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Casual LPN

3 months ago


Moncton New Brunswick BC, Cape Breton, Canada Winnipeg Regional Health Authority Full time

Grow your career in the Winnipeg Health Region Our team provides a spectrum of health care services through an integrated network of sites, services and organizations. We’re united by a shared commitment to excellent and equitable health care.

TITLE: LICENSED PRACTICAL NURSE (LPN)

DEPARTMENT: NURSING

SUPERVISOR’S TITLE: Director of Care or Designate

SUPERVISORY RESPONSIBILITIES: HCA’s

EDUCATION: Graduate of an approved Licensed Practical Nursing education program required.

EXPERIENCE: Recent, related experience in the applicable clinical area may be required, or preferred.

PHYSICAL DEMANDS AND WORKING CONDITIONS: Good physical and mental health. Moderate to heavy physical effort required. Good communication skills are essential.

OCCUPATIONAL CERTIFICATION/LICENSES REGISTRATIONS: Responsible for maintaining and providing proof of registration with the College of Licensed Practical Nurses of Manitoba (CLPNM). Current Family & Friends registration at the Targeted Responder Level is required.

LANGUAGE: Excellent command of the English language (both oral and written) required.

KNOWLEDGE:

  • College of Licensed Practical Nurses of Manitoba Standards of Practice for Licensed Practical Nurses.
  • College of Licensed Practical Nurses of Manitoba Code of Ethics for Licensed Practical Nurses.
  • Scope of practice as documented in the Licensed Practical Nurses Act.
  • Facility/Regional policies, procedures, protocols and guidelines.
  • Manitoba Health Standards for Personal Care Homes.
  • Nursing care knowledge related to clinical area.
  • Personal Health Information Act (PHIA), Protection of Persons in Care Act, Mental Health Act, Workplace Hazardous Material Information System (WHMIS), Principles of Routine Practices and other legislated acts.
  • Roles and responsibilities of members of the health care team.
  • Principles of delegation.
  • Ability to work in a computerized environment.
  • Ability to function in the MDS and Care Organizer programs.

ABILITIES AND SKILLS:

  • Demonstrates effective oral and written communication skills.
  • Demonstrates critical thinking/problem solving skills.
  • Ability to delegate care appropriately and monitor outcomes of delegated care.
  • Ability to prioritize care for an individual resident or group of residents.
  • Ability to respond to a variety of simultaneous demands.
  • Ability to recognize and pursue self-development opportunities.
  • Ability to perform independently and as a member of the health care team.
  • Ability to adapt quickly to changing situations.
  • Ability to maintain concentration with frequent interruptions.
  • Ability to function in a demanding and stressful environment.

MAIN FUNCTION: Under the general supervision of the Director of Care, the Licensed Practical Nurse (LPN) is responsible for providing professional practical nursing services to designated residents, including independent nursing services, administration of prescribed medical treatments, collaboration and interaction within the health care team, and participation in the coordination of resident care and discharge. Demonstrates a commitment to the Resident Bill of Rights, as well as the Mission, Vision, and Values. Responsible to meet and maintain the Manitoba Health Standards for Personal Care Homes.

ILLUSTRATIVE EXAMPLES OF ACTIVITIES OF POSITION:

Resident Care/Clinical Practice

The LPN applies knowledge and judgment to contribute to a resident’s achievement of health care goals. The LPN practices independently within their defined scope of practice. The LPN provides care that is holistic, compassionate, culturally sensitive and respectful of the individuality of the resident and their support system. The LPN is responsible for total resident care but may delegate some aspects of care to other health care team members in a staff mix model. The LPN provides care to residents and families utilizing the nursing process. This process includes but is not limited to the following:

  • Assessment

- completes an initial assessment with residents and families including the collection of physical, psychosocial, spiritual, cultural and economic data to identify health needs.

- utilizes available data, collected by other members of the health care team, to further identify health needs.

- performs ongoing assessments to identify changes in residents’ health status.

Planning

- plans, with residents and families to prioritize care needs based on assessments.

- develops individualized plan of care (including discharge plan), incorporating data from a variety of sources, in collaboration with other members of the health care team.

- participates in the coordinate individualized plan of resident care as required.

- documents individualized plan of resident care and communicates resident information to enable effective implementation of plan.

- identifies learning needs with residents and families.

Implementation of Resident Care Plan

- organizes work for the efficient delivery of resident care.

- performs prescribed interventions (tests, medications, treatments) and independent nursing interventions including activities of daily living and basic nursing care safely and effectively.

- delegates care appropriately, based on assessment of resident needs and competence/role of care provider and monitors outcomes of delegated care.

- documents assessments and resident care provided in resident’s chart.

Evaluation

- evaluates, with residents and families, the achievement of health goals.

- works with residents, families and other members of the health care team to re-evaluate and modify interventions according to changes in resident’s health status.

- recognizes residents’ and families’ needs requiring intervention by other resources.

Leadership

- accepts responsibility for delegating appropriately and monitors/evaluates delegated activities.

- participates in the coordination of care between members of the health care team to ensure continuity of care.

- works with members of the health care team to facilitate resident flow and work processes.

Communication/Documentation

- communicates and consults with residents, families and other members of the health care team for the delivery of safe effective care.

- communicates/documents accurate observations in a timely manner.

- shares nursing knowledge with residents, families, students and other health care professionals.

- demonstrates an awareness of therapeutic nurse-resident relationships (i.e. maintains professional boundaries and professional communication).

- participates in interdisciplinary team activities e.g. rounds.

Decision Making/Accountability

- uses critical thinking and problem solving skills to make decisions within own scope of practice.

- acknowledges limitations in knowledge, judgment and skills, takes appropriate actions to compensate for limitations (e.g. contacts appropriate health care team member or uses policies and procedures) and functions within those limitations.

- recognizes and reports situations, occurrences, problems or concerns in a timely fashion following appropriate communication channels.

- contributes to the effective use of resources (time, supplies, equipment) in a cost effective manner.

- provides for safety of self and others by adherence to safety guidelines, policies, practices and other applicable legislation.

Professional Responsibilities

- provides care in a professional manner consistent with the Licensed Practical Nurses Act, College of Licensed Practical Nurses of Manitoba Standards.

- reports unsafe practice, professional incompetence, professional misconduct and incapacity or unfitness to practice of any health care team members through the appropriate channels.

- advocates for residents while respecting their right to self determination.

- provides constructive feedback to members of the health care team in a timely manner.

Quality Improvement

- participates in meetings, committees, councils, teams, etc. to improve resident care and work environment as assigned.

- supports and participates in the facility’s quality improvement initiatives/plans.

- demonstrates openness to ideas/changes that support quality resident care.

- performs in a manner that reflects the values of trust, compassion and excellence of service in interactions with residents, families, the health care team and the public.

Education and Research

- maintains and improves clinical expertise through formal and informal education opportunities.

- assumes responsibility for maintaining competency in own nursing practice.

- develops own performance improvement plan to enhance area of nursing practice.

- acts as a resource and role model for students, colleagues and others.

- participates in educational and research activities.

Other Responsibilities

- may be required to assume responsibility of the Nurse-in-Charge under the supervision of the Available Registered Nurse (ARN) if a RN/RPN is unavailable to be on site. The ARN would be the Director of Care or the CEO.

- maintains current knowledge of Disaster Plans and appropriate response to Emergency Codes (Emergency Public Address Announcements).

- adheres to all safety and health regulations and safe work practices.

- may be required to perform other duties and functions related to this job description not exceeding above stated skills and capacities.

POSITION ELEMENTS:

Environmental Conditions

- requires shift work and extended working hours.

- position involves physical activities such as standing, transferring and transporting residents and equipment.

- may encounter exposure to disease, radiation, toxic materials, noise, allergens, etc.

- may encounter aggressive and/or agitated individuals.

Impact of Error

- inappropriate/insensitive communication, action of poor judgment may adversely affect resident care, or negatively impact the facility’s reputation.

- non-adherence to PCH policies and procedures may cause harm to individuals or damage to equipment or property.

Working Relationships

- directly responsible to the Director of Care (may be responsible to charge nurse of the assigned shift).

- may be responsible for directing other nurses, students, health care aides and other support staff in the performance of resident care.

- collaborates with physicians and professional health staff in the facility and the community.

Authority

  • Licensed Practical nurses have the authority to provide nursing care if they are competent to provide that care, the care is endorsed in the practice setting and is within the scope of nursing practice as defined by the Licensed Practical Nurses Act of Manitoba.

Addendum –The Role of the LPN Nurse in Charge

  • Assumes the role of the Charge Nurse in the absence of an RN under the direction of the Available Registered Nurse (ARN) who is the Director of Care or the CEO.
  • Makes safety check rounds of the facility during the shift.
  • Assesses Residents reported to have a significant change in condition or requiring hospitalization and then contact the ARN.
  • Contact maintenance re: environmental /mechanical issues and report issues to ARN.
  • Contact the ARN if a sick call is received requiring overtime authorization or for a performance issue with staff.
  • Contact ARN to report a potential outbreak (more than two residents with acute onset of diarrhea, or two or more Residents with the onset of new acute signs or symptoms.
  • Contact ARN in the event of a death of a resident as the ARN must attend the facility to pronounce the death.
  • Contact the ARN in the event of a fire alarm.
  • Contact the ARN for any other issues that unsure of, require assistance for or feel that ARN should be aware of.
  • Contact the ARN prior to the end of the shift to provide a report.

This position requires a current satisfactory Criminal Records Check (including Vulnerable Sector Search), Child Abuse Registry Check and Adult Abuse Registry Check as conditions of employment. The successful candidate will be responsible for any service charges incurred. A security check is considered current if it was obtained no more than six (6) months prior to the start of employment.

Interviewed candidates may be called upon to participate in a skills assessment.

Any application received after the closing time will not be included in the competition.

We welcome applications from people with disabilities. Accommodations are available upon request during the assessment and selection process.

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