The primary purpose of this position is to perform a very wide range of patient personal care, support diagnostic services, and chart activities on a regular and continual basis on a surgical, medical, rehabilitation, psychiatric, or long-term care ward or clinic. The incumbent performs duties in such a way as to promote a sense of worth and dignity within each individual. The Primary Care LPN is responsible for the evidence-based care of a group of patients as follows: a. Support diagnostic procedure: (1) Receives patients scheduled for the various clinics or arriving for other ambulatory care (2) Assists patients with getting on and off examination tables (3) Escorts ambulatory patients and transports patients via litter or wheelchair when required (4) Ensures all specimens are labeled according to hospital policy (5) Sets up examination room by providing necessary instruments and supplies, ensuring clinic area and equipment is aseptically clean and in order, and assures patient charts and necessary information is available (6) Assists providers and nurses by supplying needed equipment, providing information such as, vital signs, weight, observations, and information obtained from patient (7) Assures smooth clinic operations by directing the patient to the appropriate area (8) Inventories, orders, and restocks needed linens and supplies. Reports defective equipment. Detects and reports unsafe work conditions. (9) Uses correct protective personal equipment (PPE) and standard precautions in all areas of patient care (10) Maintains order and cleanliness in storage and work areas b. Assists with technical nursing treatments: (1) Performs electrocardiograms (EKGs), places patient on a life pack and completes glucometer checks on patient (2) Administers prescribed medications per policy (3) Provides intravenous (IV) therapy under the supervision of the registered nurse, per policy Provide care that incorporates the age, gender, culture, and learning needs of patients requiring basic planning and evaluation of care d. Apply infection control measures appropriately in delivering care e. Communicate with team members regarding patient care f. Adhere to ethical and principles and standards in delivering care g. Enter information into patients' records/charts h. Apply knowledge and skill core competencies of the assigned unit to patient care i. Use effective communication skills with co-workers to achieve desired patient outcomes (1) Identifies patient and family learning needs, educates the patient/family member(s) according to the patient education record, and documents the evaluation of learning (2) Instructs the patient and family on his/her role in various procedures performed (3) Explains how equipment will be used (4) Reinforces information previously supplied by the physician or nurse (5) Informs nurse care manager of obstacles to learning that will require enhancement. k. Demonstrates mandatory and clinical competencies of the position l. Administers life support measures , cardiopulmonary resuscitation (CPR) when required. m. Performs messenger duties for Primary Care/Primary Care Specialty Services, as needed, to obtain STAT meds, equipment, specimens, etc. n. Documentation: (1) Documents procedures performed and results (2) Documents teaching/instructions and response in proper format, utilizing documentation standards (3) Documents vital signs, weights, and special observations in proper format (4) Documents Tour of Duty: 7:45am to 4:15pm Financial Disclosure Report: Not required. Physical Requirements: The population of male and female Veterans served ranges from the adult, age 18 to the elderly adult, age 65 and over. Lebanon VA Medical Center is a major interdisciplinary teaching facility, serving medical and surgical inpatients and outpatients. The incumbent must be physically and mentally able to perform the essential functions of the position without hazard to themselves or others. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, pushing, lifting 45 pounds or more, reaching above the shoulder, frequent pushing medication carts; and use finger and both and hand and legs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The incumbent must be able to navigate all areas of the facility, use a keyboard, perform cardiopulmonary resuscitation (CPR) when necessary, as well as direct others to perform it, and perform other activities of the position without any restrictions.
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.