Staff Nurse, LPN

Community Name: Four Winds Community The Staff Nurse (LPN) is responsible for operating within scope of practice to coordinate care delivery interventions for approximately 25 residents in assigned area in accordance with current professional practice standards, physician's orders, community policies and procedures, and local, state and federal regulations. Essential Functions Statement(s) Manages resident treatments Distributes and administers prescribed medications and treatments, when required, according to approved nursing protocols, including IVs if certified Assesses residents, under RN Participates in assessing, planning, implementing and evaluating resident care delivery with actual outcome, also assesses, plans, implements and evaluates services and education to be delivered to the family or significant other in coping with and participating in the management of the resident's care Assists in completing the initial and ongoing nursing assessments needed to plan care and interventions Makes resident rounds to ensure care delivery meets quality standards and restorative protocols Utilizes appropriate infection control techniques to prevent spread of infection Observes vital signs and hydration status to detect deviations from normal limits, utilizing resident care equipment and ancillary supplies Assists in receiving, transcribing and implementing physician's orders Requests and arranges for diagnostic and therapeutic services as ordered by resident's physician, from departments within the institution or from outside the facility Orders prescribed medications, requisitions supplies, equipment from appropriate resources, when requested Records resident's responses to treatments/medications, response or lack of progress toward care plan or restorative goal Assists in documenting and observing changes in condition and unusual incidents and reports findings to supervisor, physician and responsible party, as required Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care (including irrigation); Foley catheter care (including insertion and irrigation); Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling; operating the pump; calculating intake and output Ensures dietary recommended feeding allowances are maintained and monitors the weights of residents, assessing for abdominal distention and residual tube placement Administers proper assessment skills and techniques as appropriate, including the following: Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal and integumentary assessments Administers proper positioning techniques including transfer techniques and ROM exercises Administers emergency procedures as necessary, including properly administers oxygen, suctions, performs CPR and uses the ambu bag Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care Applies proper sterile and isolation techniques as necessary Collects lab specimens as required Performs glucometer checks Flushes, infusion, monitoring, piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order Consults with dining services regarding resident's special dietary needs and follows through on recommendations Monitors residents with significant weight loss/gain and identifies residents at risk for nutritional problems and implements preventative measures, reporting to the physician and dietary Checks food brought by family members, ensuring it complies with residents' orders, dietary needs, and safety Completes medical forms, reports, evaluations, studies, charting, etc., as necessary Documents the following according to policies and procedures: medications, treatments, prn's; daily 24-hour report; residents' intake and output; monthly medication renewal process; any exceptions to residents' condition; daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; new/changed diet orders Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to supervisor and/or the Dining Services department Is familiar with and accurately completes forms used throughout the residents chart Interprets policies and procedures to personnel, residents, visitors, and government agencies as required Assists in completion of the care plans (acute and long term) Participates in care conferences as deemed necessary Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse Ensures progress notes are reflective of care plan and ensures they are properly followed Ensures assigned nursing assistants are aware of the resident care plans, and ensures nursing assistant refers to the #J-18808-Ljbffr