Nationwide Children's Hospital
This is a 32 hour/week, benefits eligible position
This is a float position covering the Emergency Departments and Urgent Cares
Hours are variable between 11a-3a including every other weekend and a holiday requirement
Minimum hourly rate: $19.263
Under the direction of the Emergency Medicine or Urgent Care Physician, assists in the evaluation, treatment, and follow-up care of patients with minor and major cutaneous trauma, as well as orthopedic injuries. Under the direction of a registered nurse assist with the care of emergency services patients.Provides technical nursing care to acute and chronically ill children from the age of birth to 21 years and selected adult patients under the direction of a RN Care Manager, and in accordance with the Ohio Board of Nursing Law and Rules. Demonstrates competence defined (*) in LPN II responsibilities in providing age appropriate care and service to pediatric patients from birth to 21 years, and selected adults.
1. Supports the philosophy and objectives of Nationwide Children?s Hospital. Provides a therapeutic environment and appropriate interaction with the patient and family 2. Performs duties within the framework of the policies and procedures as established by Nationwide Children?s Hospital and the Emergency Services Departments3. In collaboration with the physician, evaluates the cutaneous wound (s) in relation to depth/degree of injury, the need for specialty services/consultation/referral and facilitates referral process 4. As part of duties, suture techs are permitted to access medication rooms. 5. Demonstrates sterile and aseptic techniques, as appropriate, in the performance of and/or assisting with procedures and interventions. 6. Performs the following procedures under the direction of the Emergency Medicine and Urgent Care Physicians and in accordance with a written physician order. Wound Closure (see exceptions listed below) Closure of anterior tongue lacerations Suture removal Wound cleansing and dressing Trephination of nail plate (finger or toe) Nail removal and excision Incision and drainage of minor cutaneous abscess (See Wound I&D) Burn wound cleansing, debridement and dressing. Superficial subcutaneous foreign body removal Ring removal Hair tourniquet removal Application of splints and casts to extremities. Cast bivalve and removal 7. Administers appropriate local anesthetic for wound closure in accordance with hospital policy and under the direction of the EM and Urgent Care Physicians and in accordance with a written order. Possess the knowledge of dosages, desired effects, side effects, and adverse reactions. 8. Administer tetanus vaccines as ordered by the EM and UC Physicians. 9. Initiates, reinforces, and documents individualized home going instructions including follow-up, related to wound care, cast splint care, and other orthopedic appliances as appropriate 10. Documents procedure and other appropriate information on the Emergency Services record 11. Functions as a team member, performing related duties as assigned by the registered nurse. Performs other patient care activities within scope of training and competency as appropriate: a. Vital Signs b. Positioning patients for procedures c. Blood sample collection by finger stick and venipuncture d. 12 lead ECG and rhythm strips e. Constant Attendance12. Participation in program committees, to evaluate practice changes in relation to the suture technician role. Develops a beginning awareness of research, participates in unit based research and evidence based practice evaluations.13. Assists with orientation of new personnel if needed. Attends and provides unit in-service education programs as appropriate to role14. Provides observational experience for students, observing the rights and dignity of each patient and family. 15. Assists with educational opportunities of residents, medical house staff, and medical students in suturing techniques and wound care in the emergency care setting. 16. Formulates annual goals and develops a plan to accomplish them.*17. Identifies and documents patient/family objective/subjective data and family data and observations. Reports pertinent findings to the RN Care Manager responsible for directing the patient?s care. *18. Follows the plan of care appropriate to the developmental level of the patient.19. Collaborates with the RN Care Manager directing the patient?s care regarding appropriate tasks/nursing interventions.*20. Implements nursing interventions according to established standards demonstrating competence in specified nursing care. 21. Administers and documents medications by all routes, i.e. oral, subcutaneous, intramuscular, intradermal, transdermal, rectal and aerosol, utilizing the five rights and all other related safety recommendations. 22. Demonstrates basic written and verbal communication skills to convey nursing actions and patient?s/family response.23. Demonstrates sound clinical decision making.24. Communicates and documents patient response to care. 25. Provides input into revision of plan and care based upon data collected and identified patient/family needs. *26. Following additional education, training, and demonstrated competency*27. Following education, training and demonstrated competency, LPN II?s may perform the following IV therapy procedures: a. Verification of the type of peripheral IV solution. b. Examination of a peripheral infusion site. c. Monitor and document the hourly amount of peripheral IV infusion according to the prescribed flow rate. (Rate changes are limited to RNs only.) d. Reset pumps and silence alarms. e. Discontinuation of a peripheral IV device. f. Performance of routine dressing changes at the insertion site of a peripheral infusion, a peripherally inserted venous catheter that has been sutured, or central line catheter. g. Assembles tubing for both peripheral IVs and central venous catheters (does not include spiking bag or priming tubing). h. The following practices are prohibited from LPN practice ? initiating and maintaining: 1) Blood and blood components; 2) Solutions for total parental nutrition; 3) Any cancer therapeutic medications; 4) Any investigational or experimental medications; or 5) Arterial lines i. LPNS may not initiate but may maintain: Solutions that are administered through any central venous line, arterial line, umbilical catheter, and peripherally inserted venous catheter. 28. Maintains accountability for own actions in completing tasks within the LPN scope of practice.29. Acts as a patient/family advocate. 30. Demonstrates positive, effective, and age appropriate interaction skills with patient/family, physicians and other health care team members. 31. Provides instructions and explains procedures to patients/families according to established standards.*32. Reinforces teaching related to diagnosis and home-going instructions. *33. Assists with examinations and treatments 34. Uses established channels of communication to seek assistance, obtain clarification, share information and offer suggestions. 35. Demonstrates respect and understanding of the roles of other health care team members in the provision of patient/family care. 36. Assists in emergency situations as directed by the RN Care Managers.37. Collects pertinent data. 38. Participates in unit quality improvement activities. 39. Participates in assessing own educational needs. 40. Program Managers approval or 3 years from hire date to the LPN Suture Ortho Program is needed to be considered for a contingent status as an LPN Suture Ortho Technician.
KNOWLEDGE , SKILLS AND ABILITIES REQUIRED1. High school graduate with good verbal and written communication skills2. Must complete Emergency Services Suture and Orthopedic Technician training program and receives appropriate certification under the direction of Suture Tech Program Medical Director and Urgent Care Program Manager and in consultation with Divisions of General Pediatric, Plastics, and Orthopedic Surgery as needed 3. Must be a graduate of an approved school of practical or vocational nursing and licensed as a Practical Nurse in the State of Ohio 4. Must complete an Ohio Board of Nursing approved medication test, such as NAPNES (National Association for Practical Nurse Education and Service) or OAPNES (Ohio Association for Practical Nurse Education Service.)5. Must satisfactorily complete orientation objectives as determined by the manager MINIMUM PHYSICAL REQUIREMENTS? Sitting- Occasionally (0-33%) ? Talking on phone/in person- Constantly (67-100%), ? Typing on a keyboard- Frequently (34-66%) ? Standing/walking- Constantly (67-100%),? Must be able to see, hear, stand, walk, speak, read and perform manual tasks with or without accommodation, and care for oneself with little or no difficulty.? Must be able to independently lift up to 25 lbs. ? Must be able to move or reposition patients of any weight or size with the assistance of another person (s) and/or equipment The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet