LPN

Licensed Practical Nurse

The primary purpose of your job position is to provide direct care to the residents, and to supervise the day-to-day nursing activities performed by the nursing assistants. Such supervision must be in accordance with current federal, state and local standards, guidelines and regulations that govern our facility, as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.

Qualifications:

• Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be Graduate of an approved LPN program.
• Must possess a current, unencumbered, active license to practice as an LPN in this state.
• Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
• Must possess a valid CPR certification
• Must have effective oral and written communication skills
• Must meet all local health regulations and criminal background checks, post-offer drug trust, and post-off physical
• Must maintain all required licenses, certifications, and continuing education requirements by the state
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

Essential Responsibilities and Duties:

• Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility
• 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 facility surveys (inspections) made by authorized government agencies as may be requested
• Admit, transfer, and discharge residents as required
• Complete accident/incident reports as necessary
• Perform administrative duties such as completing medical forms, reports, charting and etc.
• Agree not to disclose assigned usernames and passwords for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator
• Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Administrator
• Report any known or suspected unauthorized attempt to access facility's information system

Charting and Documentation:

• Complete and file required recordkeeping forms/charts upon the resident's admissions, transfer, and/or discharge in Point Click Care.
• Receive telephone orders from physicians and record on the Physician's 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 Director as required.
• Record new/changed diet orders. Forward information to the food services department.
• Report all discrepancies noted concerning physician's orders, diet change, charting error, etc. Report to the Nurse Supervisor
• Fill out and complete transfer forms 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 in Point Click Care.

Drug Administration Functions:

• Prepare and administer medications as ordered by physician.
• Verify the identity of the resident before administering the medication/treatment.
• Ensure the prescribed medication for one resident is not administered to another.
• 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 Nurse Supervisor.
• Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
• Ensure that narcotic records are accurate for your shift.
• Notify the Nurse Supervisor of all drug and narcotic discrepancies noted for your shift.
• Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
• Notify the attending physician of automatic stop orders prior to the last dosage being administered.
• Dispose of the drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions:

• Report absentee call-ins to the Nurse Supervisor. Fill out call off form and return to the Scheduler/Human Resources.
• Provide leadership to the 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 problems areas to the Nurse Supervisor.
• Develop and maintain a good working rapport with the inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of 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.
• Report known or suspected incidents of fraud to the Administrator.
• Ensure that departmental computer work stations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines.

Nursing Care Functions:

• Inform nursing personnel of new admissions, their expected time of arrival, room assignment and etc. All must be charted into Point Click Care.
• Ensure that rooms are ready for new admissions.
• 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.
• Consult with the resident's physician in providing in resident's care treatment, rehabilitation, etc., as necessary.
• Review the resident's chart for specific treatments, medication orders, diets, etc.
• Implement and maintain established nursing objectives and standards.
• Notify the resident's attending physician when the resident is involved in an accident, incident, or change in condition.
• Carry out restorative and rehabilitative programs, to include self-help and care.
• Inspect the nursing services treatment areas daily to ensure that they are maintained in a clean and safe manner.
• Administer professional services such as; colostomy, and drainage bags, and range of motion exercises.
• Obtain sputum, urine and other specimens for lab tests as ordered.
• Take and record temperature, pulse, respirations, blood pressures and accuchecks.
• 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.
• Ensure that residents who are unable to call for help are checked frequently.
• Admit, transfer and residents as necessary.
• Assist in arranging transportation for discharged residents as necessary.
• Ensure that residents are escorted to pick-up area.
• Inform family members of the death of a resident, call the funeral homes when requested by the family. Ensure the established postmortem procedures are followed.

Staff Development:

• Must attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as maintain your license on a current status.
• Attend and participate in outside training programs.
• Attend and participate in monthly/annual facility in-service training programs as scheduled.

Safety and Sanitation: