Licensed Practical Nurse

URGENTLY HIRING 2 POSITIONS - WE FOLLOW THE UNION GRID INCLUDING THE COMING PAY SCALE RAISES

LPN Job Posting: Elder's Lodge Alexander First Nation Reserve

JOB SUMMARY:

The Licensed Practical Nurse (LPN) is a regulated health care professional who collaborates and participates in the provision of health services* in a variety of practice settings to individuals, families, groups and communities throughout the life span. LPNs utilize the nursing process, critical thinking, problem-solving and decision-making skills to provide care.

The LPN "provide(s) holistic licensed practical nursing care considering the whole person, the environment and the concepts of health promotion, illness prevention, health maintenance, restoration and protection" (CLPNA, Standards of Practice for Licensed Practical Nurses in Canada, "The level of independence for the LPN in practice depends upon several factors including: client needs, complexity, predictability; competencies of the environment" (CLPNA, Competency Profile for Licensed Practical Nurses in Alberta, 2020).

According to the Health Professions Act (2000), "In their practice, licensed practical nurses do one or more of the following: (a) apply nursing knowledge, skill and judgement to assess patients' needs, (b) provide nursing care for patients and families, (b.1) teach, manage and conduct research in the science, techniques and practice of nursing and (c) provide restricted activities authorized by the regulations."

Scope of practice refers to the knowledge LPNs and application of the licenses practical nurse knowledge, skills and judgement to assess patient needs and provide nursing care that is reflective of practical nursing preparation and continuous learning relevant to LPN practice.

The LPN performs restricted activities and provides care according to the needs of the resident population and the services delivery system/model of care. The authorization to perform interventions (including health services restricted activities) are based on the following: Alberta Legislation- Schedule 10, Section 3 of the Health Professions Act (HPA and Schedule 7.1 of the Government Organization Act (GOA ; Alberta Regulation – the HPA Licensed Practical Nurses Profession of Regulation (2003); and regulated by the College of Licensed Practical Nurses of Alberta (CLPNA).

The LPN provides safe, effective, compassionate and ethical care and adheres to CLPNA's Code of Ethics for Licensed Practical Nurses of Canada and the Standards of Practice for Licensed Practical Nurses in Canada and other CLPNA's Standards, Guidelines and Practice Policies and the Alexander Health Services (AHS) Ethical Framework and application of AHS governance documents.

*Health Service(s) means a service or actions performed for or with a patient to protect, promote or maintain health; to prevent illness; to treat or rehabilitate; or to take care of the health needs of the ill, disabled, injured or dying. (Health Information Act – Alberta)

**Patient means an individual who receives or has requested health care or services from Alexander Health Services and its health care providers or individuals authorized to act on behalf of Alexander Health Services. This term is inclusive of patients, clients and families..

Qualifications and requirements:

• Must have current LPN Licencing with CLPNA

• Must have up to date BLS and CPR

• Up to date immunizations including COVID vaccine and yearly influenza vaccine

• Criminal record check with vulnerable population sector

• Must possess initiative and good judgement with an ability to maintain composure and confidentiality

• Speaking and or interpreting Cree an asset

• Knowledge of First nations culture an asset

Responsibilities includes:

KEY RESPONSIBILITIES:

Under the direction of the Resident Care Supervisor (RCS) RN:

Assessment:

• Incorporates critical thinking and relational practice to conduct comprehensive assessments that emphasize patient input and acknowledge the determinants of health.
• Performs ongoing nursing assessments of applying principles of holistic licensed practical nursing care focusing on the emotional, developmental, physical and mental health considering social, cultural, spiritual and social determinants of health when working with patient and families.
• Assesses patient's beliefs/values system, lifestyle, interest/ability to participate in their care, and other factors impacting successful treatment outcomes.
• Identifies and analyzes the assessment data to participate and collaborate in selecting established nursing diagnosis.
• Communicates the established nursing diagnosis to client/resident, health care team and other providers of care as appropriate.
• Provides monitoring of patient's responses to interventions, identifies deviations from expected outcomes and responds accordingly.
• Assesses crisis situations and communicates as appropriate.
• Assesses patients' ability to function in their environment without risk to self and others.

Planning:

• Draws on diverse sources of knowledge and ways of knowing which includes the integration of nursing knowledge along with the knowledge from the sciences, humanities, research and practice experiences.
• Engages patients and families in a non-judgemental approach regardless of life circumstances or diagnoses, to identify specific needs based on comprehensive assessments and clinical judgements of the patient's health status. Determines responses/follow-up with the patient and consultation with other health care providers.
• Develops and implements patient-centered plans of care in collaboration with the patient and family, the health care team and other care providers, ensuring continuity of care across the continuum.
• Prioritizes nursing action(s), in alignment with patient goals.
• Consults with patient/family and identifies measurable short-term and long-term patient outcomes, and communicates same to the health care team and other care providers.
• Identifies and initiates intervention(s) within the LPN scope of practice.
• Collaborates and negotiates care and consults with other members of the nursing team, other health care providers and community services providers as needed to meet patient/family/community needs to manage and coordinate ongoing evaluation of care.
• Appropriately assigns care and supervises unregulated health providers delivering nursing care and provides ongoing evaluation of care.
• Supervises the practice of a nurse on the provisional register according to the conditions of the permit.
• Mentors, teaches, coaches students and staff and preceptors students.
• Collaborates with the patient and/or family, health care team and other care providers, in the development and implementation of a transition in care/discharge plan to meet the patient's needs, including the identification and coordination of resources required to ensure continuity of care across the continuum.
• Reviews health information including diagnose and treatment plans for patients and responds to patient questions and concerns.

Implementation:

• Coordinates the ongoing delivery of the patient-centered care plans.
• Implements prescribed interventions (e.g. diagnostic tests, medications, treatment, etc.).
• Performs independent nursing interventions based upon their practice experiences and application of critical thinking and inquiry to guide decision-making. The LPN consistently applies research and evidence of inform practice.
• Performs Restricted Activities (RA) as outlined by the GOA and authorized by CLPNA in the Licensed Practical Nurses Profession Regulations provided the LPN has competency to perform the RA and the RA is appropriate for the patient in that practice setting. This includes the supervision of RA by students in an approved licensed practical nursing program.
• Utilizes patient educational materials to support patient understanding of health care, health promotion and health maintenance.
• Recognizes deficits related to vision, hearing, speech, language, cognition, social and contextual circumstances. Adapts care to minimize these challenges while promoting patient health can independence.
• Provides culturally sensitive care and establishes culturally safe relationships using effective cultural competence.
• Demonstrates effective communication skills when implementing nursing interventions (including effective verbal and written skills).
• Demonstrates leadership through collaboration with the nursing team to plan, implement and evaluate client/resident care.
• Collaborates and provides guidance to other members of the health care team as needed.
• Advocates for/with the patient to achieve patient centered outcomes.
• Adheres to all applicable clinical documentation requirements as outlined in legislation and regulations, professional practice standards, ethical framework, accreditation standards and Alexander Health Services (AHS) Policy.

Evaluation:

• Collects and interprets data to evaluate nursing activities and patients' response to interventions.
• Evaluates, in collaboration with the patient/family, progress toward achievement of expected outcomes and modifies interventions and the plan of care to achieve desired outcomes as appropriate.
• Consults with the collaborative care team to discuss changes related to patient status and intervenes as appropriate.

Decision Making/Clinical Judgement:

• Utilizes the nursing process, critical inquiry, problem solving and decision-making skills to provide care to individuals, families, groups, communities and populations across the life span.
• Applies nursing informatics by integrating and managing nursing data and knowledge with information and communication technologies to support nursing practice and promote the health of patients.
• Practices independently and interdependently to identify patient needs for additional support. Decisions regarding appropriate nursing interventions are made within the LPN scope of practice as appropriate to meet patient population needs and in the context of the care setting.
• Makes recommendations regarding changes to the patient's plan of care and coordinates and evaluates the overall plan of care in collaboration with the health care team based in an ongoing assessment of the patient's status.
• Respects confidentiality and privacy while collecting, assessing, using and disclosing health and personal information to protect patients, co-workers, the public and AHS business information.

Quality and Safety:

• Utilizes knowledge of nursing care indicators (I.E. nursing sensitive outcomes) that most influence patient outcomes applicable to patient population.
• Engages in quality improvements processes by working with others to identify and implement areas for improved serviced delivery and patient outcomes (E.G. Choosing Wisely Canada Campaign).
• Incorporates strategies for quality improvement and patient safety.
• Audits and self-evaluates own practice and participate in the evaluation of clinical processes in the interest of continuous clinical quality improvement and identifies opportunities for improvement (e.g. adherence to best practice, standards, understanding variation from best practice).
• Meets infection prevention and control requirements by adhering to AHS infection, prevention control practice support documents and additional precautions when required.
• Uses equipment and supplies according to established standards and processes.
• Uses appropriate lifting and transfer techniques.
• Disposes of and handle hazardous materials according to WHMIS and AHS policies and practice support documents.
• Recognizes safety issues and trends and reports appropriately.
• Recognizes and responds appropriately to emergency situations.

PATIENT AND FAMILY CENTERED CARE (PFCC)

• Models Patient and Family Centered Care principles in interactions with patients, families and team.
• Involves the patient and families in decisions and respects patient preferences.
• Engages patients and families as partners in care, to improve patient health care outcomes and the healthcare experience.

COLLABORATIVE PRACTICE

• Models and encourages team communication and decision-making approaches that mobilize and sustain effective teamwork and collaborative practice.
• Engages with the team, residents and families in acknowledging, addressing and resolving conflict.
• Engages in respectful communication and demonstrates respect to all in the workplace.
• Collaborates with Primary Care Team:

Environmental health and safety:

• Assists the CHN in the follow-up and education pertaining to environmental health.
• follow-up with requests from the Environmental Health Officer such as dog bites, water advisories, etc.

Health promotion and education:

• Ensures all Health Centre's bulletin boards are posted with the hand hygiene audits by each program: Footprints, Heath Centre, Headstart, Kipohtawkamik, Keehewkamik.
• Collaborates with the CHN on the collection and tracking of all Community Health statistics for Alexander Health Service's reports, CBRT and the Health Director.

Job Types: 1 Full-time

Salary: $27.60-$36.13

• 8 hour shift straight days no weekends unless workloads requires it for OT.

Ability to commute/relocate:

• Alexander First Nation, AB: reliably commute or plan to relocate before starting work (preferred)

Contact: Joseph Forte, Nurse Manager @ or send resumes to:

Job Types: Full-time, Permanent

Additional pay:

• Overtime pay

Benefits:

• Dental care
• Disability insurance
• Extended health care
• Life insurance
• On-site parking
• Paid time off

Flexible language requirement:

• French not required

Schedule:

• 12 hour shift
• 8 hour shift
• Day shift
• Evening shift
• Monday to Friday
• Night shift
• Weekends rotating

Ability to commute/relocate:

• Alexander First Nations: reliably commute or plan to relocate before starting work (required)

Application question(s):

• Do you have a vehicle to drive on the reserve, dirt roads, gravel and occasional mud?

Licence/Certification:

• LPN/RPN (required)
• CPR Certification (preferred)
• Nursing (required)

Work Location: In person

Job Types: Full-time, Permanent, Casual

Pay: $27.60-$36.13 per hour

Benefits:

• Dental care
• Disability insurance
• Extended health care
• Life insurance
• On-site parking
• Paid time off

Ability to commute/relocate:

• Alexander 134, AB: reliably commute or plan to relocate before starting work (required)

Application question(s):

• Do you have a vehicle to drive on the reserve, dirt roads, gravel and occasional mud?

Licence/Certification:

• LPN/RPN (required)
• CPR Certification (preferred)
• Nursing (required)

Work Location: In person