LVN needed for shift care

Provide trach care : maintain airway patency by removing mucus and encrusted secretions, maintain cleanliness and prevent infection at the trach site, prevent skin excoriation and infection around the trach incision, promote comfort, prevent displacement, monitor effectiveness of vent while connected during the night Assess respiratory status (ease of breathing, rate, rhythm, depth, lung sounds, and oxygen saturation level), heart rate , and secretions from the trach site (character and amount). Administer medication following doctors instructions, monitor for side effects. Provide set ups for meals, keep aspiration precautions in place. Assess Cardiac, respiratory, GI, GU, musculoskeletal and neuro status daily. Monitor skin integrity 3x per day and report any issues to MD, reposition Q 2hrs when in bed Provide continuous oxygen as per MD orders 31/min via trach collar, monitor for signs of desaturation Provide AOL's including showering, toileting, feeding, dressing. Maintain safety ,aspiration and fall precautions in place . Provide G-tube site care daily and PRN Monitor for s/sx of infection Monitor BM for s/sx of diarrhea and constipation Monitor V/S, promptly report any out of parameter findings to physician. Provide TheraVest and Cough Assist treatments daily