(LPN) Licensed Practical Nurse

Department

Nursing Services

Reports to

Director of Nursing, Assistant Director of Nursing, Unit Nurse Manager

The difference you’ll make

• Provide direct nursing care to the residents and supervise the day‑to‑day nursing activities performed by nursing assistants.
• Supervision must be in accordance with the current federal, state and local standards, guidelines and regulations that govern our facility and may also be required by the Director of Nursing to maintain the highest degree of quality care at all times.

Responsibilities

• Meet the required physical and sensory requirements and be able to function in the environment as defined.
• Identify and participate in process improvement initiatives that improve the customer service experience, enhanced workflow and or improve the work environment.
• Direct the day‑to‑day functions of the nursing assistants in accordance with rules, regulations and guidelines that govern the long‑term care industry.
• Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
• Meet with your assigned nursing staff as well as support personnel and plan the shift services, programs and activities.
• Verify all nursing personnel comply with the procedures set forth in the nursing policies and Procedure Manual.
• Make written and/or oral reports or recommendations concerning the activities of your shift, as required.
• Cooperate with other resident services when coordinating nursing services and be certain that the resident’s total regimen of care is maintained.
• Verify that all nursing service personnel are in compliance with their respective job descriptions.
• Participate in the development, maintenance, and implementation of the facility’s Quality Assurance program for the Nursing department.
• Participate in surveys/inspections made by authorized government agencies. Periodically review the resident’s written discharge plan; participate in updating the resident’s written discharge plan, as required.
• Assist in planning the nursing portion of the resident’s discharge plan as necessary.
• Admit, transfer and discharge residents as required.
• Complete accident/incident reports as necessary.
• Complete and file required forms/charts upon resident admission, transfer and/or discharge.
• Encourage attending physicians to review treatment plans, records, orders, progress notes, etc., in accordance with established policies.
• Review telephone orders from physicians and record them on the physician’s order form.
• Transcribe physician orders to the resident chart, medication cards and treatment/care plans as required.
• Chart nurse notes in an informative and descriptive manner that reflects the care provided to the resident and the resident’s response to care.
• Record new and change diet orders and forward information to the Dietary Department.
• Report all discrepancies noted concerning physician orders, diet change, charting error, etc., to the Nurse, Supervisor, Unit Manager, ADON/DON.
• Fill out and complete transfer forms and comply with established procedures.
• Enter documentation concerning unauthorized discharges in the resident medical record 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.
• Write nurse’s notes to reflect that the care plan is being followed when administering nursing care or treatment.
• Prepare and administer medication as ordered by the physician.
• Verify the identity of the resident before administering medication/treatment; verify that prescribed medication for one resident is not administered to another.
• Verify 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 Nursing Supervisor.
• Order or prescribe medication, supplies and equipment as necessary and in accordance with established procedures.
• Verify that narcotic records are accurate for your shift; notify the Nursing Supervisor of all drug and narcotic discrepancies noted on your shift.
• Review medication cards for completeness, accuracy and adherence to stop‑order policies; notify attending physician of automatic stop orders prior to the last dosage being administered.
• Immediately notify the nurse, supervisor and attending physician of any medication administration errors.
• Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices.
• Respond promptly to all call lights and assist with other residents’ needs.
• Make rounds with physicians as necessary.
• Consult with residents, physicians and provide the resident care, treatment, rehabilitation, etc., as necessary.
• Update the resident’s chart for specific treatments, medical orders, diets as necessary; make periodic checks to confirm the prescribed treatments are being properly administered by the CNA’s and evaluate the resident’s physical and emotional status.
• Notify the resident’s attending physician when the resident is involved in an accident or incident; notify the resident’s attending physician and responsible party when there is a change in the resident’s condition.
• Administer professional services such as catheterizations, tube feedings, suction, dressing changes, colostomy and drainage bag care, blood draws, massages and range‑of‑motion exercises and care of the dying, as required.
• Monitor seriously ill residents as necessary.
• Review care plans daily to confirm that appropriate care is being rendered.
• Ensure CNAs are aware of the resident’s care plan; verify that CNAs refer to the resident’s care plan prior to administering; provide daily care to the resident.
• Duties assigned by supervisor.

Qualifications

• Registered nurse or licensed practical/vocational nurse with the current state license.
• Current/active CPR certification, preferred.
• Excellent technical assessment and documentation skills.
• Effective verbal and written English communication skills.
• Demonstrated intermediate to advanced skills in Microsoft Word, Excel, PowerPoint, Outlook, Internet and navigation.
• Highest level of professionalism with the ability to maintain confidentiality.
• Ability to communicate at all levels of the organization and work well within a team environment and supportive company objectives.
• Customer‑service oriented with the ability to work well under pressure.
• Strong attention to detail and accuracy; excellent organizational skills with the ability to prioritize, coordinate and simultaneously maintain multiple projects with high quality and productivity.
• Strong analytical and problem‑solving skills.
• Ability to work with minimal supervision, take initiative and make independent decisions.
• Ability to deal with new tasks without written procedures.
• Approachable, flexible and adaptable to change.
• Function independently with personal integrity and the ability to work effectively with stakeholders and vendors.

Work Environment

• Work mostly indoors on tiled and carpeted floors.
• Interact with other coworkers, residents and their guests.
• Possible exposure to slippery floors, chemicals, sharp objects, hazardous materials and waste (including human bloodborne pathogens).
• Possible high‑stress medical or life‑threatening situations.

Physical and Sensory Requirements

• Moderate physical activity.
• Standing and/or walking for more than two hours per day.
• Sitting for more than two hours at a time.
• Writing or computer work with repetitive typing and concentrating on a computer screen or documents for more than two hours at a time.