LPN Pre-Employment Interview GS7

(LPNs with MORE than 4 year experience)

Date of Interview:________________ Nursing Area:_____________________________
Name:________________________________ Telephone:_________________________
Date Available for Work:__________________________
Shift Preference:_____________________Educational Preparation:_________________
National/professional certification (s):_________________________________________
Do you have an unrestricted license/certification?________________________________
BCLS current: YES_________ NO_________
1. Give examples of your independent technical judgment in initiating, performing and
completing assigned duties and providing care to variable patient populations.
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2. Describe your knowledge and ability to appropriately carry out specialized patient care
based on the patients condition. Give an example of how you would use judgment in
selecting the appropriate order and sequence of procedures and treatments.
_________________________________________________________________________
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Tell me about a time you recognized, reported and recorded (documented) relevant
patient information.
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3. Tell me how you have incorporated current patient care data in actively contributing to
the development of the patient's overall health plan and in carrying out assigned nursing
interventions.
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4. Tell me about a time you had to observe, identify and respond to a patients need for
immediate care.
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5. Give me an example of a time you had to recognize and consider emotional, cultural,
spiritual, socio-economic and age-related factors.
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6. Give me an example of a time you had to prepare and administer prescribed medications
or perform a treatment according to established policies and procedures.
_________________________________________________________________________
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Tell me about a time you had to observe for, accurately describe, and promptly report a
patients changes or responses to medications/treatments.
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7. Give me an example of a time in which you recognized an urgent or emergency patientcare situation. Give example of your interventions to support continuation of optimal, safe
and therapeutic patient care delivery.
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Tell me how you sought assistance of the RN or MD/DO in the situation above, and
how you initiated appropriate emergency interventions as directed.
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8. Give an example of a time you used your knowledge and understanding of human
behavior, patient motivations and reactions, to promote more positive patient outcomes.
How do you use this knowledge to work effectively with patients, family members and
other staff?
Give examples.
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9. Give an example of a time you influenced and communicated with an usually difficult
patients and /or family member who exhibit problems with lack of self-control, resistant or
abusive behavior, or impediments in their ability to understand or follow instructions. How
did this fostered an environment of respect for the individuals rights to privacy and dignity.
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How have you demonstrated and understanding of established customer service
standards in all interactions with patients and their family members and/or other
internal/external customers?
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10. How have you exhibited skill, creativity and initiative in contributing to the
improvement of overall care delivery in active participation in committees/task forces,
research projects of in developing educational material/media.
_________________________________________________________________________
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11. Explain how you performed support duties for complex diagnostic tests and/or
specialized practices or procedures (e.g. instruments or equipment, monitoring patients
condition before, during and following procedures).
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Explain how you have been a resource to other staff members in organizing and
implementing more complex/specialized patient care.
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12. How did you report malfunction of equipment or supply deficiencies?
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13. Have you ever served a preceptor in orienting, educating or training less experienced
LPN/LVNs and NA/HTs related to support duties for complex technology, specialized
procedures?
_________________________________________________________________________
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14. Give examples how you support RN or MD/DO in monitoring the practice of
unlicensed nursing or non-medical staff in patient care delivery?
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15. What educational opportunities have you actively sought out to enhance your nursing
knowledge and skills? How do you share new knowledge gained with other staff to
improve and advance nursing practice?
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Please rate your skills on a 1-10 scale: 1= No experience with skill to 10= Very
experienced and comfortable with skill.
Foley Catheter Insertion__________
IV Insertion_________________
Date of IV Certification________
Medication Administration (all routes)___________ Patient Assessment___________
Critical Thinking (i.e. problem solving)___________ Prioritization________________
Computer Skills___________

June 11, 2012