Licensed Practical Nurse
Ashton Health and Rehabilitation
Nursing Plan and Care ImplementationThe primary purpose of your job position is to participate in the nursing plan and in implementing the nursing plan of care on the assigned shift and unit in accordance with current applicable federal, state, and local standards, guidelines, and regulations, within the individual’s scope of practice (SOP), as applicable, and as may be delegated by the DON or Administrator, to assure that the highest degree of quality resident care can be maintained.Listed below is an outline of the duties and responsibilities that you will be required to perform as you are delegated the responsibility and accountability to carry out your assigned duties. Even though your job description is broad, every effort has been made to make this outline as complete as possible. HOWEVER, we must emphasize that you may be required to perform other related duties and activities in compliance with legally defined SOP and agency policy/procedure.Participates in planning and implementing of your unit’s activities on the shift and unit as assigned by the DON and/or RN SupervisorAssure that department personnel, residents, visitors, etc. follow established policies and procedures, to include safety rules and regulations, by interceding when a violation occursProvides accurate and consistent information to personnel, residents, visitors, family members, etc. as necessaryEnsure that resident’s rights to fair and equitable treatment, self determination, individuality, privacy, property, and civil rights, including the right to a complaint, are followed by all department personnel as given in the facility’s established policyMaintain confidentiality of pertinent resident care information to assure resident rights are protectedAssure that a stock level of medications, medical supplies, equipment, etc. are maintained at adequate levels. Requisition equipment and supply needs as requiredNotify the resident’s attending/alternate physician, RN supervisor, as well as the resident’s legal guardian representative, when the resident becomes critically ill, injured, etc. as outlined within our established policiesWork with the facility’s consultants as necessary and implement recommended changes as directed by the DONIn cases of death, may call the funeral home as requested by the family, or as otherwise outlined in our established policies. Assure that the body is properly prepared/cleaned for pick up. May announce death as allowed within this state’s rules.Make oral reports/recommendations for interventions for nursing POC to the supervising RN/DON concerning the delivery of resident care on the nursing unit/hall assignedAssure that the unit area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/servicesNotify physician and RN supervisor of resident accidents/incidents. Fill out and complete accident/incident report forms on all such occurrences and chart such information in the resident’s medical record as outlined in our established policies and proceduresTake TPRs, blood pressures, etc. and chart as requiredGives/receives nursing report upon reporting in and ending shift duty hoursTo monitor residents throughout the assigned shift to assure that prescribed treatment is being properly administered as assigned to other LPNs or delegated to nursing assistants. Record findings in the resident’s chartCommunicate changes in resident condition to RN as needed according to agency policyPrepare/administer medications as ordered by the physician and according to agency policy (NOTE: Another nurse MAY NOT administer medication set up by another nurse)Chart nurses’ notes in an informative and descriptive manner that reflects pertinent information and the care provided as well as the resident’s response to the careComplete required record keeping forms/charts upon the resident’s admission, discharge, transfer, etc. File in the resident’s chart and/or forward to appropriate departmentReceive verbal orders from attending/alternate physician and chart on the physician’s order sheet and inform RN supervisor of changes per this facility’s established policiesAssist in orientation of newly assigned unlicensed personnel to facility-specific nursing procedures assigned by the RN as follows: a) Demonstrating a specific task or technique according to the facility’s established procedures b) Observing an unlicensed personnel return demonstration of a specific task or technique in comparison to the facility’s established step-by-step procedure; and c) Providing data regarding the unlicensed personnel performance of the nursing task or technique to the registered nurse to determine competencySubmit an order for prescribed medications, supplies, and equipment as established by our policies and proceduresMaintain the daily census report and submit to the department supervisor or business officeReview physician’s orders, transfer/pre-admission information, etc. for completenessOrient new residents/family members as necessary according to policyForward new diet orders and/or diet changes to the dietary departmentTranscribe physician’s orders to resident charts, treatment plans, etc. to assure that they remain currentVerify the identification of the resident before administering medication, treatment, etcRequisition and arrange either for diagnostic and therapeutic services, as ordered by the physician, within the facility or by outside arrangements in accordance with established policies and proceduresAssure that narcotic records are currentAdmit, transfer, and discharge residents according to policy. Assist in arranging transportation, packing, etc. as necessaryCheck current charts for specific treatment, medication orders, schedules, etcAdminister nursing interventions, such as catheterization; tube feedings; suction; applying and changing dressings/bandages, packs, colostomy and drainage bags; taking blood, sputum, urine specimens; massage and exercises; care of the dead/dying; etc. as established by our policies and procedures and nursing plans of careAssure that personnel follow established infection control and aseptic techniques when isolation procedures become necessaryMake rounds with the physician and assist with examinations and treatmentNotify physician of auto-stop orders on specific medications as established by our policies and proceduresReview Medication Administration Record for completeness of information, accuracy in the transcription of physician orders, and adherence to stop-order policiesCarry out restorative and rehabilitative programs, to include self-help/care, as per established plan of careMay perform minor housekeeping duties around the nursing unitPerform routine charting as requiredNotify the attending physician and RN supervisor when a resident is discharged without approval. Assure that appropriate documentation is made in accordance with established policies and proceduresReport discrepancies of physician’s orders, diet, charting, etc. to the RN supervisorResponsible and accountable for the care of residents for whom care has been assigned and within the legally defined scope of practiceOther duties as may become necessary and appropriate, or as may be directed by the Director of Nursing, RN supervisor, or Administrator and within legally defined SOPAssure that LPNs and CNAs being assigned to or delegated to are providing adequate nursing care in accordance with established nursing service proceduresWorking Conditions:Works in well-lighted/ventilated work areas as well as throughout the nursing service areasSitting, standing, bending, lifting, and moving intermittently during working hoursSubject to frequent interruptionsInvolved with residents, family members, personnel, visitors, government agencies/personnel, etc. under all conditions/circumstancesSubject to hostile and emotionally upset residents, family members, etcCommunicates with the medical staff, nursing personnel, and other department supervisorsWillingness to work beyond normal working hours as assigned when necessaryAttend and participate in continuing educational programsSubject to falls, burns from equipment, infectious diseases, substances, odors, etc. throughout the work dayThis facility will make reasonable accommodations that will permit an employee to perform the essential functions of his or her positionJob Requirements LPN/RN Hall Nurse Qualifications:Education: Must be, as a minimum, a graduate of an approved LPN/RN programExperience:Must have, as a minimum, training in a hospital, skilled
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