Agency LPN

Description

Provide Skilled Nursing Services for Agency Clients. Work environment is in residential homes as well as office. Medical and/or Nursing Services in Nia-Clients’ residential homes are in accordance with the Physician’s Orders and State of TN Department of Intellectual and Developmental Disabilities (DIDD) Individual Support Plans, and Nursing Practices Act.

This position also assists with scheduling of LPNs and administrative duties in office. We are requesting LPNs with the greatest flexibility to be available on an as needed basis

Requirements

Varied medical coordination with the Services Division Coordinator and Physicians to ensure the timely and accurate treatment and optimal health care is rendered to the persons Nia supports. Maintain Medical charts and usual nursing documentation. Conduct telephonic and in-person coordination with Doctors, Nurses,

Services Coordinators.The LPN also is responsible, in consort with the Agency Registered Nurse or Designee, in the distribution of medication, conducting blood glucose checks, blood pressures and other nursing requirements for individuals supported, per doctors’ orders. The LPN shall adhere to Nurse License Statutes as well as Nia Association medical policies, to effect proficient and accurate medical care to the person(s) assigned.

Appointments

1. Along with the PC, maintain a monthly calendar of medical appointments for the assigned individual(s) in the agency.
2. Review Physician Order Encounter Forms to ensure Prescription Protocols have been followed.
3. Assist PC with coordinating appointments and write out all notifications of appointments. Ensure all patient paperwork (lab work, etc.), is returned and placed in client’s files. Ensure client attends follow-up appointments (if necessary).
4. May coordinate annual, semi-annual and/or quarterly exams.

MAR

1. Update MARs and Prescriptions, if necessary, prior to the RN’s check.
2. Along with the Agency RN, it is the LPN’s responsibility to review MAR’s before filing in main chart.
3. Medical Profiles must be updated on a daily basis if any changes occur.
4. Responsible for applying correct physician orders and distributing monthly report to the RN or designee.
5. Deliver monthly MARS before the end of the month to PC and/or HD for distribution to home.

Prescriptions

1. Any newly prescribed psychotropic medication or psychotropic medication changes shall be immediately changed on all documentation (MAR, charts, etc.). All psychotropic changes or additions must go through the Incident Review Committee.
2. all individual prescriptions and refill requests are properly documented.

Vitals

1. Obtain vital signs, heights and weights for individuals each month or as required in the ISP.
2. For those unable to be weighed, a designated place will be determined and info shared with Program Coordinator, Agency Nurse and filed IAW Nia Policy.

Professional Contacts / Training

1. A prerequisite for this position is to maintain a professional and positive working relationship with various medical facilities, state monitors, conservators, advocates and pharmacies.
2. LPN will partner with the Agency to occasionally teach subject areas that may further aid in the delivery of quality services. Subject areas may vary depending upon the health status of the individuals being served such as, but not limited to, seizure, diabetes, skin assessments, bed baths, etc. These trainings may require that they be taught to staff in the individual’s homes.
3. LPN will conduct both new hire training and staff refresher training on basic first aid situations, patient advocacy (how to assist client at routine doctor’s appointment, etc.), and signs and symptoms (respiratory infections, UTIs, stroke, etc.) to watch for in clients.

Committee Participation

• LPN may be on the Incident Management Team and will provide input concerning possible interventions.
• LPN communicate with the Incident Review Committee Liaison to provide needed medical input and explanation to any issues brought forth.

Controlled Substances / Disposal of Medication

The controlled substances maintained in the home or main office shall be counted at distribution. The check should be initialed by the Agency RN or designee for accountability. It is the responsibility of the LPN to coordinate with the Agency RN or Agency representative to coordinate the disposal of medications. All disposals are documented in a log maintained in the Medical Department.

Administration

• Assist with scheduling of nursing shifts.
• Pick up weekly nursing paperwork to include nursing notes.
• Assist with weekly billing.
• Assist with processing payroll and scheduling for field LPNs
• Assist with monthly reports.

Other duties may be assigned as needed by the Director of Nursing or the Executive Director.