Nationwide Children's Hospital

  • LPN Suture Tech II - Emergency Services Mara

    Posted Date 2 weeks ago(11/30/2018 1:11 PM)
    Requisition ID
    2018-14333
    Category
    Nursing
  • Overview

    This is a 32 hour/week, benefits eligible position working various shifts, weekend requirement

    Minimum hourly rate: $19.26

     

    Under the direction of the Emergency Services Practitioners in the Emergency Department (ED) and Urgent Cares (UC), assists in the evaluation, treatment, and follow-up care of patients with minor and major cutaneous trauma, and orthopedic injuries. Under the direction of a registered nurse assist with the care of emergency services patients.LPN 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.

    Responsibilities

    Why Nationwide Children's?

    The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Children’s Hospital, where Passion Meets Purpose.

    Here, Everyone Matters. We’re 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world we’ll never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

    Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

    Nationwide Children’s Hospital. A Place to Be Proud.

     

    1. Supports the philosophy and objectives of Nationwide Childrens 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 Childrens Hospital and the Emergency Services Departments

     

    3. 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 Practitioners and in accordance with a written practitioner order in accordance with the Ohio Board of Nursing Law and Rules.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 ED and UC Practitioners 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 ED and UC Practitioners.

     

    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 Signsb. Positioning patients for proceduresc. Blood sample collection by finger stick and venipunctured.

     

    12 lead ECG and rhythm stripse. 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 role

     

    14. 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. Reporting of pertinent findings to the RN Care Manager and/or Practitioner responsible for management of the patient.

     

    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 patients/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 IIs 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; or5) Arterial linesi. 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.

    Qualifications

    KNOWLEDGE , SKILLS AND ABILITIES REQUIRED

    1. High school graduate with good verbal and written communication skills

     

    2. 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 Program Manager and Medical Director

     

    6. Must have reliable transportation, as this position is a float position between all departments under Emergency Services: Emergency Departments and Urgent Care Locations.

     

    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.

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