Job Description & Qualifications
LICENSED PRACTICAL NURSE
Never have been shown by credible evidence( e.g. a court or jury, a department investigation, or other reliable evidence) to have abused , neglected, sexually assaulted, exploited, or deprived any person or to have subjected any person to serious injury as a result of intentional or grossly negligent misconduct as evidenced by an oral or written statement to this effect obtained at the time of application and participated in orientation and training as required by the DHR.
Nursing Services shall be provided by a licensed registered professional nurse or a licensed practical nurse under the direction of a supervisor as required by these rules. Such services shall be provided in accordance with the scope of nursing practice laws and associated rules, and the client's service plan.
1. Nursing services shall include the following: ...
(i) Regularly assess the nursing needs of the client;
(ii) Participate in the establishment and implementation of the client's service plan;
(iii) Provide nursing services as needed and in accordance with the client's service plan;
(iv) Report problems and progress of client to supervisory personnel or the client's personal physician
Licensed Practical Nurse (LPN) Qualifications
Private home care provider licensed practical nurses render services in accordance with the provisions of the Georgia Practical Nurses Practice Act, (O.C.G.A.) Section 43-26-30, and must have a current license to practice as a licensed practical nurse in the State of Georgia. One year of Skilled Nursing Services by Private Home Care Providers XIX-5experience in home health services, public health, geriatrics, long-term care or a related field is preferred.Preference will be given to individuals with home care experience.2.
Licensed Practical Nurse (LPN) Responsibilities
A. Activities that can be performed by a licensed practical nurse include but are not limited to:
1. Any service in accordance with and outlined in the Official Code of Georgia Annotated (O.C.G.A.), Section 43-26-30 through 39, Georgia Practical Nurses Practice Act;
2. Documenting clinical and progress notes
3. Assisting the registered nurse
4. Assisting the member in learning appropriate self-care techniques
5. Teaching the member and family
6. Performing and/or assisting with range-of-motion exercises and ambulation
7. Supervisory Visits
8. Administering and setting up medications ordinarily self-administered and which have been ordered by a physician and supervised by the RN
9. Reporting of changes in the member's condition and needs to the RN
10. Taking and recording vital signs
11. Staff Relief
B. Activities Which May Not be Performed by a Licensed Practical Nurse (LPN) Include:
1. The initial evaluation visit;
2. Initial development of the Member Care Plan
3. Initiation of the plan of care; and4. Re-evaluation of member.
C. Medication Teaching
The RN or LPN must provide instruction to the member, family and friends in medication administration, according to the physician's orders. The RN or LPN must supervise self-administration and teach methods of medication administration when appropriate. Teaching includes the indication for the medication, possible side effects, and side effects to report to the physician
Documentation of each RN or LPN supervisory visit must include the following
1. An evaluation of the member's health status and needs, noting changes in medical condition, medications, etc.
2. An evaluation of the quality of care being rendered, including member's statement of the level of satisfaction with services received
3. Results of the care being rendered
4. Planned interventions and follow-up for any problems identified
5. Any needed revisions to the member's care plan
6. The nurse’s signature and date of the visit (see note below).
7. The date of the previous supervisory visit.
The RN or LPN who makes the supervisory visit must sign and date the documentation of the visit. If the supervisory visit was made by an LPN, the supervising RN must review and co-sign the documentation of the LPN’s visit within 10 days unless otherwise stated in the provider manual for the particular service.
Supervision of the Member’s Care
Medical - The RN or LPN supervises all personal support aides. Refer to Section 606.17 in the CCSP/SOURCE General Manual for general policies and requirements pertaining to supervision of CCSP/SOURCE services. In addition to the policies and standards stated in 606.17, the provider RN or LPN has the following specific supervisory functions:
1. Every two months (within 62 calendar days) the provider RN or LPN completes a face-to-face supervisory visit, in the
member’s home, with the member and, if appropriate, the member’s representative or caregiver for all members who receive more than 24 units of service per week.
2. Every three months (within 92 calendar days) the provider RN or LPN completes a face-to-face supervisory visit, in the member’s home, with the member and, if appropriate, the member’s representative or caregiver for all members who receive 24 units or less of services weekly
3. At least once annually, the provider RN or LPN completes an in-home supervisory visit to observe and monitor the in-home performance of the Personal Support Aide. The LPN must be supervised by the provider agency’s RN.