LPNs take care of patients that have long term treatment needs. Often, these patients do not have a safe discharge plan to complete the treatment elsewhere and therefore continue to have a bed in the hospital. LPNs could have the opportunity to have hands on experience with wound care and IV antibiotics, among other long term care treatment. LPNs may often work beside acute care RNs but not directly in acute patient care areas.  They work in collaboration with a C.N.A., charge RN, unit coordinator and physician. LPN staff with a variety of experience and backgrounds work on this unit. We strive to support learning and continuted education with all staff. Complex discharge units have medically stable but complex patients who are pending a safe discharge plan. 

The LPN must think critically, be able to problem solve and be ready to learn. Excellent communication with teammates and patients is essential. The ability to maintain compassion for this complex patient population is also essential.

Staff on this unit value teamwork. Our physician partners work closely with this team to support in providing the best care posible for our patients.

Legacy Good Samaritan Medical Center in Northwest Portland is known for its specialty programs and clinical excellence. Legacy Good Samaritan features nationally renowned doctors in cancer care, kidney transplantations, neurology, ophthalmology, weight-loss surgery, robotic surgery, rehabilitation and more, plus Oregon’s only 24-hour urgent care that’s located alongside an emergency room, with access to emergency care if

needed.

RIO is a comprehensive inpatient rehabilitation program which provides medical and rehabilitation services for adults 18 years and older. Common diagnoses include: stroke, spinal cord injury (all neurologic levels of injury, traumatic and non-traumatic as well as complete and incomplete SCI), brain injury (Rancho IV and above), multiple sclerosis, multiple trauma, hip fractures, cardiac, major trauma, amputation, burn injury and more. RIO’s case mix meets CMS standards for an inpatient rehabilitation facility (IRF).

Assessment:

• Contributes to and communicates age appropriate admission and daily bio/psycho/social assessments.  Collects, reports and records objective and subjective data in an accurate and timely manner. 
• Observes the patient's condition or changes in condition. 
• Documents the observations in a timely, legible and concise manner in accordance with written guidelines.
• Validates patient classification indicator via required documentation.

Analysis:

• Contributes to the establishment of nursing diagnosis and clinical problem identification.
• Identifies and reports the significant deviations from the norm to the RN, MD and oncoming shift.

Planning: 

• Participates in establishing and updating and individualized plan of care in collaboration with RN, patient and family.
• Provides data and contributes to the identification of priorities.
• Involves the patient/family in individualizing/modifying the nursing plan of care in collaboration with the RN.
• Reviews and updates the nursing plan of care to reflect current patient status by the end of the shift.

Implementation:

• Participates in implementing the planned nursing and medical interventions with knowledge and competence in accordance with written standards of practice.
• Provides care for patients whose conditions are stable or predictable under minimal supervision of the RN or MD.
• Cares for patients whose conditions are critical and/or fluctuating under direct supervision of the RN or MD.
• Carries out the planned interventions with knowledge and competence.
• Uses interpersonal skills that convey a positive and supportive attitude.
• Determines and communicates patient/family desired level of participation in care.   
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Evaluation:

• Contributes to the evaluation of the patient's response to interventions and contributes to care plan modifications.            
• Establishes appropriate care priorities based on patient response to treatments and interventions in collaboration with the RN.
• Communicates patient responses and progress to an RN, during verbal report, on the appropriate

Education:

Graduate of an accredited school of nursing.

Experience:

Clinical experience requirements are dependent upon the specific position.

Licensure/Certification

Current applicable state Licensed Practical Nurse (LPN) required.

AHA BLS for Healthcare Providers