Licensed Vocational Nurse (LVN/LPN) - Shift Care

The Licensed Practical Nurse (LPN) assumes responsibility for a specific unit or area within the organization to include assessment (under the supervision of the RN), medication distribution, treatment clinical documentation, and supervision of CNA’s and other staff.

ü Uses dual identifiers to confirm resident/guest identify prior to medication administration and treatments.
ü Practices SBAR (situation, background, assessment, recommendation), the preferred method of communication when interacting with members of healthcare community.
ü Encourages resident/guest to be involved in their own care when possible.
ü Receives full and detailed report from the outgoing nurses to ensure proper communication and necessary follow-up of resident’s/guest’s care.
ü Recognizes and responds competently to changes in resident’s condition and documents appropriately.
ü Initiates Plan of Care on admission. ü Interacts and partners with all multidisciplinary service teams, internal and external, to assure continuum of care.
ü Practices Standard Precautions and adheres to infection prevention strategies.
ü Demonstrates compliance to Resident’s Rights.
ü Refers to Nursing/Administration/IV/
ü Emergency Management Policy and Procedures (Public Folders, Hard Copy manual) to assure standard of care.
ü Transcribes physician orders correctly on MAR & TAR.
ü Works closely with Social Worker in trying to resolve residents’/guests/ needs.
ü Checks syringes, and counts narcotics at end of shift.
ü Orders stock medications and prescription medications; ü Admits and discharges residents/guests according to facility procedure.
ü Accurately documents on the following forms:
ü Ambulation/Restorative care
ü Accurate and timely completion of Nursing assessment and data collection upon admission:
ü Fall Risk assessment
ü Uses dual identifiers to confirm resident/guest identify prior to medication administration and treatments.
ü Practices SBAR (situation, background, assessment, recommendation), the preferred method of communication when interacting with members of healthcare community.
ü Encourages resident/guest to be involved in their own care when possible.
ü Receives full and detailed report from the outgoing nurses to ensure proper communication and necessary follow-up of resident’s/guest’s care.
ü Recognizes and responds competently to changes in resident’s condition and documents appropriately.
ü Initiates Plan of Care on admission. ü Interacts and partners with all multidisciplinary service teams, internal and external, to assure continuum of care.
ü Practices Standard Precautions and adheres to infection prevention strategies.
ü Demonstrates compliance to Resident’s Rights.
Graduated of an accredited school of nursing and licensed by the state of NJ as a LPN.
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