The LPN II provides direct service and daily nursing care in a medically intensive program, designed to meet the needs of a unique and specialized population who have been diagnosed with a brain injury, developmental delay or intellectual disability and have complex medical needs. The LPN II assumes overall responsibility of the program for the designated shift as lead staff/nurse. Ensures that care is provided in a respectful, dignified, high-quality manner and ensures the care provided promotes individual choices.
Nursing Care
- Implements person-centered treatment care plans thoroughly in accordance with medical orders.
- Assists with activities of daily living according to each individual's plan; including, but not limited to, showering, dressing, shaving, mouth care, foot care, and diabetes care.
- Responsible for completing all skilled nursing care needs of the individual; including but not limited to, wound care, GT/JT care, trach care and nutritional support.
- Monitors and observes clients for any change in status. Reports all issues in a timely manner to the PD, SPD (if needed), and Program Nurse
- Ensures that all the individual's care is completed using best-practice and providing the person with dignity and choice.
- Ensures that ADLs are performed, and assistive devices are in working order and available and ready for use.
- Performs individualized assessments with any change of status and provides skilled nursing interventions, as indicated.
Supervision
- Clinically supervises C.N.A.s during designated shifts. If training is needed, provides in the moment.
- Ensures care provided is completed in a timely and accurate manner.
- Ensures care provided meets all ISP goals and addresses the whole person, not just the person's medical needs. Ensures program meets all quality control monitoring.
Communication
- Communicates and meets with RN Manager, as needed.
- Maintains communication with primary care provider, family members and/or guardian and all other, significant relationships.
- Communicates effectively with other Vinfen employees, outside agencies, community agencies, and neighbors
Documentation
- Documents nursing care and treatments as ordered by primary care provider according to Vinfen policy and procedure.
- Documents medication administration according to Vinfen policy and procedure, following MAP standards.
- Ensures all documentation is complete and accurate, including, but not limited to, shift notes, daily communication, treatment protocol data, medication administration sign offs and the countable controlled substance book for each individual. This includes review of CNA's and direct care staff medical documentation
Environment
- Ensures the environment is safe, clean, comfortable, and welcoming to individuals and families and/or guardians and other significant individuals and visitors.
- Ensures the environment meets all regulatory requirements.
- Promotes an environment conducive and welcoming to client's active participation in residence.
- Ensures client's preferences and choices are respected.
Skills
- Experience working with individuals with developmental, intellectual disabilities or brain injury preferred.
- Strong commitment to the rights and abilities of individuals who have complex health issues.
- Knowledge of LPN practice standards and intervention techniques
- Sensitivity to cultural, religious, ethnic, age, gender, and disability issues
- Skills and competency to develop supportive, trusting relationships with clients served.
- Knowledge of teaching and learning modalities
- Ability to supervise and mentor C.N.A.s
- Knowledge of evidence-based practices and commitment to adherence to such as appropriate
- Knowledge and use of different communication and learning styles and supervisory techniques.
- Knowledge of organizational, strategic, participatory, collaborative skills
- Knowledge of formal and informal assessment practices