LVN Licensed Vocational Nurse

Job Summary Under the direction of the Director of Nursing, the Charge Nurse (LVN) is responsible for the comprehensive care of assigned residents and for the supervision of nursing personnel, who assist in the provision of care to those residents. 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, to ensure that the highest degree of quality care is maintained at all times. Duties/Responsibilities Participates in directing the day to day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long term care facility. Participates in ensuring that the Nursing Services procedure manual is followed by nursing service personnel and that it reflects the day to day nursing care procedures used by the facility. Assists in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care. Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Interprets and implements physicians' orders. Participates in the development, maintenance and implementation of the facility's quality assurance program for the Nursing Services Department. Participates in survey inspections made by authorized government agencies. Makes written and oral reports/recommendations to the Director of Nursing as necessary/required concerning the operation of the Nursing Services Department. Admits, transfers, and discharges residents as required. Complete accident/incident reports as necessary. Develops and maintains good working rapport with interdepartmental 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 the residents. Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit and shift. Assists in the orientation and training of new nursing personnel. Attends staff meetings and in-service meetings as necessary. Meets with shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or improvement of services. Nursing Care Functions Informs nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensures that rooms are ready for new admissions. Greets newly admitted residents upon admission; escort to room as necessary. Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided and that they reflect the resident's response to the care. Make rounds with physicians as necessary. Encourages attending physicians to record and sign progress notes, physicians' orders, etc. on a timely basis and in accordance with current regulations. Makes daily resident visits to observe and evaluate the residents' physical and emotional status. Performs medication passes and treatment schedules to assure that medications are being administered as ordered and treatments are provided as scheduled. Reviews medication documentation for accuracy, prior to end of shift, and for adherence to stop order policy. Provides direct nursing care as necessary. Reports problem areas to the Director of Nursing—assists in developing and implementing corrective action. Informs the Director of Nursing of the status of residents and other related matters through written/oral reports. Ensures that written procedures for the administration, storage, supplies, and control of medications are being followed by licensed nurses. Meets with residents and/or family members as necessary and reports problem areas to Director of Nursing. Assists in arranging transportation for discharged residents as necessary. Consults with the resident's physician and next of kin when there is a change in the resident's condition. Works with the facility's consultants and implements those changes authorized by the Director of Nursing. Makes independent decisions concerning nursing care. Take TPR's, blood pressures, etc. as necessary. Schedule appointments and follow up on referrals in a timely manner. Attends and participates in continuing educational programs designed to keep abreast of changes in the nursing profession, as well as to maintain license on a current status. Safety and Sanitization Monitors shift personnel to assure that they are following established safety regulations in the use of equipment and supplies. Ensures that nursing work areas (i.e., nurse's station, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. Ensures that nursing service personnel participate in all fire safety and disaster preparedness drills, in a safe and professional manner. Ensures that nursing personnel follow established infection control procedures when isolation precautions become necessary. Reports to the Director of Nursing any hazardous conditions or equipment. Ensures that nursing personnel follow established hand washing techniques in the administering of nursing care procedures. Equipment and Supply Functions Recommend to the Director the equipment and supply needs of the department. Assures that a stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of residents and reports to Director of Nursing as needed. Ensures that only trained and authorized personnel operate department's equipment. Monitors nursing procedures to ensure that nursing supplies are used in an efficient manner to avoid waste. Care Plan and Assessment Functions Participates in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. Participates in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished. In so far is practical, encourage the resident to participate in the development and review of his/her plan of care. Reviews resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. Ensures that all personnel involved in providing care to the resident is aware of the care plan and that care plans are used in administering daily care to the resident. Reviews nurses' notes to determine if the care plan is being followed. Resident Rights Functions Maintains the confidentiality of all resident care information. Monitors nursing care to assure that all residents are treated fairly, and with kindness, dignity, and respect. Ensures that all nursing care is provided in privacy. Ensures that all nursing personnel are knowledgeable of the resident's rights and responsibilities. Reviews complaints and grievances made by the resident and makes a written/oral report to the Director indicating what actions(s) were taken to resolve the complaint or grievance. Assists the Infection Control Coordinator in identifying, evaluating, and classifying infection problems. Provides information to the Quality Assurance Committee as requested. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the resident's needs. Works in well lighted and ventilated locations throughout the nursing service area. 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. Attends and participates in Licensed Nurses meetings, both mandatory and non-mandatory. Is subject to falls, burns from equipment, odors, etc, throughout the work day. Is subject to exposure to infectious waste, diseases, conditions, etc. including exposure to the AIDS and HEPATITIS B viruses. Required to sit, stand, bend, and move intermittently during shift. Supervisory Responsibilities Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and nonprofessional personnel. Education/Experience Must possess, as a minimum, a nursing degree from an accredited college or university, or be a graduate of an approved LVN program. Must have, as a minimum, one year experience as a supervisor in a hospital, long term care facility, or other related health care facility. Must have training in rehabilitative and restorative nursing practices. Must possess a current, unencumbered license to practice as an LVN in California. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long term care. Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must have the patience, tact, cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Certificates, Licenses, Registrations Current state LVN license. Current CPR License. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Language Skills The ability to communicate effectively, in writing and verbally, with all levels of staff, governmental agencies, professional organizations, outside vendors, contractors, counsel, AV residents and employees. Physical Demands Exchange information with residents, supervisors, existing employees, vendors, etc, hear alarms, signals and bells; seeing to read, prepare and write documents; sitting or standing for extended periods of time; dexterity of hands and fingers to operate equipment; kneeling, bending at the waist and reaching overhead, above the shoulders and horizontally to retrieve and store files and supplies; lifting light to heavy objects; some twisting or rotation at the truck, hips, knees and neck while providing physical assistance for residents. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum lifting of 35 lbs is required. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Bridgeview Post Acute is an Equal Opportunity / Affidavit Action Employer All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin. #J-18808-Ljbffr