The Licensed Practical Nurse serves as a member of an interdisciplinary treatment team with an assigned patient load. He/she engages in nursing care, which requires the knowledge and skills represented by licensure as an LPN. Provides nursing care to patients in meeting personal hygiene needs such as bathing, lifting, turning and feeding; administers tube feeding via feeding pump and changes administration sets. Take vitals, including blood pressure, heart rate, temperature Administer medication; monitor medication doses and patient response. Assists selected patients with rehabilitation such as range of motion, ambulation, positioning, and self-help activities of daily living; assists with bowel and bladder training programs. Assists and instructs patients on how to keep lungs clear. Enters information about the patient's condition, an assessment of the patient's condition and a plan of action to carry out nursing care. Measures and records vital signs, neurochecks, intake and output, weights; collects urine, stool, sputum and drainage specimens; measures and records PH from nasogastric tubes; measures and records urine specific gravity. Performs procedures such as application of external urinary catheters; routine Foley catheter care; irrigation of Foley catheters. Carries out respiratory treatments such as postural drainage, chest physiotherapy; sets up and initiates oxygen therapy, including nebulization treatments; performs oropharngeal, nasopharyngeal and tracheal suctioning, performs routine tracheostomy care. Prepares and administers prescribed medications (oral and intramuscular), including PRN medications orders, after carefully assessing the patient's condition; observes effectiveness and documents observations in the clinical record. Assist with monitoring the patient's condition before, during and following the procedure. Identifies subtle changes in condition, both physical and emotional, which have relevance to health status. Applies knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices of procedures. Observes for physical and/or emotional changes in patients' condition from prescribed medications/treatments. Monitors and regulates the flow of intravenous fluids manually or via infusion pumps. Responds appropriately to emergency situations such as cardiopulmonary arrest. Assists physicians and nurses with patients undergoing diagnostic and therapeutic procedures. Observes patient's changing conditions and provides specialized care to patients who may be helpless, comatose, and/or critically ill, including the patient on a ventilator; uses judgment in adapting and varying procedures and/or approaches based on patient's current condition. Participates in patient care planning conferences contributing to the identification of patient problems/needs; updates care plans and reflecting current patient status. Documents all patient observations and procedures performed on appropriate forms such as flow sheets and progress notes in the electronic record. Work Schedule: Full-time 8am-4:30pm. Must be flexible and adaptable to work Saturdays, Sundays and Federal Holidays as needed or assigned. May be asked to float to CBOCs (Homestead, Key Largo, Key West) for coverage as necessary. Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: PD04699F Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.