LPN Team Resource-Hospice

Welcome To

Welcome To Beth Israel Lahey Health at Home. Our team provides high-quality home care and hospice services by partnering with physicians, hospitals and skilled nursing facilities to provide specialized care to patients in the comfort of their own home. Our team of nurses, therapists (physical, occupational, and speech), medical social workers, and home health aides work together to devise and implement a compassionate care plan that is expressly tailored for each patient.

About the Job

The Licensed Practical Nurse performs professional nursing care, functions as a member of the hospice team and provides input into the assessment, planning, and evaluation of nursing services. Under the direction and supervision of the RN Case Manager - Hospice, the LPN is accountable for the quality of nursing care he or she provides and assumes responsibility for the provision of nursing care in accordance with the established plan of care for assigned patients.

Shift

On Call: Yes
Weekends: Yes
Shift Rotation: Yes

Key Relationships:

• All other clinical positions: Work collaboratively in a multi-disciplinary team for quality patient outcome.
• Clinical Manager: Reports to - case conferences with on a weekly basis.
• Office Support Staff: Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts.

About Us

Beth Israel Lahey Health is dedicated to improving health and wellness and making a difference in the lives of our patients, their families and all members of the communities we serve. Formed in March 2019, Beth Israel Lahey Health is a patient-centered, integrated care delivery system providing a continuum of services spanning academic, tertiary and community hospitals, dedicated orthopedic and psychiatric hospitals, primary and specialty care, community acute care, ambulatory care, behavioral services and home health.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

Responsibilities

Essential Duties and Responsibilities, including but not limited to:

Patient Care:

• Performs nursing visits to patients as delegated/assigned by the RN Case Manager - Hospice /Hospice Clinical Manager.
• Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes as directed by the RN.
• Observes, records, and reports significant changes in the patient's healthcare status to the MD and RN Case Manager - Hospice.
• Evaluates outcomes of basic nursing interventions, reports and encourages necessary changes to the plan of care.
• Participates in the health teaching required by the patient and family.
• Respects and supports patient and family's cultural beliefs and values, individual needs, health goals and treatment preferences.

Communication:

Effectively communicates with patients, caregivers, and members of the interdisciplinary healthcare team incorporating interpersonal and therapeutic communication skills.

• Regularly collaborates with the RN Case Manager - Hospice regarding the patient's status and needs to ensure quality and continuity of nursing care.
• Communicates with the physician to report significant changes in the patient's condition; obtains/receives physician's orders as required.
• Attends regular IDT meetings.
• Practices confidentiality principles set by the agency and federal HIPAA guidelines.

Documentation:

• Clinical visit notes reflect an accurate and detailed description of the patient and situation and communicate skilled care.
• Completes documentation in accordance with agency timeliness policies.

Professional Development:

• Maintains and updates clinical knowledge and skills based on current nursing practice.
• Adheres to departmental requirements for required training.
• Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them.

Additional Duties:

• Participates in the weekend and holiday rotation as defined by Beth Israel Lahey Health at Home.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Participates in in-service programs.

Organizational Requirements:

• Maintain strict adherence to the Continuing Care Confidentiality policy.
• Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities.
• Comply with all Continuing Care Policies.
• Comply with behavioral expectations of the Continuing Care Division.
• Maintain courteous and effective interactions with colleagues and patients.
• Demonstrate an understanding of the job description, performance expectations, and competency assessment.
• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participate in departmental and/or interdepartmental quality improvement activities.
• Participate in and successfully completes Mandatory Education.
• Perform all other duties as needed or directed to meet the needs of the department.

Qualifications

Minimum Qualifications:

Education:

• Graduate from a Licensed Practical Nursing program accredited by the National League of Nursing (NLNAC).

Licensure, Certification and Registration:

• Current licensure to practice as an LPN in the state of Massachusetts.
• Maintains CPR certification.

Experience:

• Two years of experience as a Licensed Practical Nurse in an acute care, rehab or home care setting.
• One year of hospice experience preferred.

Skills, Knowledge and Abilities:

• Demonstrates excellent observation and problem solving/critical thinking skills.
• Well-developed verbal and written communication skills; essential computer skills to work with EMR.
• Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order.
• Self-directed and able to work with minimal supervision.
• Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist.

Physical Requirements

Physical Requirements & Environment:

Mental and Visual Attention:

• The position requires a high degree of mental and visual concentration.

Physical Exertion:

• Weight
  • Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds).
• Dexterity
  • Flow of work and nature of duties require high manual coordination.
• Range of Motion
  • Responsibilities require high range of motion.
• Physical Condtions
  • Performance of duties allows for variation in positioning and tasks.
• Repetitive Motions
  • Responsibilities require frequent repetitive motion.

Working Conditions:

• Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens.

Exposure to Hazardous Materials:

• Performance of duties frequently involves exposure to hazardous materials

Patient Care Conditions:

• Responsibilities entail exposure to blood and body fluids; standard precautions must be used.
• Responsibilities include transporting, transfer and positioning of patients.
• Incumbent must be continuously prepared to prevent a patient fall.

Sensory Requirements:

• Performance of duties requires the ability to discern and identify colors.
• Performance of duties requires the ability to discern sharp from dull and hot from cold.
• Performance of duties requires the ability to hear soft and loud noises.