Licensed Practical Nurse (Community Health)

Definition

Under general supervision from the Department of Health & Human Services (HHS) Community Health Services Program Manager and the CHN Home Health Supervisor, provides quality care to patients and performs technical skilled care in the homes of patients who live within the Salt River Community boundaries. The community health services is 24/7 when needed and this position will be part of a work rotation for on-call assignments. This job class is treated as FLSA Non-Exempt.

Examples of Tasks

Essential Functions: Essential functions may vary among positions and may include the following tasks, knowledge, skills, abilities and other characteristics. This list of tasks is ILLUSTRATIVE ONLY and is not intended to be a comprehensive listing of tasks performed by all positions in this classification.

Tasks:
Primary Role

1. Provide nursing care to assigned patients in compliance with nursing standards, according to the programs standard operating procedures and under the supervision of a registered nurse designee.
2. Ensure quality and safe delivery of home health services to patient and families/caregivers.
3. Implements plan of care formulated by provider and Registered Nurse.
4. Administer medications and tube feedings according to standards of care.
5. Perform wound care and dressing changes according to standards of care.
6. Assist patient in learning appropriate self-care activities.
7. Use equipment and supplies effectively and efficiently.
8. Implement preventative health measures including appropriate infection control procedures to prevent or mitigate exposure to infectious diseases.

Communication

1. Report evaluation findings to the care team.
2. Document and report activities accurately and in a timely manner, consistent with plan of care.
3. Participate in coordination of home health services with Registered Nurse, clinical management, and interdisciplinary team.
4. Inform, educate, and empower patients and families/caregivers regarding health issues using evidence-based resources defined by standard operating procedures.

Physical requirements

1. Meet the physical demands of the position including moderately heavy physical exertion on a regular and recurring basis, i.e. assisting patients with substantial support to individual in ambulation or transfer activities (wheelchair, to bed, to tub, to commode).
2. Drive for extensive periods of time in a safe manner, including the transport and accompaniment of patients to appointments as assigned.
3. Ability needed for vision includes close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
4. Use hands and fingers to grasp and feel in the process of providing care.
5. Frequently stand, walk, reach with hands and arms, stoop, kneel, crouch, or crawl.
6. Sit occasionally.
7. Perform physically and mentally in a manner consistent with the duties assigned.

Professionalism

1. Maintain safe and healthy working environment and uses safe work methods and procedures in accordance with program standards.
2. Participate as a member of multi-disciplinary consultation and review teams for case assignments to develop strategies and referrals that support individuals and families/caregivers in achieving healthy state.
3. Update professional knowledge and proficiency in nursing through continuing education, staff meetings, training and conferences, etc.
4. Must retain Arizona Licensed Practical Nursing License in good standing.
5. Perform other job-related duties as assigned to maintain and enhance program mission and operation.

Knowledge, Skills, Abilities, and Other Characteristics:

• Knowledge of the history, customs, culture, traditions and government of the Salt River Pima- Maricopa Indian Community.
• Knowledge of medical systems, behavioral health, population health, and social service resources available to Community members including, but not limited to, Indian Health Service (IHS), Medicare, Medicaid, ALTCS, SSI, etc.
• Knowledge of evaluation, preventative and therapeutic procedures used in the Salt River Community health program.
• Knowledge of federal, state and SRPMIC laws and regulations governing nursing practice.
• Knowledge of theory, principles and scope of practice for a licensed practical nurse.
• Knowledge of health systems, disease processes, and home health standards and regulations.
• Knowledge of data collection and reporting.

• Skill observing, evaluating and documenting the behavior and progress of patients.
• Skill evaluating and determining client needs and communicating those needs and making referrals.
• Skill in performing observation and techniques applicable to licensed practical nursing procedures, as well as emergency medical procedures including First Aid and Basic Cardiac Life Support.
• Skill with verbal and written communication and the ability to communicate effectively with a wide range of people, clients, families, community groups and health professionals.
• Skill maintaining accurate records and reporting information appropriately.
• Skill in expressing compassion, empathy, tact, and patience toward peers, patients, and families/caregivers.
• Skill with organization, multi-tasking, flexibility and creativity.

• Ability to communicate in such a way as to maintain positive and effective working relationships with managers, peers, health care professionals, Tribal officials, representatives of resource agencies, patients and families/caregivers.
• Ability to work independently as a productive member of a team.
• Ability to organize and prioritize tasks.
• Ability to maintain appropriate boundaries regarding professional relationships.
• Ability to incorporate cultural differences, health beliefs and learning styles.
• Ability to use electronic technology and software, including the electronic health record and Microsoft Office Suite at an intermediate to expert level.

Minimum Qualifications

Qualifications:
Education: Graduation from an accredited Licensed Practical Nursing program is required.

Licensure: Current unrestricted license to practice as a Licensed Practical Nurse in the State of Arizona required.

Certification: Must hold current intravenous therapy certification.

Experience:

• At least one (1) year recent experience in Community/Home Health Nursing.
• Experience working with Native Americans preferred.
• Working knowledge of infection control, immunizations, and chronic disease management.

Equivalency: Any equivalent combination of education and experience that will allow the applicant to satisfactorily perform the duties of the job may be considered. Special Requirements

Special Requirements:

• Will be required to work outside normal work hours including nights, every other weekend and holidays in order to meet the 24/7 services provided as needed.
• Must have current Basic Life Support and Bloodborne Pathogens training prior to start of work. May complete the training through the Salt River Clinical Services Program before start date after completing background check.
• Must possess and maintain a valid Arizona Drivers License.
• Employees in, and applicants applying for, jobs providing direct services to children are subject to the "Community Code of Ordinances", Chapter 11, "Minors", Article X. "Investigation of Persons Working With Children".

Prior to hire as an employee, applicants will be subject to drug and alcohol testing. Will be required to pass a pre-employment background/fingerprint check. Employees are subject to random drug and alcohol testing.

"SRPMIC is an Equal Opportunity/Affirmative Action Employer" Preference will be given to a qualified Community Member, then a qualified Native American and then other qualified candidate.

In order to obtain consideration for Community member/Native American preference, applicant must submit a copy of Tribal Enrollment card or CIB which indicates enrollment in a Federally Recognized Native American Tribe by one of the following methods:
1) attach to application
2) fax (480) 362-5860
3) mail or hand deliver to Human Resources.

Documentation must be received by position closing date.
The IHS/BIA Form-4432 is not accepted.
Your Tribal ID/CIB must be submitted to HR-Recruitment-Two Waters.