566 Lpn Positions jobs in Portland

PART TIME - Friday and Saturday schedule (10p-6a)
RN or LPN
- Direct the day to day functions of the nursing assistants in accordance with current rules, regulations and guidelines that govern the long term care facility.
- Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
- Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.
- Make written and oral reports/recommendations concerning the activities of your shift as required.
- Admit, transfer, and discharge residents as required.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
- Transcribe physician orders into resident's electronic medical record.
- Implement resident care plan upon completion of admission assessment.
- Chart all reports of accidents/incidents and complete all required assessments. Submit to Director of Nursing or Designee as required.
- Ensure accurate documentation in all areas of residents electronic medical record
- Prepare and administer medications and treatment as ordered by the physician.
- Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.
- Notify resident's physician and emergency contact when there is a change in resident's condition.
- Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes.
- Make daily rounds of your unit/shift to ensure that nursing services personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.
- Ensure that department personnel, residents and visitors follow the departments established policies and procedures at all times.
- Ensure that rooms are ready for new admissions, their expected time of arrival, room assignment, etc.
- Ensure that your assigned work areas (nurse stations, medicine preparation room) units resident care rooms, treatment areas, are maintained in a clean, safe, and sanitary manner.
- Maintain excellent attendance and punctuality.
- Other duties that may be assigned
Experience Education
- At least year of working experience as a Nurse is preferred.
- Must have an RN, LPN/LVN degree from an accredited college or university.
Specific Requirements
- Strong computer skills are needed for use of our electronic charting and medical records systems - Point Click Care (PCC).
- Must be able to read, write, speak and understand the English language.
- Must be willing to accept new methods and principles and be able to incorporate them into existing nursing procedures.
- Must use safe work practices by following policies and procedures.
- Must maintain a neat appearance and wear the required Marquis uniform for your department.
- Must have patience, tact and a positive attitude, as well as the willingness to handle difficult residents.
- Accepts reassignments of duties and/or case load as needed to provide the necessary care for all residents.
Physical and Sensory Requirements
- Must be able to cope with the mental, emotional and physical stress of the position.
- Must successfully pass a Criminal History check in accordance with the laws of this state.
- Must successfully pass a drug screen and/or physical examination if requested.
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Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

Job Summary:
Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.
Essential Responsibilities:
+ Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are:
+ Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time.
+ Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician.
+ Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention.
+ Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician.
+ Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician.
+ Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process.
+ Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use.
+ Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc.
+ Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN.
+ Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.
+ Clinical Procedures:
+ Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are:
+ Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc.
+ Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc.
+ Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes.
+ Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc.
+ Therapies - e.g. photo, laser, foot care, etc.
+ Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc.
+ Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc.
+ Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc.
+ Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc.
+ Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc.
+ Irrigations - e.g. eye, ear, bladder, wound.
+ Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc.
+ Ambulate/transfer of patient using lift equipment.
+ Other procedures outlined in the core skills checklist as attached.
+ Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are:
+ Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks.
+ Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions.
+ Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record.
+ Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN.
+ Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.
+ Provides population-based care outreach activities to include health maintenance screening as directed by clinician.
+ Teamwork, Leadership and Professional Development Activities:
+ Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively.
+ Responds and assists with medical emergencies as directed by clinician/RN.
+ Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers.
+ Reports errors, near misses or other hazards in a timely manner per established procedures.
+ Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice.
+ Completes annual competency assessments and trainings by meeting organizational standards and expectations.
+ Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.
+ Other duties as assigned consistent with job description.
Basic Qualifications:
Experience
+ Minimum one (1) year experience as a licensed practical nurse in home care or the acute care setting (preferably medical/surgical). Will consider other experience with ability to demonstrate critical thinking and clinical skills.
+ Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education
+ Graduate of Accredited School of Nursing
License, Certification, Registration
+ Practical Nurse License (Washington) within 3 months of hire OR Compact License: Practical Nurse within 3 months of hire
+ Practical Nurse License (Oregon)
+ Drivers License (in location where applicable)
+ Basic Life Support within 0.5 months of hire
Additional Requirements:
+ Demonstrated clinical nursing skills.
+ Demonstrated interpersonal and customer service skills (Assessment required for external candidates).
+ Demonstrated communication (written and oral) skills.
+ Demonstrated literacy in using computers and keyboarding.
+ Skills in problem-solving, setting priorities and using good judgment for decisions.
+ Ability to work independently and efficiently under pressure.
+ For the purposes of Home Care the LPN does not perform assessments but evaluates patient condition. The LPN does not do any delegation in the home setting.
+ Clinical Care:
+ Under direct and indirect supervision of the RN:
+ Provides nursing services, treatments, diagnostic and preventative procedures within their scope of practice.
+ Develops, maintains, and provides expert level of knowledge and skills related to nursing services, treatments, diagnostic and preventative procedures to patients consistent with agency policy, state practice acts, Oregon/Washington State Nurse Practice Act and applicable state and federal regulations working under the direction of a registered nurse.
+ Provides direct patient care following established plan of care by registered nurse. Uses standard precautions in providing all patient care.
+ Evaluates and provides patient and family/caregiver education and information pertinent to plan of care.
+ Assist patient/caregiver in learning self-care techniques and disease process education.
+ Uses equipment and supplies effectively and efficiently. Participates in coordination of home health services, reporting changes and identified needs to appropriate clinicians, registered nurse/ public health nurse and clinical supervisor. Participates in multi-disciplinary team conferences and inputs as appropriate to provide quality patient care for services.
+ Advocate for the patient and family, as well as the healthcare system to optimize utilization of resources. This includes acting on behalf of the member to ensure they are informed of their financial obligations and understand their appeal rights.
+ Demonstrates ability to identify and solve problems.
+ Ensure regulatory and compliance standards are met in collaboration with others in the inter-disciplinary health care team.
+ Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
+ Ability to stand, sit, walk, crawl, climb, bend, stoop, squat, twist, and drive a vehicle throughout assigned shift hours.
+ Lifting and carrying:
+ Able to lift and carry at least 25 pounds.
+ Able to assist in the movement of patients and/or equipment whose weight may range from 100-300 pounds. May occasionally be required to provide care to patients exceeding 300 pounds.
+ Bending: Able to bend frequently throughout assigned shift at both the waist and knees.
+ Standing/walking: Able to stand/walk on a variety of surfaces ranging from carpet to concrete when transitioning between outside environment and patient residences.
+ Sitting: Able to sit for several hours per shift when completing paperwork and driving to and from patient residences.
+ Arm/hand use: Constant arm/hand use is required when performing patient care, charting, and driving. Ability to manipulate small objects involved in patient care (catheters, needles, point of care testing equipment, etc.).
+ Pushing/pulling (It is recommended that patients or objects not be pulled):
+ Able to assist patients reposition in bed.
+ Push patients in wheelchairs with weight ranges as listed above.
+ Able to assist with patient transfers for patients with weight ranges as listed above.
+ Climbing/Crawling:
+ Able to climb stairs on a daily basis.
+ Able to crawl on rare occasions to retrieve dropped items.
+ Driving: Able to drive an average of 60-72 miles per shift to and from patient residences in varying times of day or night; varying traffic settings; and inclement weather conditions. Note: Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents or exposure to illness. Two (2) or more years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.
+ Four years experience as a licensed practical nurse in the acute care setting, medical/surgical setting.
+ One year working in a hospice, palliative care or home care program.
+ IV therapy experience or recent certification.
+ Familiarity in documenting in an electronic medical record system.
+ Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department. Additional physical requirements for home care:
+ Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents, exposure to illness, or placing themselves in situations of high risk for injury. When mobilizing patients it is recommended that staff elicit assistance of caregivers in the home and adaptive equipment as appropriate for the patient. When caregivers or equipment are not available to assist, then have discussion with a Supervisor to discuss alternative care arrangements for the patient. Employees are strongly encouraged to discuss any concerns regarding any physical limitations with the Supervisor to prevent injuries, accidents, and exposures to illness. The requirements listed below do not fully reflect all physical elements of the job, but represent the most often performed physical activities associated with this position. Reasonable accommodations may be made to enable individuals with limitations or disabilities to perform the essential functions.Physical requirements include:
Notes:
+ Variable shifts/days/weekends/holidays
COMPANY: KAISER
TITLE: Licensed Practical Nurse, Continuing Care Services - Home Health
LOCATION: Portland, Oregon
REQNUMBER:
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day to day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan as necessary. Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required. Complete accident/incident reports as necessary. Write resident charge slips and forward to the Business Office. Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Food Services Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record. Drug Administration Functions Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift. Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc. Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work. Report absentee call ins to the Nurse Supervisor. Review and evaluate your department's work force and make recommendations to the Nurse Supervisor. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor. Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Develop and maintain a good working rapport with inter departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents. Report known or suspected incidents of fraud to the Administrator. Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen saver a
ctivates within established facility policy guidelines. Nursing Care Functions Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary. Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician when the resident is involved in an accident or incident. Notify the resident's attending physician and next of kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies and procedures. Obtain sputum, urine and other specimens for lab tests as ordered Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor Admit, transfer and discharge residents as necessary. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post mortem procedures are followed. Staff Development Participate in developing, planning, conducting, and scheduling in service training classes that provide instructions on "how to do the job," and ensure a well educated nursing service department. Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Assist in standardizing the methods in which work will be accomplished. Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Assist the Director in planning clinical supervision for nurse aide trainees. Attend and participate in outside training programs. Attend and participate in annual facility in service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Attend and participate in advance directive in service training programs for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids. Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures. Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary. Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment. Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents. Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. Ensure that only trained and authorized personnel operate your unit/shift's equipment. Ensure that all personnel operate nursing service equipment in a safe manner. Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions Review care plans daily to ensure that appropriate care is being rendered. Inform the Nurse Supervisor of any changes that need to be made on the care plan. Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident. Assist the Resident Assessment/Care Plan
Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Budget and Planning Functions Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Miscellaneous Provide data to the Quality Assurance & Assessment Committee as requested. Supervisory Requirements As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program. Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the agerelated needs of the residents served. Must be a supportive team member, contribute to and be an example of team work and team concept. Must possess the ability to make independent decisions when circumstances warrant such action. Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post disaster, etc.). Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs. Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Benefits We Offer:
+ Comprehensive health, prescription, dental, vision, life, and disability plans
+ Competitive pay rates
+ Referral opportunities ? Refer a friend & Cash in!
+ Travel reimbursement and per diem allowances
+ Employee discounts
+ Educational opportunities
Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits.
From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure!
Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

Maxim Healthcare is hiring for passionate licensed practical nurses (LPN) to work with patients in their own homes. We are looking for both day shift and night shift nurses to provide long-term care for our medically complex patients. Maxim Healthcare provides comprehensive, paid training for all nurses to ensure they feel fully prepared and confident in their skills before they ever enter a patients home.
Starting pay for an LPN is between $30 - $37 an hour.
Why Join Maxim:
+ Competitive Pay & Weekly Paychecks
+ Health, Dental, Vision, HSA and Life Insurance
+ Paid Time Off
+ 401(k) Savings Plan
+ Maxcares Awards Program
Responsibilities:
+ Utilize the nursing process to assess, plan, implement, and evaluate patient care.
+ On each assignment, provides skilled nursing care/services in accordance with prescribed orders
+ Assess signs and symptoms indicating physiologic and psychosocial changes in the patient's condition.
+ Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses.
Qualifications:
+ Currently licensed as an LPN/LVN in the state in which the LPN will practice.
+ Current TB or Chest X-Ray.
+ Current BLS card.
+ One year prior professional nursing experience preferred
Maxim Benefits:
Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program
Retirement and Financial Security: Health Savings Account, 401(k), Short Term Disability, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal Benefits
Lifestyle Benefits: Paid Time Off, Employee Discount Program, Transportation Benefits and College Partnership Program
*Benefit eligibility is dependent on employment status.
About Maxim Healthcare
Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.
Maxim Healthcare, Inc. ("Maxim") is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

General Purpose
The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.
Essential Duties
Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Administrative Functions
• Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility.
• Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
• Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions.
• Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities.
• Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility.
• Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
• Make written and oral reports/recommendations concerning the activities of your shift as required.
• Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
• Ensure that all nursing service personnel are in compliance with their respective job descriptions.
• Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.
• Participate in facility surveys (inspections) made by authorized government agencies as may be requested.
• Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required.
• Assist in planning the nursing services portion of the resident's discharge plan as necessary.
• Interpret the department's policies and procedures to personnel, residents, visitors, and government agencies as required.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports as necessary.
• Write resident charge slips and forward to the Business Office.
• Maintain the Daily Census Report and submit to the Business Office as required.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator.
• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator.
• Report any known or suspected unauthorized attempt to access facility's information system.

Charting and Documentation
• Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge.
• Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
• Receive telephone orders from physicians and record on the Physicians' Order Form.
• Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required.
• Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
• Fill out and complete accident/incident reports. Submit to Director as required.
• Chart all reports of accidents/incidents involving residents. Follow established procedures.
• Record new/changed diet orders. Forward information to the Food Services Department.
• Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor.
• Fill out and complete transfer forms in accordance with established procedures.
• Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures.
• Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.
• Sign and date all entries made in the resident's medical record.

Drug Administration Functions
• Prepare and administer medications as ordered by the physician.
• Verify the identity of the resident before administering the medication/treatment.
• Ensure that prescribed medication for one resident is not administered to another.
• Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor.
• Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
• Ensure that narcotic records are accurate for your shift.
• Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift.
• Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
• Notify the attending physician of automatic stop orders prior to the last dosage being administered.
• Dispose of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions
• Participate in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.
• Inform the Nurse Supervisor of staffing needs when assigned personnel fail to report to work.
• Report absentee call-ins to the Nurse Supervisor.
• Review and evaluate your department's work force and make recommendations to the Nurse Supervisor.
• Develop work assignments and/or assist in completing and performing such assignments.
• Provide leadership to nursing personnel assigned to your unit/shift.
• Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Nurse Supervisor.
• Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.
• Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse.
• Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services.
• Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times.
• Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately main tained to meet the needs of the residents.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
• Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary. Follow facility's established procedures.
• Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
• Receive/give the nursing report upon reporting in and ending shift duty hours.
• Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.

Nursing Care Functions
• Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensure that rooms are ready for new admissions.
• Greet newly admitted residents upon admission. Escort them to their rooms as necessary.
• Participate in the orientation of new residents/family members to the facility.
• Make rounds with physicians as necessary.
• Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures.
• Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary.
• Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary.
• Implement and maintain established nursing objectives and standards.
• Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status.
• Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure.
• Cooperate with and coordinate social and activity programs with nursing service schedules.
• Notify the resident's attending physician when the resident is involved in an accident or incident.
• Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition.
• Carry out restorative and rehabilitative programs, to include self-help and care.
• Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner.
• Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required.
• Use restraints when necessary and in accordance with established policies and procedures.
• Obtain sputum, urine and other specimens for lab tests as ordered
• Take and record TPRs, blood pressures, etc., as necessary.
• Monitor seriously ill residents as necessary.
• Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor.
• Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes.
• Ensure that residents who are unable to call for help are checked frequently.
• Meet with residents, and/or family members, as necessary. Report problem areas to the Nurse Supervisor
• Admit, transfer and discharge residents as necessary.
• Assist in arranging transportation for discharged residents as necessary.
• Ensure that discharged residents are escorted to the pick-up area.
• Inform family members of the death of the resident.
• Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed.
Staff Development
• Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on "how to do the job," and ensure a well-educated nursing service department.
• Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties.
• Assist in standardizing the methods in which work will be accomplished.
• Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids.
• Assist the Director in planning clinical supervision for nurse aide trainees.
• Attend and participate in outside training programs.
• Attend and participate in annual facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).
• Attend and participate in advance directive in-service training programs for the staff and community.
• Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.

Safety and Sanitation
• Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies.
• Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel.
• Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.
• Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks.
• Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood or body fluids.
• Ensure that your assigned work areas (i.e., nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.
• Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.
• Ensure that your assigned personnel follow established handwashing and hand hygiene technique in the administering of nursing care procedures.
• Ensure that your assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner.
• Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel.
• Ensure that your assigned personnel follow established infection control procedures when isolation precautions become necessary.
• Ensure that nursing personnel follow established procedures in the use and disposal of personal protective equipment.
• Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment.
• Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lift ing or moving residents.
• Report missing/illegible labels and MSDSs to the safety officer or other designated person.

Equipment and Supply Functions
• Recommend to the Nurse Supervisor the equipment and supply needs of your unit/shift.
• Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on your unit/shift at all times to meet the needs of the residents.
• Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment.
• Ensure that only trained and authorized personnel operate your unit/shift's equipment.
• Ensure that all personnel operate nursing service equipment in a safe manner.
• Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste.
• Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department.

Care Plan and Assessment Functions
• Review care plans daily to ensure that appropriate care is being rendered.
• Inform the Nurse Supervisor of any changes that need to be made on the care plan.
• Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment.
• Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
• Ensure that your assigned certified nursing assistants (CNAs) are aware of the resident care plans. Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the resident.
• Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Budget and Planning Functions
• Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc.

Miscellaneous
• Provide data to the Quality Assurance & Assessment Committee as requested.
Supervisory Requirements
As LPN / LVN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.
Qualification
Education and/or Experience Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.
Must possess a current, unencumbered, active license to practice as an LPN/LVN in this state.
Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Must be able to relate information concerning a resident's condition.
Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
Reasoning Ability Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
Must be a supportive team member, contribute to and be an example of team work and team concept.
Must possess the ability to make independent decisions when circumstances warrant such action.
Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
Must not pose a direct threat to the health or safety of other individuals in the workplace.
Certificates, Licenses, Registrations Must posess a current, unencumbered, active license to practice as an LPN/LVN in this state. Current CPR certification.
Knowledge and experience with PCC preferred.
Must maintain all required continuing education/licensing.
Must remain in good standing with the State Board of Nursing at all times.
Physical Demands
Must be able to move intermittently throughout the workday.
Must be able to speak and write the English language in an understandable manner.
Must be able to cope with the mental and emotional stress of the position.
Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during emergency situations.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other department directors.
Works beyond normal working hours, and in other positions temporarily, when necessary.
Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses, COVID19
May be subject to the handling of and exposure to hazardous chemicals.
Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents' needs.

Job Summary:

Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.

Essential Responsibilities:

• Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.
• Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.
• Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.
• Provides population-based care outreach activities to include health maintenance screening as directed by clinician.
• Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.
• Other duties as assigned consistent with job description.

Basic Qualifications:

Experience

• N/A

Education

• Graduate of accredited school of nursing.

License, Certification, Registration

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.

• Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire

• Practical Nurse License (Oregon) within 6 months of hire

• Basic Life Support

Additional Requirements:

• Demonstrated clinical nursing skills.
• Demonstrated interpersonal and customer service skills (Assessment required for external candidates).
• Demonstrated communication (written and oral) skills.
• Demonstrated literacy in using computers and keyboarding.
• Skills in problem-solving, setting priorities and using good judgment for decisions.
• Ability to work independently and efficiently under pressure.

Preferred Qualifications:

• Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.
• IV therapy experience or recent certification.
• Familiarity in documenting in an electronic medical record system.
• Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Job Summary:

Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.

Essential Responsibilities:

• Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.
• Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.
• Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.
• Provides population-based care outreach activities to include health maintenance screening as directed by clinician.
• Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.
• Other duties as assigned consistent with job description.

Basic Qualifications:

Experience

• N/A

Education

• Graduate of accredited school of nursing.

License, Certification, Registration

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.

• Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire

• Practical Nurse License (Oregon) within 6 months of hire

• Basic Life Support

Additional Requirements:

• Demonstrated clinical nursing skills.
• Demonstrated interpersonal and customer service skills (Assessment required for external candidates).
• Demonstrated communication (written and oral) skills.
• Demonstrated literacy in using computers and keyboarding.
• Skills in problem-solving, setting priorities and using good judgment for decisions.
• Ability to work independently and efficiently under pressure.

Preferred Qualifications:

• Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.
• IV therapy experience or recent certification.
• Familiarity in documenting in an electronic medical record system.
• Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Job Summary:

Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.

Essential Responsibilities:

• Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.
• Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.
• Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.
• Provides population-based care outreach activities to include health maintenance screening as directed by clinician.
• Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.
• Other duties as assigned consistent with job description.

Basic Qualifications:
Experience

• N/A

Education

• Graduate of accredited school of nursing.

License, Certification, Registration

• This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.

• Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire

• Practical Nurse License (Oregon) within 6 months of hire

• Basic Life Support

Additional Requirements:

• Demonstrated clinical nursing skills.
• Demonstrated interpersonal and customer service skills (Assessment required for external candidates).
• Demonstrated communication (written and oral) skills.
• Demonstrated literacy in using computers and keyboarding.
• Skills in problem-solving, setting priorities and using good judgment for decisions.
• Ability to work independently and efficiently under pressure.

Preferred Qualifications:

• Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.
• IV therapy experience or recent certification.
• Familiarity in documenting in an electronic medical record system.
• Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.