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Marion County Class Specification BulletinPage of <br />>>> <br />tests to determine effects of treatment being performed; provides first aid or emergency treatment <br />as required. <br />3.Direct Patient Care. Typical tasks: Implements the identified nursing care plan under RN <br />supervision. As a member of a multidisciplinary health care team, conducts patient interviews for <br />assessment of treatment needs; participates in developing, implementing, and evaluating patient <br />care plans; monitors vital signs such as temperature, blood pressure, and pulse, and equipment <br />such as intravenous apparatus, heart, and respiration monitors; observes and records food and <br />liquid intake and output and reactions to medications; observes signs, symptoms, behavioral <br />changes, and progress; collects and records information regarding patient's physical and <br />psychological condition; summarizes and presents information to the treatment team; bathes, <br />grooms, and feeds patients; ambulates or positions bedridden patients; changes diapers and <br />bedding; provides emotional support and explains medical procedures to patients and their <br />families; provides assistance to physicians during examinations and treatment of patients; may <br />assign work and give instruction to paraprofessional unit staff towards meeting patient's health <br />care needs. Contributes in evaluation by reporting patient outcomes and assists with making <br />adjustments. <br />4.Case Management: Assists the RN in identifying case management needs; refers patients to <br />appropriate resources based on the nursing care plan. <br />5.Documentation and Records Management. Typical Tasks: gathers necessary documents for chart <br />preparation; charts and documents all medications, treatment, vital signs, progress, behavioral <br />changes, and vital statistics (such as height and weight) on patients' charts or medical sheets for <br />permanent records; files medical records. <br />6.Miscellaneous. Typical tasks: Schedules doctor or dental appointments, hearing tests, and a <br />variety of tests and screenings for physical and mental capacity; coordinates ancillary referrals <br />such as laboratory work, therapy, and social services; cleans and sterilizes equipment and <br />instruments; cleans examination and infirmary areas; orders supplies; calls for substitute child care <br />workers, teachers, cooks, and other needed back-up staff. Completes accurate and thorough <br />medical documentation, which may include clients' medical charts, medication records, any <br />pertinent observations, computerized dispensing and pharmacy records, and required state or <br />department database entry. Prepares and labels specimens. Maintains clinic equipment and <br />supplies. <br />RELATIONSHIPS WITH OTHERS <br />Employees in this class are in regular in-person contact with patients to administer medications and <br />provide care and with patients' families to provide support and to exchange medical information relevant <br />to patients. They are in regular in person and telephone contact with prescribers to clarify chart orders <br />and report changes in patients' condition and with support personnel to request test results, order <br />supplies, move patients, and request special diets. <br />OCCUPATIONAL RISK <br />Positions in this class are generally found in hospitals, clinics, community settings, homes, and other <br />health care facilities. They require the willingness to work in the environment associated with the <br />position's location and purpose. In addition, they require the willingness to maintain a sympathetic and <br />understanding attitude towards persons with complicated medical conditions, serious mental health <br />challenges, physical disabilities, and developmental disabilities. <br />Depending on the populations to whom they provide direct services and associated environments, the <br />LPN has an increased risk of exposure to communicable diseases and blood borne pathogens such as <br />Hepatitis B and C, HIV, and TB. The LPN maintains personal safety by using gloves, masks, goggles, <br />and other personal protective equipment when there is a risk of exposure. <br />Depending on the populations to whom they provide direct services and associated environments, the <br />LPN is at risk for physical injury, especially in settings that include persons with severe mental health <br />challenges, developmental disabilities, criminality, and a history of violence. The License Practical Nurse <br />maintains personal safety by using de-escalation techniques and seclusion and restraint in certain <br />settings. <br />MINIMUM REQUIREMENTS: <br />http://agency.governmentjobs.com/marion/default.cfm?action=specbulletin&ClassSpecID...9/23/2020 <br /> <br />