licensed practical/ vocational nurse job description

©2006 FASTAFF® Inc of 5Created 5/13/04

LICENSED PRACTICAL/ VOCATIONAL NURSEJOB DESCRIPTION

Job Summary:The Licensed Practical/Vocational Nurse is a professional member of the healthcare team whoprovides skilled nursing care to patients in compliance with the Nurse Practice Act in the stateof clinical practice. The Licensed Practical/Vocational Nurse works under the direction of thesupervising Registered Nurse or Physician

QUALIFICATIONS• Graduate of an accredited LPN/LVN program.• Current licensure in good standing in state of practice• Evidence of BLS credential• Evidence of one year of skilled nursing experience within the past two years• Possess thorough working knowledge of anatomy, general medical conditions, general

therapies and interventions

RESPONSIBILITIES

• Performs specific treatments as ordered by the physician and under the supervision ofthe Registered Nurse

• Conducts individual patient assessment, prioritizing the data collection based onpatient's condition or needs within timeframe specified by the client facility's policies,procedures and protocols

• Conducts ongoing assessments as determined by age-specific assessment of patient• Administers prescribed medication within the scope of the Nurse Practice Act in the state

of practice• Observes, reports, and records adverse reactions to medications and/or treatments to

the Registered Nurse or Physician• Performs appropriate treatments as ordered by the physician and under the supervision

of the Registered Nurse• Collects and labels specimens as ordered by physician (blood, stool, sputum, vomitus,

urine) from patients for testing following client facility's policies, procedures and protocols• Assists patient with personal care, ambulation, positioning and feeding, while performing

basic nursing care• Documents patient assessment findings, physical/psychosocial responses to nursing

intervention and progress• Initiates emergency resuscitation measures according to protocol• Reports patient condition to appropriate personnel during each shift while maintaining

patient confidentiality• Performs all skills, treatments and procedures competently according to the scope of

practice as defined in the Nurse Practice Act in the state of practice and adhering to thepolicies, procedures and protocols of the client facility.

LPN/ LVN Printed Name:

LPN/ LVN Signature: Date:


LPN/LVNKNOWLEDGE & SKILLS CHECKLIST

First Name MI Last Name

SSN

Instructions: Please check the appropriate column that best describes your experiencelevel for each knowledge competency and skill. Choose 1 for Limited Experience through 4for Very Experienced. Evaluate yourself based on experiences within the last two years.

Self-Assessed Experience Rating ScaleLimited Experience 1 2 3 4 Very Experienced

1 2 3 4

MEDICATION ADMINISTRATION

1. Dosage Calculation - 5 RIGHTS2. Documentation on M.A.R. & pt chart

3. PDR / Drug Book usage4. Narcotic Wastage / Verification5. Drug Action/Interaction knowledge6. Generic Drug Equivalents7. Swallowing Precautions8. Ear Drops

9. Eye Drops10. Intradermal meds11. Intramuscular meds12. Oral meds13. Parenteral meds14. Sublingual meds

15. Topical medsINTRAVENOUS THERAPY

1. IV certified? 1 = no ---- 3 = yes2. Peripheral IV insertion3. IV Dosage Calculation4. IV Infusion Pumps

5. IV site care6. Central Line site care7. Implanted catheter site care8. Administration of IV Antibiotics9. Administration of IV Fluids10. Administration of IV Narcotics

1 2 3 4

11. Blood draws from Central Lines12. Blood Draws from Implanted Catheter13. Blood draws from Peripheral Line

PAIN MANAGEMENT

1. Pain "level" assessment

2. Documentation of Characteristics ofpain . ie: Location, Duration, character

3. Document effectiveness of pain medsUNIVERSAL PRECAUTIONS / INFECTION CONTROL

1. AIDS / HIV2. Hepatitis3. MRSA4. VRE5. Fever management6. Decubitus/Wound care

(contaminated)7. Reverse Isolation8. Standard / Universal Precautions9. Linen: Transporting, storing, handling

a) Clean b) Soiled c) Personal clothing10. Double bagging technique11. Proper disposal of sharps and wasteDIABETIC CARE

1. Diabetic Patient Teaching2. Diabetic Monitoring3. S/S of Hyper / Hypoglycemia

Date


1 2 3 4

4. Performing Fingersticks5. Glucometer use6. Insulin infusion

7. Regular / Long Acting Insulin8. Mixing Insulin9. Calculating Caloric IntakeOTHER SKILLS

1. Charting systems2. 24 hr written & verbal reporting

3. CODE status; ie Full Code or DNR4. Accident & Incident reporting5. Using the 911 system in LTC setting6. Regulatory guidelines related to

residents rights in LTC setting.7. Regulatory guidelines related to

prevention of neglect and abuse ofresidents

PSYCHOSOCIAL1. Assessment & documentation of any

behavioral problems.2. Assess & document signs &

symptoms of depression.3. Assess & document patients

response to psychotropicmedications.

4. Assess & document effectiveness ofall psychiatric meds patient is given.

5. Assess & document effectiveness ofall groups and therapy.

6. Parameters for restraint use in LTCsetting

WOUNDS, PRESSURE SORES, SKIN IMPAIRMENTS1. Assessment and care of Post Op

wounds2. Assessment, prevention and care of

pressure wounds.3. Assessment and documentation of

skin conditions and wounds.4. Sterile dressing changes5. Aseptic dressing changes6. Wound irrigation

7. Use of wound care products8. Beds - Air fluidized, low air loss beds9. Pressure relieving devices10. Staple removal11. Suture removal

CARDIOVASCULAR

1. Auscultation of heart rate / rhythm2. Blood pressure

1 2 3 4

3. Doppler4. Pulses5. Circulatory checks

6. CPR7. ACLS8. Post abdominal aortic bypass9. Angina10. Aneurysm11. Congestive heart failure

12. Fem-pop bypass13. Permanent pacemaker14. Post carotic endarterectomy15. Post acute MI16. Post cardiac surgery17. Thrombophlebitis

18. DVT

19. Administration of post-op cardiac meds

PULMONARY

1. Airway management2. Apnea monitor3. Differentiate Breath Sounds

4. Chest tube care5. Chest physiotherapy6. Incentive spirometry7. Inhaler use8. Tracheal/nasotracheal suctioning9. Oropharangeal suctioning

10. Oxygen therapy11. Pulse Oximetry12. Postural drainage & percussion13. Pulmonaide use14. Sputum specimen collection15. Tracheostomy care / suctioning

16. Ventilator patient careNEUROLOGICAL

1. Neuro checks2. Seizure precautions3. Dementias4. Neuromuscular disease

5. CVA6. DT's7. Aneurysm precautions


1 2 3 4

8. Anticonvulsants9. Antispasmodics10. Long term spinal cord injuries

11. Pain control measures12. Post craniotomy care13. Meningitis14. TENS unitGASTROINTESTINAL

1. Tube feeding administration - Bolus

2. Tube feeding administration - Pump3. Medication administration via tube4. Bowel prep5. G.I. Bleeding6. Inflammatory Bowel Disease7. Guaiac testing

8. Assessing nutritional status9. Enema administration10. Assessment of bowel incontinence11. Signs/symptoms of fecal impaction12. NG tube care13. Assessment of NG tube placement

14. Colostomy care15. Assessment of abdomen16. Assessment of Bowel sounds17. Post op care - Abdominal surgeriesORTHOPEDIC

1. Circulation assessment

2. Gait assessment3. Range of motion4. Continuous passive motion5. Cervical collars6. Gait belts7. Canes / crutches

8. Slings9. Brace application10. Traction application11. Transfer Boards12. Walkers

1 2 3 4

13. Wheelchairs14. Prosthesis15. Casts and care

16. Amputation care17. Post-arthroscopy care18. Pinned fractures19. Osteoporosis20. Care of total hip replacements21. Care of total knee replacements

22. Rheumatic / Arthritic diseaseURINARY / RENAL

1. Assessment & care of AV shunt2. Post renal surgery3. Renal Failure

4. ESRD

5. Assessment of urinary incontinence6. Assess I & O7. Signs & symptoms of UTI8. Signs & symptoms of distended

bladder9. Indwelling catheter insertion - Female10. Indwelling catheter insertion - Male11. Straight Cath - Male12. Straight Cath - Female13. Suprapubic catheter care

14. Urine dipsticks for Ketones15. Urine dipsticks for UTIEXPERIENCE IN PRIMARY AREAS

1. Hospitals2. Clinics3. Nursing Homes

4. Home HealthCERTIFICATIONS

1. BLS2. ACLS

ACCREDITING SCHOOL

Name of School:


Age Appropriate Nursing CarePlease check the appropriate box(es) for each age group and activity for which you have hadexperience within the last year.

Age Specific Experiences

Ado

lesc

ent

(13-

18 y

rs)

You

ng A

dult

(19-

39 y

rs)

Mid

dle

Adu

lts

(40-

64 y

rs)

Old

er A

dult

(65+

yrs

)

1. Understands the normal growth and developmentfor each age group and adapts care accordingly

2. Understands the different communication needsfor each age group and changes communicationmethods and terminology accordingly

3. Understands the different safety risks for eachage group and alters the environment accordingly

4. Understands the different medications, dosagesand possible side effects for each age group andadministers medications appropriately

The information I have provided in this knowledge and skills checklist is true and accurate to the bestof my knowledge.

Signature Date

* To see a copy of this form with the signature please contact the Records department at 800-736-8773.

Internal Use Only

Quality Checked by: