Posting Note: PCH is looking for a Vascular Access LPN. This position is a DAY shift, 7 AM - 4 PM; the incumbent must be highly motivated to work independently throughout the hospital. This position will work along side a team of highly specialized nurses who we depend on to ensure the children are well taken care of when inserting specialized IVs and/or ports. MUST be an experienced vascular access, phlebotomy, strong problem solving and critical thinking skills. NO NEW GRADS, please.
The LPN - Vascular Access is a Licensed Practical Nurse (LPN) (also referred to as Licensed Vocational Nurse (LVN)) with specialized training to perform Vascular Access Device (VAD) assessments and daily maintenance. The LPN assists the Vascular Access Specialist (VAS) in the daily site dressing changes on all VAD on patients ranging in age from neonates through adulthood. The LPN collaborates with the healthcare team, the patient and their family to deliver the most appropriate care and minimize discomfort based upon clinical need and developmental parameters. The Vascular Access Service department responds to vascular access needs of patients in all areas of the healthcare organization including inpatient, outpatient, surgical, emergency and ambulatory departments.
- Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
- Excellence in clinical care, service and communication
- Collaborative within our institution and with others who share our mission and goals
- Leadership that set the standard for pediatric health care today and innovations of the future
- Accountability to our patients, community and each other for providing the best in the most cost-effective way.
Clinical Care for Assigned Patients
- Performs episodic nursing care for clients whose condition is stable or predictable including daily dressing site checks and scheduled/unscheduled dressing site changes on all Peripherally Inserted Central Catheters based upon patient condition and necessity. Assists the registered nurse or supervising physician in identification of client’s needs such as in the investigation and assessment of assigned infiltrate and extravasation events then collaborates with VAS team members, physicians and pharmacy personnel to treat any identified complications. Assesses VAD placement concerns with radiology and dislodgements with clinical staff, as necessary. Continually evaluates patient responses to VAD care, teaching and discharge plans. Shares observations and assessment outcomes with healthcare team and families to ensure timely communication and understanding of patient health status, progress, and ongoing needs. Monitors and reports VAD safety concerns utilizing appropriate and approved facility reporting methods.
Collaborative Care with Supervising Registered Nurse
- Works directly with VAS team supervising nurse. Accepts delegated tasks and assignments from supervising nurse. Assists with securement and stabilization of VAD insertion and associated procedures, as necessary. Collaborates with clinical teams to assess and place Peripheral Intravenous Catheter (PIV) and obtain assigned laboratory blood samples.
- Contributes to team effort by accomplishing required activities within established parameters to ensure compliance with all applicable medication, storage and documentation standards, regulations, and requirements.
- Provides resource education to staff on VADs. Provides ongoing family/patient education in relation to VAD maintenance and monitoring to ensure familiarity with device safety and care requirements.
Delegation and Feedback
- Delegate nursing tasks to unlicensed assistive personnel (UAP) when such tasks are within the UAP job description. Provides clear direction, supervision and feedback to UAP. Supervises access activities of UAP and delegates activities appropriate to knowledge, skill, and competency. Provides timely feedback and review of care delivery to ensure maintenance of patient safety, infection control procedures, therapeutic environment, and team members’ performance level, maintaining confidentiality as appropriate.
Communication and Documentation
- Gathers, observes, records and communicates client responses to nursing interventions. Modifies the plan of care in collaboration with the supervising registered nurse based upon analysis of client responses. Shares observations and outcomes with healthcare team and families to ensure timely communication and understanding of patient health status, progress, and ongoing needs. Monitors and reports safety concerns utilizing appropriate and approved facility reporting methods. Documents patient progress in appropriate charts. Works collaboratively with patient care team and family members to update and amend plan of care to ensure coordination of activities and ongoing communication of patient health status.
- Performs miscellaneous job related duties as requested.