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Luke & Associates Licensed Practical Nurse - IV Certified in Oak Harbor, Washington

LICENSED PRACTICAL/VOCATIONAL NURSE

SITE OF SERVICE:

  • Naval Health Clinic Oak Harbor, WA.

    POSITION QUALIFICATION/REQUIREMENTS:

  • Degree: Certificate.

  • Education: Graduate from one of the following:

  • An accredited community college

  • Junior college

  • College

  • University

  • Vocational nursing program

  • Approved by the appropriate State agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).

  • Experience : One year of practical or vocational nurse experience after graduation.

  • Licensure: Current, full, active and unrestricted license as a practical or vocational nurse. In any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

  • Certifications:

  • BLS through American Heart Association. Must be hands on course.

  • Prior to providing services entailing administration of IV medications under this contract, the HCWs must attend a 2-hour lecture on IV certification. The HCWs must then obtain certifications (e.g., IV, medications and blood administration) in accordance with clinic nursing service and command policy not later than 60 days after commencement of services, including MTF observation of three completed IV sticks during this time.

  • U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.

  • English language Requirement: Able to read, write, and speak English well enough to effectively communicate.

  • HCW Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required.

    SPECIFIC DUTIES:

  • Ensure patient care is carried out in accordance with the Standards of Nursing Care and the policies and procedures of the clinic.

  • Check patients into the clinic and triage using clinic guidelines. Inform the nurse or physician of the patient’s condition and potential problems.

  • Obtain and document patient and pertinent family history.

  • Perform a full range of diagnostic support duties which include taking vital signs, collecting specimens, obtaining, recording, and tracking results of diagnostic tools.

  • Assist the physician in a variety of diagnostic examinations such as lumbar punctures, colposcopies, and sigmoidoscopies, by preparing, positioning and monitoring patients, and setting out and handling instruments and equipment.

  • Perform laboratory tests such as checking urine for sugar and stool for blood and record and report results of test.

  • Perform a range of treatment procedures that include sterile dressing changes, applying compresses, monitoring IV fluids, inserting catheters and suctions, inserting nasogastric tubes, administering medications, giving enemas, setting up and giving treatment that requires auxiliary equipment such as oxygen and suction. Ambulate patients to other areas to include Radiology, various clinics, and physical therapy.

  • Prepare patients for tests, examinations, treatments, and/or surgery. Collect specimens such as urine, sputum, and stool. Label specimens for laboratory examinations, follow up by using CHCS/AHLTA or calling the laboratory for reports and alert provider to conditions which deviate from expected findings.

  • Prepare, start, monitor, and discontinue intravenous fluids with accuracy and in accordance with established procedures.

  • Observe, report and document all observed symptoms, reactions, treatments and changes in the patient condition to the registered nurse or physician. Make careful observations to assess that nursing procedures and treatment do not cause additional distress.

  • Perform routine nursing care activities such as taking blood pressures, temperatures, baths, and hygiene care, passing and removal of trays, changing of linen, and otherwise assist in the care of the physical needs of the patient.

  • Operate basic equipment required in delivery of patient care such as pumps, IV pumps, oxygen administration apparatus, and incentive spirometers.

  • Execute physician’s orders within the guidelines of standard nursing practice. Ensure accurate medication is administered in correct form and dosage to the proper patient as directed by the physician.

  • Maintain records of nursing care, dose and time of medication administered, and indicate if the medication was not administered and the reason.

  • Administer immunizations in a safe and accurate manner with strict adherence to all Military/Medical and DoD Treatment Facilities and CDC Immunization policies.

  • Recognize emergency situations and assist with, or institute emergency measures for sudden adverse developments in patients such as cardiac arrests.

  • Perform preoperative procedures for minor surgery, and fill out pre-op checklist.

  • Assist patients in admission, transfer, and perform discharge planning follow-up and documentation.

  • Support the patient and/or family members toward the achievement of treatment plan goals

  • Provide instructions to the patient on invasive procedures, surgical procedures, and post-surgical conditions which were previously provided to the patient by a nurse or physician.

  • Instruct patients on how equipment is used such as oxygen, suction, cardiac monitor, and pulse oximeter. Instruct patients and family on use of prescribed medications, contraindications of medications, and the necessity of proper follow-up care.

  • Provide emotional support to patients and families.

  • Ensure necessary supplies are available and equipment is in functioning order.

  • Provide an orderly, clean, and safe environment for patients and staff.

  • Handle telephone information requests with courtesy, accuracy and respect for patient confidentiality.

  • Receive information and distribute messages as necessary.

  • Ensure maintenance and re-supply of pharmaceuticals in the clinic.

  • Ensure upkeep and perform checks of emergency equipment i.e., oxygen, emergency cart, suction apparatus, etc. and maintain appropriate logs. Inform the Charge Nurse of any discrepancy on daily checks.

  • Perform additional duties within the scope of LPN practice including but not limited to, update of Standards of Nursing Care, and other collateral duties required for efficient, quality patient care.

  • Transport patients to and from other areas of the facility to include hospital clinics and ancillary departments, as ordered by the physician.

  • Assist the professional nurse and/or physician with individual, group, and family health instruction in relation to the patient's condition and his/her ability for self-care. Assist in the dissemination of appropriate literature dealing with subjects related to the particular health problems involved. Assist in providing physical and psychological support to patients, assist in the explanation of procedures and treatment, and promote cooperation among staff, patients, and families.

  • Administer allergy shots. Before the administration of allergy shots the HCW shall attend training that is provided by the MTF. This training will be scheduled within one month of the HCW’s start of performance or at the convenience of the government.

  • Maintain a level of productivity comparable with that of other individuals performing similar services.

  • Participate in peer review and performance improvement activities.

  • Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.

  • Function with an awareness and application of safety procedures.

  • Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.

  • Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.

  • Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.

  • Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.

  • Maintain an awareness of responsibility and accountability for own professional practice.

  • Participate in continuing education to meet own professional growth.

  • Attend and/or comply with all annual training classes required by the Command, to include but not limited to online annual training provided by the MTF: disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.

  • Actively participate in the command’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.

  • Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting government employee’s (e.g., hospital corpsmen, students, etc.).

  • Attend and participate in various meetings as directed.

  • Perform timely, accurate, and concise documentation of patient care.

  • Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, MHS Genesis, and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commander. Maintain DOD email account as directed. The HCW shall be responsive to all email and voicemail communications.

  • Exercise appropriate delegation of tasks and duties in the clinical direction and coordination of health care team members, patient care, and clinic activities.

  • Maintain documentation of all treatment provided in accordance with clinic directives, and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.

  • Initiate, perform and complete assigned duties in providing care to variable patient populations.

  • Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information.

  • Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education.

  • Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures.

  • Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.

  • Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure.

  • Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.

  • Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction.

    CORE DUTIES:

  • Initiate, perform and complete assigned duties in providing care to variable patient populations.

  • Complete assigned patient care based on the patients’ conditions, use judgment in selecting the appropriate order and sequence of procedures and treatments, and accurately recognize, report and record relevant patient information.

  • Observe, identify and respond to the patient’s needs for care, including medication, equipment-assisted care and patient/family education.

  • Prepare and administer prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and perform treatments according to established policies/procedures.

  • Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed.

  • Perform support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient’s condition before, during, and following the procedure.

  • Orient peers and ancillary personnel to unit policies and procedures, skills, and standards of practice.

  • Integrate healthy work environment principles that result in improved patient healthcare delivery, education of patients and their families and employee satisfaction.

    HOURS:

  • Performance hours are as follows: Services shall be provided Monday through Friday, excluding the day of observance of Federal holidays, between the hours of 0630 and 1630.

  • Shifts will normally be scheduled for an 8.5 to 9 hour period, to include an uncompensated 30 to 60 minute lunch break, respectively.

  • In no instance will the HCW be required to provide services in excess of 80 hours per two-week period.

    Scheduling: The schedule or scheduling process is as follows:

  • Specific days, hours, and shift length will be scheduled by the designated government representative. The specific schedule for each two week period will be provided 1 month in advance by the government supervisor or designee. Any planned absences of the HCW shall be communicated to the government supervisor in advance. At the mutual agreement of the contractor and the Government, alternative schedules may be implemented such as a compressed work schedule. Any changes in the schedule shall be coordinated between the HCW and the government. The Government reserves the right to change shift hours with 72 hours’ notice to accommodate patient care needs and mission requirements.

    SPECIAL REQUIREMENTS/SKILLS

    Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

    Luke & Associates Inc. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration from employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age or any other characteristic protected by law.

    Links:

    To learn more about Luke & Associates, please visit our website at:

    http://www.lukeassoc.com/about-luke

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