RN

ESSENTIAL FUNCTIONS/COMPETENCIES

Provides direct and indirect nursing care in a professional manner based on the Physician Plan of Treatment and the nursing care plan :

• Conducts an individualized, accurate assessment of developmental, cognitive, cultural, psychosocial, spiritual, family influences and physical/medical needs.
• Demonstrates clinical competence in administering cares according physician orders, nursing care plan and policies.
• Performs and carries out cares and treatments according physician orders, company policies and procedures.
• Demonstrates knowledge of appropriate care for infant, toddler, preschool, school age and adolescent patients.
• Implements nursing actions in accordance with the plan of care and with respect for child/family individualized needs by incorporating child’s and/or caregivers preferences into care.
• Assesses patient/caregivers for understanding of treatment regime and ability to perform cares and provides ongoing education to patient and caregivers using an individualized approach in delivery style.
• Monitors and documents response to pain, cares, treatments and medications and evaluates outcomes of care provided, adjusting care process as indicated.
• Performs reassessments based on PPOT, company policy and changes in child’s condition and communicates changes to appropriate persons (MD, family, Primary Nurse, office) as indicated.
• Demonstrates age-specific competency in assessments of patient by the ability to obtain and interpret information in terms of patient needs, knowledge, growth and development, and understanding the range of treatment needed by the patient.
• Knows emergency preparedness plan and responds appropriately in crisis situations and/or life-threatening emergencies. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in conditions, and therapeutic interventions/procedures.
• Entries in medical record follow company policy such as correct date, time, use of appropriate, company approved abbreviations, etc.
• Documentation is completed within established timeframes including, but not limited to: Initial Assessment, Nursing Flow Sheet/Daily Charting, Progress Report Sheet, Sign-in Sheet, Teaching Log, Medication Record, Medication Profile, Developmental Assessment, Incident Report Forms, and Specialty Flow Sheets (Seizure, A&B, Cath/Stool, Height/Weight, Sprint, Dietary Log, etc)
• All charting is completed per policy to reflect accurate care for shift on proper forms, according to internal and external regulatory requirements and MD orders.
• Completes and verifies accurate MD orders entry into computerized orders and PPOT per policy
• Reviews and makes appropriate changes in the computerized nursing care plan and time schedule when patient’s condition/routine changes to accurately reflect plan of care
• Initiates new paperwork on clipboard, per policy to include but not limited to Nursing Flow Sheet, Current Orders/Daily Charting, Time Schedule, Medication Record, Progress Report Sheet, Sign-in Sheet, etc.

SECONDARY FUNCTIONS/COMPETENCIES

• Performs other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• Must possess a current valid Nebraska RN license/RN Compact License
• Must be certified in Basic Cardiac Life Support
• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.

EDUCATION AND EXPERIENCE:

• Graduate of an accredited school of nursing.
• Experience with pediatric patients preferred.
• Experience in the home care environment preferred.
• Experience caring for patients requiring ventilator assistance.

LPN

ESSENTIAL FUNCTIONS/COMPETENCIES

Provides direct and indirect nursing care under the direction of an RN, in a professional manner based on the Physician Plan of Treatment and the nursing care plan :

• Delivers nursing care based on PPOT, company policy and changes in child’s condition and communicates changes to appropriate persons (MD, family, Team Leader, Primary Nurse, office) as indicated
• Performs and carries out cares and treatments according to physician orders, company policies and procedures.
• Demonstrates clinical competence in administering cares according to physician orders, nursing care plan and policies.
• Monitors and documents response to pain, cares, treatments and medications and evaluates outcomes of care provided, adjusting care process as indicated.
• Implements nursing actions in accordance with the plan of care and with respect for the individualized needs of the child/family by incorporating child’s and/or caregivers preferences into care.
• Conducts an individualized, accurate assessment of developmental, cognitive, cultural, psychosocial, spiritual, family influences and physical/medical needs.
• Demonstrates knowledge of appropriate care for all children served.
• Assesses patient/caregivers for understanding of treatment regime and ability to perform cares and provides ongoing education to patient and caregivers using an individualized approach in delivery style.
• Demonstrates age-specific competency in assessments of patient by the ability to obtain and interpret information in terms of patient needs, knowledge, growth and development, and understanding the range of treatment needed by the patient.
• Ensures that safety is the number one priority in caring for the child to include but not limited to ensuring that proper identification of the child is double checked when receiving report and prior to administering medications, cares and treatments; ensure medications are double checked against current MD orders prior to administering; ensure that environment is safe to prevent falls and accidents, etc.
• Knows emergency preparedness plan and responds appropriately in crisis situations and/or life-threatening emergencies. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in conditions, and therapeutic interventions/procedures.
• Entries in medical record follow company policy such as correct date, time, full signature, use of appropriate, company-approved abbreviations, and all documentation is completed within established policy timeframes.
• All charting is completed per policy to reflect accurate care during visit/shift on proper forms, according to internal and external regulatory requirements and MD orders.
• Receives report from previous caregiver/parents/guardians and/or supervisor to include but not limited to any PRN medications received in past 24-48 hrs, any illnesses or infections, MD appointments, ER visits, hospitalizations, any new MD orders or changes to daily schedule since last visit and documents per policy. (Most applicable to PDN setting).
• Reviews Current orders with caregiver/parents/guardians during visit or report to ensure that computerized current orders are correct.
• Completes, verifies documents new MD orders on appropriate forms and PPOT per policy.
• Reviews and makes appropriate changes in the computerized nursing care plan and time schedule when patient’s condition/routine changes to accurately reflect plan of care May develop, implement and evaluate individualized patient/family nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs of primary case(s).
• Utilizes assessment data obtained to individualize appropriate interventions and goals for the patient, in collaboration with the family and other members of the interdisciplinary healthcare team.
• Formulates goals and outcomes based on the assessment data and ensures interventions/goals are implemented, evaluated and revised based on patient’s needs and per policy.
• Maintains and oversees that the nursing and interdisciplinary plan of care.
• Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn per policy.

SECONDARY FUNCTIONS/COMPETENCIES

• Performs other duties as assigned in a timely manner.

KNOWLEDGE, SKILLS AND ABILITIES:

• Must possess a current valid Nebraska LPN license/LPN Compact License
• Must be certified in Basic Cardiac Life Support
• Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.

EDUCATION AND EXPERIENCE:

• Graduate of an accredited school of nursing.
• Experience with pediatric patients preferred.
• Experience in the home care environment preferred. rms other duties as assigned in a timely manner.