Job Title: Licensed Practical Nurse (LPN) - Homecare
Department: Nursing
Reports to: Director of Clinical Services
Next Review Date: 03/2017
Job Description Details
Statement of Position/Position Summary
This position will be responsible for providing end-of-life care and hospice services to patients in their home or community setting. The Licensed Practical Nurse (LPN) is responsible for assisting in planning for the patient’s and family’s care under the direction of the RN-PCC. The LPN will provide skilled nursing care as directed by the RN-PCC and as described in the interdisciplinary plan of care, and will reinforce appropriate care techniques.
Qualifications and Education requirements
  • Graduate of an accredited school of practical nursing.
  • Current State of Minnesota LPN license.
  • Two years recent (within the past five years) nursing experience in acute, long-term care or home care/hospice, with at least one in hospice or homecare preferred.
  • Must be able to work independently, have demonstrated patient teaching skills and strong written and verbal communication skills.
  • Computer proficiency and a working knowledge of Microsoft programs required.
  • Current CPR certification.
  • Valid MN Drivers License and daily access to a reliable and insured vehicle.
  • Belief in the hospice concept.
Position Role and Responsibilities
  • Provide nursing care, to include physical and psychological care, in accordance with established policies and procedures of Seasons Hospice and consult with the RN -Patient Care Coordinator (PCC) regarding any changes in the care plan.
  • Maintain up to date patient records to ensure that all patient issues are accurately and clearly stated and changes are reflected as they occur.
  • Recognize and interpret symptoms and institute remedial measures within the scope/limits of a Licensed Practical Nurse in the state of MN and report significant changes in the patient condition to the PCC immediately.
  • Administer medication and treatments as ordered by the physician, with the exception of IV push medication. LPN must pass competency for intravenous/subcutaneous administration of medication via continuous infusion. (LPN may increase or decrease dose, including delivering bolus dose via patient infusion pump, as per instruction and delegation of duty by the PCC.)
  • Reinforce appropriate interventions, medications, effects and side effects to patient, caregiver, volunteers and other as appropriate as directed by the RN-PCC.
  • Participate in the interdisciplinary team (IDT) meeting to include exchange of information, review of problems, and sharing of professional support.
  • Implement care to achieve outcomes of comfortable and safe dying, self-determined life closure and effective grieving for patient and family.
  • Responsible for maintenance of electronic medical records, assuring accuracy, completeness and compliance with regulations, certification standards, legal and ethical standards.
  • Identify and address comfort care needs.
  • Support, instruct and educate the patient, family, and caregiver.
  • Coordinate patient and family services as directed by the PCC.
  • Maintain the dignity of the dying patient.
  • Support the patients and family's unique spiritual and cultural beliefs.
  • Provide holistic, family-centered care across treatment settings to improve the quality of life.
  • Consult and collaborate with the interdisciplinary team and others involved in the patients care.
  • Provide care consistent with National Hospice and Palliative Care Organization standards of practice for hospice programs.
Agency Expectations
  • Adhere to all Seasons Hospice policies and procedures.
  • Maintain absolute confidentiality of all information pertaining to patients, families, and staff and adhere to all HIPAA rules.
  • Display a positive and professional image and attitude in all relationships with patients, families, peers and in the community.
  • Serve as an ambassador for Seasons Hospice at all times.
  • Provide verbal and written performance evaluations for assigned staff members, including peer and self evaluation.
  • Demonstrate ongoing responsibility for self education.
  • Assume responsibility for the promotion of the hospice concept in the community and with other agencies and professionals.
  • Participate in the Quality Assessment Performance Improvement Program (QAPI), as requested.
  • Maintains patient and personal safety regarding occupational health and safety.
  • Participate in safety program, as requested:
    • Participate in employee job safety analysis to eliminate hazards and prevent accidents.
    • Cooperate to investigate employee injuries.
    • Promote and support safety awareness and implement safety operations.
    • Encourage staff to make suggestions on safety practices.
  • Participate in orientation of new employees.
  • Participate in volunteer orientations, training and education as requested.
  • Participate in orientation and supervision for students seeking experience in hospice care. Attend regularly scheduled department meetings and agency meetings.
  • Perform other related duties as assigned.
ADA Requirements (essential functions)
Physical Requirements
Lifting More than 25 lbs, routinely
More than 50 lbs, occasionally
Transfer 150 lb. or greater patient weight
Sitting 2 - 4 hours/day
Standing 6 - 8 hours/day
Walking 6 - 8 hours/day
Bend, stoop, squat, and/or twist Repeatedly throughout day
Reaching 0.5 hours/day – 8 ft., higher or lower
Use of telephone 2 - 3 hours/day
Working under pressure 3 – 4 hours/day
Working rapidly for long periods 2 - 3 hours/day
Use of keyboard/computer, printer, fax, copier 4 – 5 hours/day
Position requires close work; finger dexterity; adequate hearing and vision (with or without correction).
May occasionally work longer than 8 hours/day.
Cognitive or Mental Requirements
The following cognitive or mental requirements are necessary on a daily basis:
  • Critical thinking
  • Reading
  • Writing
  • Mathematics
  • Drawing conclusions from written or computer generated materials
  • Analyzing data or report information
  • Creating methodologies for accomplishing a goal
  • Conducting research
  • Implementing recommendations by coordinating persons and/or other resources
  • Developing plans, procedures, goals, strategies, or processes
  • Directing activities of others to accomplish a goal
  • Clear verbal articulation
Working Environment
  • Indoors, at a patient's bedside or at a desk
  • Travel required; will require transportation to get to various work sites
  • Possible exposure to communicable diseases
  • Skin contact with solvents or other chemicals such as alcohol, acetone, detergents, bleach, and latex gloves
  • Exposure to medical equipment with the risk of lacerations or punctures
This job description is only a summary and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required by the employee. This document is subject to change at any time.
Created by: Michelle Donahue – Director of Human Resources Date: February 2015
Approved by: Beverly Haynes – Executive Director Date: February 2015