Adjusting actions in relation to others' actions. Talking to others to convey information effectively. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Understanding written sentences and paragraphs in work related documents. Actively looking for ways to help people. The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem. Confers with Registered Nurse prior to acting on critical clinical situations. The ability to listen to and understand information and ideas presented through spoken words and sentences. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). The ability to communicate information and ideas in speaking so others will understand. The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position. The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). The ability to identify and understand the speech of another person. Child Abuse Iowa Mandatory Reporter

• Iowa Department of Human Services Licensed Practical Nurse within 180 Days Required Dependent Adult Abuse Mandatory Reporter
• Iowa Department of Human Services within 180

Days Required Qualifications:

Basic Life Support within 60 days of hire. Basic Dysrhythmia within 6 months of hire. MOAB within 12 months of hire.

Acute Care:

Telemetry and Med Surg:

Geriatric, Adult, Medical/Surgical, Telemetry. Includes monitoring and interpreting cardiac rhythms, administering medications and treatments as prescribed (including IV medications and non-titrating drips), caring for pre

• and post-surgical patients, chronic trach patients on baseline settings, wound vacs, working closely with providers and family members to keep them updated, and reporting patient results.

ACLS within 1 year of hire.

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes: Competitive base pay Matching retirement programs Health, Dental and Vision plans Health Savings and Flexible Spending Accounts Employee discounts including car rental, cell-phone plans Employer-paid, Long-Term Disability, Life, and AD&D Paid time off (PTO) Education Assistance Program Employee Assistance Program Employee Referral Bonus Program Discounted cafeteria meals Paid Parental Leave Employee Service Recognition program Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. If you would enjoy working in a dynamic environment and you are looking for an opportunity to become part of a stellar team of professionals, we invite you to apply online today. We are an equal-opportunity employer. Contact a member of our Talent Acquisition team at recruiting@greatriverhealth.org