LPN

Registered Nurse/Licensed Practical NurseThis listing is for a full-time overnight Registered Nurse or Licensed Practical Nurse. The RN/LPN would work every third weekend and every third holiday on a rotating basis. This position is eligible for overtime, night-time differential and complete benefit package.The primary purpose of your job is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state and local standards, guidelines and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree if quality care is maintained at all times.Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Administrative Functions: Supervise the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Meet with your assigned nursing staff, as well as support personnel, in planning the shift's services, programs, and activities. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may to requested. Interpret the department's policies and procedure to personnel, residents, visitors and government agencies as required. Admit, transfer, and discharge residents as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.Charting and Documentation: Complete and file required record keeping forms/charts upon the resident's admission, transfer, and/or discharge. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident/incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders and forward information to the Dietary Department. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record.Drug Administration Functions: Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that an adequate supply of floor stock medications, supplies and equipment is on hand to meet the nursing needs of the residents. Report needs to the Director of Nursing. Order prescribed medications and supplies in accordance with established policies. Ensure that narcotic records are accurate for your shift. Notify the Director of Nursing of all drug and narcotic discrepancies noted on your shift. Dispose of drugs and narcotics as required, and in accordance with established procedures.Personnel Functions: Participate in employee performance evaluations and make recommendations to the Director of Nursing concerning employee dismissals, transfers, etc. Replace absentee call-ins as needed. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit/shift. Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Director of Nursing. Meet with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that department personnel, residents, and visitors follow the department's established policies and procedures at all times. Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintain to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Receive/give the nursing report upon reporting in and ending shift duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents.Nursing Care Functions: Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Participate in the orientation of new residents/family members to the facility. Make rounds with physician as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician. Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc. as necessary. Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician and next-of-kin when there is a change in the resident's condition. Monitor restorative and rehabilitative programs, to include self-help and care. Administer professional services such as: catheterization, tube feedings, IV protocols, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies and procedures. Obtain sputum, urine, blood and other specimens for lab tests as ordered. Take and record TPR's, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes. Update care plans. Meet with residents, and/or family members, as necessary. Report problem areas to the Director of Nursing. Inform family members of the death of the resident. Follow post mortem procedures.Staff Development: Provide effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Teach and educate as needed. Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Attend and participate in outside training programs. Attend and participate, TB management, and blood borne pathogens standard. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status.Safety and Sanitation: Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures, including dress codes, are followed by your assigned nursing personnel. Ensure that your unit's resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. Ensure that your assigned personnel follow established hand washing techniques in the administering of nursing care procedures. Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. Ensure that your signed personnel follow established infection control procedures when isolation precautions become necessary. Ensure that all personnel wear and/or use safety equipment and supplies (e.g., mechanical lifts) when lifting or moving residents.Care Plan and Assessment Functions: Ensure that your nurses' notes reflect that the care plan is being followed when administering nursing care or treatment. Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensure that your assigned certified nursing assistants (CNAs) are aware if the resident care plans. Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPS and Triggers.Miscellaneous: Provide data to the Quality Assurance & Assessment Committee as requested.Working Conditions: Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses' stations, resident rooms, etc.) Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government, agencies/personnel etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel and visitors. Communicates with the medical staff, nursing personnel, and other department supervisors. Works beyond normal working hours, and in other positions temporarily, when necessary. Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, disease, conditions, etc.,