LPN - Per Diem

Licensed Practical Nurse

Join our team as a Licensed Practical Nurse here at Sullivan County Health Care. Come be a part of our award-winning team that works hard to uphold our motto. "ALL DAY, EVERY DAY, WE MAKE LIFE BETTER". Scope of Position: This is a specialized and administrative position with responsibility to ensure the delivery of appropriate high quality nursing and restorative care within the facility's policies and procedures and to ensure through supervisory and other practices that the assigned unit(s) is/are managed in conformance with the philosophy and policies of the facility and in accordance with Federal and State Regulations.

Examples of Duties:

• Attendance is a fundamental tenant of Sullivan County. All employees are obligated to report to work for each and every scheduled shift on time and depart from the work place only when permitted to do so by the County.
• Accurately receives, transcribes and carries out physician's orders.
• Administer medications and treatments as ordered by the physician and make proper documentation and notifications; order and maintain all pharmaceuticals for the units.
• Assess residents, developing and updating Care Plans, MDS's, and quarterly assessments within the mandated time frame as assigned and evaluated by the Unit Manager; observe each resident on a continuing basis alert to changes in mental and physical well-being and in conjunction with an RN, make assessments and notifies Supervisor; receive Resident Status Report from off-going shift, and give on-coming shift a detailed report of each resident's current status and events of the shift.
• Supervise LNAs in accordance with licensing requirements under the New Hampshire Board of Nursing. Assign and measure nursing staff resident care consistent with abilities, job description and scope of practice and supervise the care given; and assist direct-care staff with nursing care as necessary and as time allows.
• Administer the provision of oxygen in accordance with facility guidelines and procedures. Administer gastrostomy/jejunostomy feedings in accordance with policy and procedure. Perform wound care and have knowledge of wound vacs.
• Accompany physician on resident rounds, on their assigned unit(s), to address residents medical needs and to facilitate communication during 60 day review and update 24 hour report sheets to keep APRN/ physician informed.
• Perform regular duties on the unit such as checking appointments for the day and alert staff, checking Physical Therapy, Occupational Therapy appointments, and alert staff, checking activity board and alert staff, reminding staff of ambulation list, weights, blood pressures: monitoring LNA documentation; oversight of infection control practices on the unit; ensure that unit is clean and hazard-free, and following the chain of command, report any problems to the Nurse Manager/Nursing Supervisor; and encourage LNA observations and include them when documenting and reporting.
• Admit, discharge and transfer residents, completing documentation and notifications as necessary. Administer medications and treatments and document such via electronic MAR/TAR and documentation system. Monitoring and reordering medications from the pharmacy as necessary.
• Complete 24 hour report for his/her assigned unit(s); check new orders; complete list of residents on antibiotics, precautions, etc.; maintain consistent communication with the Nursing Supervisor or Unit Manager regarding resident issues or concerns with staff; differentiating between acute and non-emergency problems; and attend all mandatory staff/educational meetings and non-mandatory meetings as assigned.
• Communicate with residents' families in order to resolve resident concerns and problems to notify family members of new orders, and to obtain consent when necessary.
• Assume responsibility for the management of assigned unit(s) during his/her shift under the direction of the Nursing Supervisor, Unit Manager, or Director of Nursing Services. Follow State and Federal Regulations regarding the storage, usage and documentation of controlled medications including counting at the change of shift; notifies appropriate Supervisor if discrepancies are present.
• Assist Staff Development Coordinator (SDC) with the orientation of new nursing employees on their assigned unit(s); communicate with SDC regarding continuing education needs of the nursing staff, and assists in the delivery of staff education and training as needed; encourage and assign staff to attend in service education meetings; and evaluate assigned nursing staff members according to facility policy and procedure. Initiate or effectively recommend disciplinary action as necessary.

Typical Qualifications:

• A high school diploma or equivalent
• A current license in the State of New Hampshire as a Licensed Practical Nurse without restrictions or sanctions of any kind
• A graduate of a School of Nursing program accredited by the American Nurses Association
• One to three (1 - 3) years' experience in an Acute or Long Term Care facility preferred
• Hold a current certification for CPR and may be required to obtain certification to administer IV therapy

Supplemental Information:

Per Diem employees must work one (1) full weekend per month and at least five (5) holidays a year. Shift Differential: $2/hour - 2nd shift, $2/hour - 3rd shift, 20% of base rate of pay for all Weekend shifts. Equal Employment Opportunity Mandatory post offer physical and drug testing for new hire. Criminal records check required.

This position is not eligible for benefits.