The purpose of positions in this classification is to perform a combination of skilled nursing tasks when performing in the capacity of a Licensed Practical Nurse and paraprofessional nursing tasks when performing in the capacity of a Home Health Aide. Individuals in this classification work under the direct supervision of a Registered Nurse and Patient Care Manager. Individuals in this classification perform duties within the LPN scope of licensure in accordance with the Wisconsin State Board of Nursing Standards.
This listing is not to be construed as all-inclusive. Other duties may be required and assigned.
Skilled Nursing Tasks:
Travels to patient homes in own branch, as well as across the agency as needed, to provide skilled nursing care within licensure, level of competency, and the established plan of care. Completes tasks as delegated by Registered Nurse and in accordance with completed competency(ies), including, but not limited to: basic INRs, venipunctures, IV peripheral line discontinuation and wound vacs. Observes patients condition. Utilizes skills of observation of physical and psycho-social characteristics and reports findings to the registered nurse. Reports on patient status including respiratory, neurological, cardiac, musculoskeletal, gastrointestinal, and other systems. Assists in the collection of patient data such as vital signs, symptoms, and change of condition. Documents visit notes, treatments, and care. Records and reports symptoms and changes in patients condition to the RN Case Manager, Wound Nurse, and Physician as appropriate. Enters physician orders into notes section of charting and follows up with RN Case Manager. Records and reports changes in the patients condition, adverse reactions to medications, pain levels, and concerns to registered nurse. Assists with the development and revisions of a nursing plan of care (POC) for patients. Participates in case conference. Assists the care team in developing and meeting patient goals. Reinforces the information, instruction and education provided to the patient, patient family members and caregivers by the registered nurse. Provides basic health instruction to patients.
Paraprofessional Nursing Tasks:
Measures and records patients vital signs including height, weight, blood pressure, pulse and respiration. Monitors blood pressure TPR, orthostatic blood pressure, and HomMed monitors. Performs patient positioning, patient transfers, patient ambulation, and range of motion (ROM). Ensures for patient safety in getting up and out of bed through proper utilization of medical equipment such as hoyer lifts, gait belts, ez stands, walkers, wheelchairs, etc. Reinforces home exercise program set by therapists as ordered. Assists patient with personal care tasks including assisting with bathing, dressing, toileting and grooming including shaving, skin care, hair care, nail care, and oral hygiene needs. Performs catheter, ostomy, and incontinent cares. Interacts with patients, family members and others. Listens to patients and families questions and concerns and responds in a timely manner. Communicates any patient concerns to the registered nurse. Performs general housekeeping duties such as making the bed, changing bed linens and cleaning the bath tub and bath area. Makes meals and/or assists in meal preparation as directed. Provides fluids and snacks as ordered. Ensures for the accurate and timely completion of patient documentation in accordance with established procedures. Completes Clinical notes and submits per policy and procedure. Attends safety training sessions and ensures for compliance with safety rules and procedures. Assists in ensuring for patient safety. Identifies and notifies the registered nurse and Patient Care Manager of potential safety hazards involving the patient. Reports any work-related accidents and injuries in a timely manner. Complies with the procedures for documenting and submitting leave and light duty time. Completes timesheets and submits to supervisor on a timely basis which accurately document visits, services performed, hours worked, mileage, travel and other time worked. Attends and participates in mandatory orientations, meetings, in-services, and conferences.