Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) - FT - 7am-7pm or 7pm-7am

Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) - FT - 7am-7pm or 7pm-7am

STGi is seeking an LPN/LVN to provide services at our Georgia War Veterans Home. If you have compassion and a passion to care for Veterans, this could be the job for you!

The primary purpose of the lead LPN/LVN is to provide direct nursing care to the residents.

Essential functions include:

• Ensuring the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as required.
• Ensuring that each resident who experiences a significant change in status is assessed using the Resident Assessment Instrument (RAI) process.
• Assisting to develop a dementia care program involving an interdisciplinary approach with a holistic focus on the needs of the resident living with dementia.
• Verifying resident census accuracy and reporting new admissions, discharges, leaves of absence and bed-holds per facility policies; documenting census as established for billing and clinical purposes.
• Assisting with safe and orderly resident transfers and discharges in accordance with facility policies.
• Coordinating pre-certification and recertification in accordance with facility policies for Medicare Advantage and commercial insurance payers.
• Interpreting the department's policies and procedures to personnel, residents, visitors and government agencies as required.
• Participating in developing, maintaining, and updating written facility policies and procedures that govern the day-to-day functions of the nursing services department.
• Participating in facility surveys (inspections) made by authorized government agencies as requested.
• Auditing nursing documentation in the clinical record for appropriate and relevant entries.
• Attending and contributing in facility "triple check" process for reviewing coding for accuracy.
• Performing administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.
• Periodically reviewing the department's policies and procedures manuals, job descriptions, etc., and making recommendations for revisions to the Director of Nursing.
• Coordinating the completion of resident billable charge sheets in accordance with billing policies.
• Providing licensed nursing care to residents that is consistent with the written plans of care.
• Communicating with primary care physicians and members of the comprehensive care planning team regarding the status of residents; following up on critical labs, order requests and physician notifications.
• Arranging for an interpreter or translation services in accordance with facility policies for those with limited English proficiency (LEP).
• Obtaining orders to provide essential care to the resident consistent with the resident's mental and physical status upon admission to the facility.
• Ensuring that all residents are treated with dignity, respect and consideration and have the right to exercise their choice and self-determination.
• Ensuring that residents receive culturally competent trauma-informed care in accordance with professional standards of practice.
• Evaluating residents' response to care.
• Coordinating nursing care to accommodate resident's person-centered plan of care including sleep schedule, social activity, and participation in other resident-directed activity; minimizing interruption of activities as much as possible.
• Ensuring that residents are free from physical or chemical restraints imposed for the purposes of discipline or convenience that are not required to treat the residents' medical symptoms.
• Assisting in coordinating nursing services with other resident services to ensure the continuity of the residents' plan of care.
• Identifying the learning needs of residents and families and providing individualized and comprehensive resident/family education.
• Educating residents and families on the risk and benefits of a treatment or choice when consent is needed.
• Monitoring residents for patterns of decreased social interaction or signs of distress.
• Implementing individualized approaches to dementia care including meaningful activities addressing the resident's customary routines, interest preferences and choices.
• Carrying out restorative and rehabilitative programs including restorative nursing, activities of daily living (ADLs) teaching, bowel and bladder retraining and education for self-help as appropriate.
• Providing pain management for residents in accordance with established pain management protocols.
• Completing accident/incident reports as necessary.
• Assisting the interdisciplinary team (IDT) with establishing nutrition, hydration and body weight parameters for residents; helping facilitate the responsibilities of the food and nutrition services department.
• Keeping the Director of Nursing informed of the status of residents and other related matters through written/oral reports, documenting reportable events and notifications in accordance with facility policies.
• Cooperating with and coordinating social and activity programs with nursing services schedules.
• Periodically reviewing the resident's written discharge plan; participating in updating the resident's written discharge plan as required.
• Ensuring that the discharge needs of each resident are identified and result in the development of a discharge plan for each resident including regular re-evaluation to identify changes that require modifications.
• Making periodic checks to ensure that Certified Nursing Assistants (CNAs) are properly administering prescribed treatments and to evaluate the resident's physical, psychosocial and emotional status.
• Reporting problem areas to the Director of Nursing; assisting in developing and implementing corrective action.
• Arranging for diagnostic and therapeutic services as ordered by the physician and in accordance with established facility procedures.
• Providing information to the QAPI Committee as requested.
• Coordinating transfer or discharge of residents including arranging transportation, compiling the discharge summary, reconciling medication and reviewing upcoming appointments with resident in a language understood by the resident with the goal of a safe discharge.
• Completing and filing required recordkeeping forms/charts upon the resident's admission, transfer and/or discharge; providing notifications to the ombudsman and responsible party per requirements.
• Documenting reports of accidents/incidents involving residents; following established procedures.
• Performing routine charting duties as required and in accordance with established charting and documentation policies and procedures.
• Auditing clinical record for appropriate consents and assessments including advance directives, living wills and other documents required for the delivery of person-centered care with respect to rights and choices.
• Reviewing the controlled substance and drug disposal records for accuracy and notifying the Director of Nursing and pharmacy of discrepancies.
• Monitoring medication administration process and providing appropriate feedback or changes to prevent medication errors.
• Ensuring that the medication carts and medication rooms are clean, sanitary, and well stocked.
• Assessing residents for appropriate self-administration of medication in coordination with the IDT.
• Reconciling medication delivery from pharmacy by verifying the medications, quantity, and accuracy.
• Collaborating with the IDT to ensure the safe and appropriate use of medications for all residents.
• Administering medications in accordance with physician orders, regulations, and facility policies.
• Supporting the objectives of the infection prevention and control program including antibiotic stewardship.
• Working with the IDT to review unnecessary medications and coordinate gradual dose reductions as appropriate.
• Reconciling resident medications (pre/post-discharge) as part of the discharge process.
• Ordering prescribed medications, supplies and equipment as necessary and in accordance with established facility policies.
• Meeting with assigned nursing staff as well as support personnel in planning the shifts' services, programs, and activities and to assist in identifying and correcting problem areas and/or improving delivery of person-centered care and services.
• Assisting the Director of Nursing in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations and guidelines that govern the facility.
• Directing the day-to-day functions of the CNAs in accordance with current rules, regulations and guidelines that govern the facility.
• Coordinating with the scheduler to ensure a Registered Nurse (RN) is on duty at least 8 hours a day/7 day a week and a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) is on duty 24 hours a day.
• Ensuring that services provided or arranged are delivered by individuals who have the skills, experience, and knowledge to do a particular task or activity; this includes proper licensure or certification if required.
• Assessing residents for conditions which may be aided by assistive or adaptive devices; recommending/requesting in accordance with facility policies; monitoring for proper utilization and application of assistive devices.
• Ensuring that all