Licensed Practical Nurse (LPN)

Competency-based

ONET: 29-2061.00

131

Skills

1320h

Related instructions

Classroom instruction topics

The Nervous and Sensory Systems
The Endocrine System
The Nursing Profession
Obstetrical and Gynecological Nursing
Mental Health Nursing
Musculoskeletal and Integumentary Systems
Growth and Development: The Adult Patient
Care of the Patient with Cancer, Hematological and Lymphatic Disorders
Genitourinary and Renal Systems
Orientation
Growth and Development: The Pediatric Patient
Care of the Patient with Cardiopulmonary Disorders
The Gastrointestinal System
Intermediate Nursing

On-the-job training

The Licensed Practical Nurse Apprentice must be able to demonstrate mastery of the following tasks as they coordinate nursing care delivery to ensure resident’s needs are met in accordance with professional standards of practice through physician orders
- Maintain clean and safe environment (Infection Control, Physical Environment, Maintenance and Safety Procedures)
- Communicate effectively, while following regulations with residents, family, medical team and other authorized persons
- Vital Signs and Specimen Collection
- Personal Care Skills and Activities of Daily Living
- Promote Resident’s Developmental, Mental Health and Social Service Needs
- Care of Cognitive Impaired Residents
- Basic Restorative Skills/Services
- Resident’s Rights
- Perform Administrative Tasks
- Resident Positioning
- Bowel Management Protocol
- Elimination and Skin Care
- Respiratory Care
- Meal Time and Dietary
Demonstrate ability to assume team leader role, accepting responsibility and accountability for all resident care on designated team, including providing direct physical nursing care, with respect to the following general list of duties:
- Perform resident care and various nursing duties according to policies/procedure and standards as delegated by Nurse Manager, Clinical Coordinator, Registered Nurse or Charge Nurse
- Demonstrate appropriate knowledge and technical skills in performing resident care
- Provide for the emotional and physical comfort and safety of the resident and his/her family/caregiver
- Observe for changes in clinical and/or functional status and reports changes to Nurse Manager, Clinical Coordinator or Supervisor in a timely manner. Observe residents for specific signs/symptoms as instructed by the Nurse Manger, Clinical Coordinator, R
- Conduct rounds to monitor, observe and evaluate resident’s general condition
- Assist residents with all aspects of Activities of Daily Living and any special care needs as indicated by the Nurse Manger, Clinical Coordinator, Registered Nurse, or Charge Nurse for which they are properly educated and trained
- Assist other staff members with resident care
- Ensure necessary supplies for resident care are available
- Recognize and respond to emergent situations efficiently and effectively by managing self, residents, staff and others appropriately
Demonstrate ability to assist in resident care coordination including the following:
- Assist with making out daily resident care assignments for assigned team
- Provide direction to Certified Nurse Assistant, giving and taking reports. Demonstrate the ability to delegate duties. Oversee completion of Certified Nurse Assistant’s assignments
- Demonstrate ability to problem solve utilizing resources
- Collect and document data relevant to the resident’s current health status, medical history and discharge plan needs
- Set priorities for nursing actions according to the resident’s needs
- Complete 24-hour report for assigned team
- Monitor dining room during mealtime to ensure residents are safe, fed and/or encouraged to complete meal
Demonstrate ability to documents resident care in accordance with workplace policies/procedures:
- Participate in completing a portion of the admission paperwork accurately & according to guidelines
- Document pertinent nursing observations and actions in medical record appropriately
- Complete all unit specific forms within the Licensed Practical Nurse role accurately and in a timely manner
- Transcribe physician orders when needed
- Ensure Certified Nursing Assistant’s complete required documentation
Demonstrate preparation, administration and recording of medications, treatments and nursing procedures according to workplace policies/procedures:
- Monitor/document resident’s response to medication.
- Perform resident care treatments and procedures according to polices/procedures
- Document medication and treatment administration records promptly per policy
- Possess a sound knowledge base of medication and treatment administration
- Provide the resident and/or family instruction on medication as it relates to a resident's diagnosis, status or plan of treatment.
- Order and maintain stock supplies and medications.
- Stock and clean medicine carts during and upon completion of medication pass
- Promote an environment for the resident that acknowledges & respects the resident's individuality & rights during both treatments & medication administration
Demonstrate ability to function as a Charge Nurse by assuming responsibility and accountability for resident care and entire unit functioning in absence of Nurse Manager/Clinical Coordinator by the following:
- Make out daily work assignment fairly utilizing available resources
- Coordinate unit activities effectively
- Assure completion of 24-hour report and faxes to supervisor
- Manage emergency situations effectively – fire safety, resident falls, change/deterioration in resident condition & initiates appropriate follow-up
- Assist with maintaining the accuracy of the resident care assignment sheets
- Contact/interact with families as needed
- Knowledge of Interdisciplinary Team
- Knowledge of Chain of Command
- Know Charge Duty responsibilities
Demonstrate how to assist in the preparation of the resident for clinical staff, such as Nurse Practitioner, Physician Assistant, or Physician:
- Observe the health status of residents. Collect and records data from the resident, caregivers/family, health care providers, individuals and/or agencies in the community, and documents appropriately
- Review the resident's medical record to ascertain that pertinent data is in the record and attempts to retrieve any missing information.
- Review resident's medications with physician every visit
Demonstrate ability to communicate effectively, professionally and appropriately with health team members, residents and families through the following:
- Communicate information intra/interdepartmentally
- Keep supervisors informed of significant changes in residents’ behavior or condition
- Notify supervisors promptly of any problems related to any staff members
- Reinforce resident and family education and training. Observe and report resident and family compliance to the teaching plan
- Maintain the highest level of customer service when assisting the resident, the resident’s family and visitors
Demonstrate ability to work cooperatively within the health care team by doing the following:
- Support the team in planning the resident's care by assisting in the development and implementation of realistic, measurable, time-bound goals
- Cooperate with leadership staff in implementing planned changes and activities to improve resident's care or overall functioning of the clinical unit
- Assist other staff members with resident care
- Support orientation process by assigning buddies, if necessary, and follow up with staff to assure assignment is being completed
- Welcome new staff/float to the unit, and assist with orientation of new staff
- Accept assignments and adapt to changes in job responsibilities in a professional manner
- Respond to and handle situations in an appropriate manner following the chain of command for resolution
Demonstrate proper and legal use of all medications and treatments such as the following:
- Administration Pass with 1:1 x 3
- Medication Administration Record (MAR/medex)
- Treatment Administration Record (TAR)
- Ordering of medications/stock medications
- Resources at site for drug information
- Medication Room: Narcotic cupboard
- Medication Room: Counting/signing out/disposal of narcotics
- Medication Room: Narcotic Log Book
- Medication Room: Medication Keys including Narcotic keys
- Medication Room: Emergency Drug Box including pharmacy form
- Medication Room: Omnicell
- Medicine Cart set-up, cleaning and storage of medications
- Treatment Cart set up
- Transcription of new orders to Medication Administration Record/Treatment Administration Record
- Properly Discharge Orders
- Medication Order Sheet/Routine and narcotics
- Physicians’ Order Forms (Updates, Interim, New Admission) including 4 check procedure
- Physician’s standing orders
- Routine Narcotic Renewal
- Calling Doctor and taking telephone order
- Follows policies and procedures for medication hold, refusal and medication not available
- Pain Management Documentation
- Transcription of a Coumadin Order and follow up
- Pro Re Nata (PRN) Medication/Treatment orders and documentation
- Parenteral/Enteral Solutions orders and Medication Administration Record transcription
- Night shift check of all charts for new orders
Demonstrate the proper documentation process including the following:
- 24-Hour report (who is on report and information required)
- Employer Emergency Medical Record Documentation
- Employer Emergency Medical Record, Allergy and Immunology with hard copy
- Chart Flag System
- Discharge paperwork
- Transfer Forms (Internal and External Transfer)
- Request for Leave of Absence
- Ophthalmology, Audiology, Dental Form
- Shift Documentation and Care Sheets
- Advance Directive Documentation, wrist band identification, placement and tracking
- Elder Death and Receipt of Mortician
- Care Plans
- Face Sheet & Cumulative Diagnosis Index (CDI) List
- Medical Orders for Life-Sustaining Treatment (MOLST) Forms
- Request for Consultation
Demonstrate knowledge of and how to properly perform Emergency Procedures in the following:
- Knowledge of all Emergency Codes
- Procedure for Code Announcement
- Know when and how to contact Supervisor
- Fire Observation Review Form
- Code Cart: Location, use, documentation and replacement of items used
- Suction Machine set-up and usage
- Registered Nurse Assessment for falls
Demonstrate compliance activities within employer and departmental policies and procedures such as:
- Adhere to all infection control and safety policies and procedures
- Adhere to Resident Rights and confidentiality regulations
- Complete annual competencies
- Operate patient care equipment in accordance with policy and procedure. Obtain, clean and return equipment. Take appropriate action to ensure broken equipment is repaired
- Adhere to nursing dress code. Arrive to work on time for assigned shift prepared to work. Adhere to clocking procedures per protocol. Comply with all other facility and management policies, procedures and requirements.
Demonstrate effective participation in employer Quality Assurance Performance Improvement (QAPI) programs and:
- Demonstrate understanding of Quality Assurance Performance Improvement process
- Participate in data collection
- Actively participate in solving problems identified by Quality Assurance Performance Improvement Program
- Respond with appropriate performance to results obtained from Quality Assurance/Quality Improvement indicator
Participate in staff development programs to improve skills and contributes toward the improvement of resident care by being:
- Responsible for identifying own educational/training needs.
- Participate in and completing a minimum of 12 hours of in-service annually
- Participate in staff meetings, communication systems, reads and signs off all self - study in-services and all pertinent education materials in addition to mandatory in-services
- Bring to annual evaluation ALL required paperwork necessary as directed by re-orientation letter a completed annual health assessment, completed annual reorientation, and completed required annual competencies
Demonstrate knowledge and skill for End of Life Care:
- Know Palliative Care Program and support
- Knowledge of Hospice and Archcare
- Ability to communicate with the residents and their family about end of life options and decisions