The Cincinnati OH VA Medical Center is seeking well-qualified candidates for a Licensed Practical Nurse to work in our Dialysis clinic. Work Schedule: Variable hours for this position are as follows: 0500-1530 or 0530-1600 or 0700-1730 or 0730-1800 and 2-3 Saturdays per month. Financial Disclosure Report: Not required The Licensed Practical Nurse (LPN) works under the direction a Registered Nurse (RN), Nurse Practitioner (NP), nephrology fellow or nephrology attending physician. The LPN reports to the nurse manager and/or the assistant nurse manager of the Dialysis Unit. The LPN possesses specialized knowledge and skills regarding the treatment of patients with chronic renal disease and is responsible for observing, recording and reporting dialysis patient condition before, during and after a dialysis treatment. The duties and responsibilities are, but not limited to: Initiates and terminates dialysis treatments following policies and Standard Operating Procedures (SOP). Monitors patients throughout treatment and makes necessary adjustments according to the patient's medical condition under the direction of a dialysis RN. Cannulates fistulae and grafts. Accesses dialysis catheters if specifically authorized by the state Board of Nursing to perform intravenous therapy procedures (4723-17-03). Independently prepares and programs the Amia PD cycler machines for PD treatments, following the ordered prescriptions and using the appropriate dialysis flu ids. Provides PD treatments to stable inpatients and outpatients as needed. May provide after-hours, on-call PD treatments for stable inpatients. Administers intravenous medications if specifically authorized by the Ohio Board of Nursing to perform intravenous therapy procedures (4723-17-03). Demonstrates understanding of the effects and/or reactions caused by medications or dialysis procedures. Administers PO medications. Transports inpatients to and from the Dialysis Unit and lab specimens to the lab. Performs point-of-care testing as needed and reports results to RN. Demonstrates sound clinical judgement and the ability to effectively communicate patient condition to the RN or Provider. Recognizes medical emergency situations and initiates appropriate action. Makes astute observations of subtle changes, both physical and emotional, in patient's condition. Accurately and thoroughly documents care delivered and patient's response to care that could require immediate modification of the patient's care plan. Appropriately seeks assistance and guidance by informing an RN or renal provider of changes in patient's condition that may require higher level care. Reports patient condition to an RN before, during and after dialysis. Documents patient condition, vital signs, changes, and summary of treatment on the flowsheet and in the electronic medical record. Reinforces instruction provided by the RN or other renal interdisciplinary team members. Monitors care and technical work of unlicensed dialysis health technicians. Identifies risk areas and analyzes resources available in the use of patient care equipment and body mechanics, while evaluating options available and selecting a course of action resulting in favorable patient/ organizational outcomes. Sets up and administers oxygen. Performs and documents water checks for the main RO CWP, portable ROs and dialysis machines per unit policy. Obtains, labels, stores, and sends water cultures, endotoxins and composition samples per unit policy. Takes appropriate action and documents actions taken when cultures and/or endotoxins are above AAMI action limits. Communicates all results to the nurse manager and charge nurse. Assumes responsibility for the proper and safe operation of equipment for dialysis and for the accuracy of testing. Uses infection control policies in performing duties. Demonstrates compliance with infection control practices such as hand hygiene and wearing appropriate personal protective equipment. Orders, stocks and prepares supplies in the patient care area to ensure there are always adequate supplies and equipment to meet patient care needs. Checks all areas to ensure supplies are not outdated. Lifts and moves dialysate jugs and salt for brine tank as needed. Communicates supply issues to the nurse manager, charge nurse and/ or supply technician. Following SOP, fills acid storage tanks. Monitors volume in acid storage tanks and informs nurse manager, charge nurse and/or supply technician when additional drums are needed. Performs routine housekeeping duties to assure that the dialysis treatment area is clean and sanitary. Performs other duties as directed by RN and/or nurse manager. LPN will be under the supervision of the Dialysis Unit Nurse Manager and Dialysis Unit Assistant Nurse Manager. The LPN will work directly with Dialysis Unit RNs and other Dialysis Unit staff daily. Clinical activities will be under the direction of the Dialysis RN and/or renal provider. The LPN provides feedback to the Dialysis Unit Nurse Manager and Assistant Nurse Manager for performance review.
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.