The Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) assumes responsibility and accountability for the application of the nursing process and the delivery of patient/client care. The LVN/LPN is also responsible for providing services, as directed by contract and/or program, while under the supervision of a contract/program Registered Nurse or clinical designee. The LVN/LPN provides service in accordance with Maxim’s philosophy, standards and policies.

Essential Duties and Responsibilities:

• Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required

• On each assignment, provides skilled nursing care/services in accordance with prescribed orders

• Identifies and documents changes in patient/client physiological and psycho-social condition • Notifies Director/Supervisor, and contracted customer designee if applicable, when:

o Physician notification is required in order to obtain necessary orders for

intervention(s), per state regulations

o Changes in patient/client condition have occurred

• Adheres to Maxim policy, procedure and applicable protocols

• Identifies and prioritizes actions based upon patient/client care requirements and/or contracted customer requirements

• Ensures that documentation reflects patient/client collaboration including participation in plan

of care creation and maintenance, physician correspondence/collaboration, expected patient/client outcomes, nursing interventions employed, and other items as required by contracted customer

• Performs/provides interventions, treatments, and medication administration, according to

identified priorities, the plan of care, facility policies and patient/client care outcome standards as applicable

• Monitors and documents effectiveness of interventions, treatments, and medications

• Assures patient/client safety at all times

• Monitors the safety and effectiveness of the care/services environment and equipment used,

including universal precautions

• Executes consistent, effective interpersonal communications and maintains positive, professional relationships with patient/client and contracted customer stakeholders

• Adheres to the following professional practice standards:

o Nurse Practice Act

o Standards of Nursing Practice

o Standards of Patient Care

o Standards of Accrediting Body

o State and Local Laws

o Patient Bill of Rights

o Policies and procedures of contracted customers

• Adheres to Maxim policy, procedure and applicable protocols

• Attends case conferences, team meetings and education in-services, as required

• Performs other duties as assigned/necessary