LPN - NEURO (INPATIENT)
Company: CARLE
Location: Bloomington
Posted on: November 19, 2024
Job Description:
***$2,500 Sign on Bonus*** Position Highlights: - 9B
Neurology
- Number of beds on unit: 26 bed unit, 22 private beds + 1 Safety
- - - - Monitoring Unit (SMU) with 4 beds.
- Patient population (age, diagnosis, specifics about - - - -
unit): - The unit serves patients typically - - - - above 17 years
of age. The patients are admitted with various - - - - diagnoses
such as stroke, TIA, aneurysms, seizures, epilepsy, brain tumor, -
- - - dementia, neuromuscular diseases, and ETOH withdrawal. Also
includes - - - - patients with neurosurgery procedures such as
laminectomy, craniotomy, and - - - - ACDFs. The SMU has one staff
member assigned to the room. These patients - - - - are
redirectable but need frequent rounding due to confusion, - - - -
impulsiveness, or lack of understanding of their limitations. The
SMU - - - - helps them build and maintain a routine until they get
a placement.
- Nurse to Patient ratio: - 1:5 (occasionally 1:6)
- Department culture and resources: - 9B is specialty unit with
complex, high acuity - - - - neurology and neurosurgery patients.
The nurses and HCTs on the unit work - - - - collaboratively with
the providers, patient families, therapists, and - - - -
pharmacists to provide safe and quality care. The success of
patient care - - - - is strongly rooted in teamwork and
communication. The unit also focuses on - - - - early ambulation of
neurosurgery patients. The unit leadership focuses on - - - -
reinforcing teamwork and individual growth through employee
engagement and - - - - various opportunities within the
organization.
- Frequent nursing skills/equipment used: NIH Stroke Scale, neuro
assessment, nursing assessments, medication administration,
collaboration with multiple disciplines, and ability to communicate
patient care needs with the care team. Hands-on skills such as IV
insertion, foley insertion, tracheostomy care, using plum pump for
fluid and medication administration, administering tube feeding,
wound care and wound vacs, and ostomy bag care. BLS (within 30 days
of hire). NIHSS certification (completed upon hire). When unit is
full, LPN will work with RNs with highest acuity or will be paired
with an RN who has a heavy patient load. When the UNL has patients,
the LPN will be paired with the UNL to assist with the UNL patient
load. LPN tasks may include oral meds, IV piggyback meds, trach
care, dressing changes, documentation on assessments and care plans
after the RN has completed the first assessment and initiated the
care plan.
- Passes all medications, hangs IV piggybacks and fluids,
excluding IV Push meds.
- Charts assessments on assigned patients, given that an RN has
charted the initial assessment.
- Charts on care plans, which the RN has opened. As needed will
have RN open new care plans.
- Communicates with physicians/APPs to receive orders and
coordinate care for patient.
- Complete dressing changes as needed.
- Complete trach care as needed.
- Insert and care for NG tube and feedings through NG tube.
- Care for and change ostomy.
- Reinforce education and discharge instructions.
- Passes all medications, hangs IV piggybacks and fluids,
excluding IV Push meds
- Charts assessments on assigned patients, given that an RN has
charted the initial assessment.
- Charts on care plans, which the RN has opened. As needed will
have RN open new care plans
- Communicates with physicians/APPs to receive orders and
coordinate care for patient.
- Complete dressing changes as needed
- Complete trach care as needed
- Insert and care for NG tube and feedings through NG tube
- Care for and change ostomy
- Reinforce education and discharge instructions
Keywords: CARLE, Decatur , LPN - NEURO (INPATIENT), Healthcare , Bloomington, Illinois
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