Health Care Nurse/LPN

Qualifications

Graduate of an accredited school of nursing or an approved LVN program

Current nursing licensure in good standing with the State licensing board

Strong communication and organizational skills

Ability to provide quality patient care in accordance with applicable standards, policies, and procedures

Ability to identify and report problems, use initiative and good judgment to reach quality decisions

Comprehensive knowledge of applicable nursing principles and practices to ensure the quality of care standards for residents are

Possess the willingness to work with professional and non-professional personnel. Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty

Valid CPR certification

General Duties and Responsibilities

GENERAL

Provides nursing care as prescribed by physician/health care professional in accordance with the legal scope of practice, any Board of Licensing restrictions, and within established standards of care, policies, and procedures

Administers professional services and provides care consistent with allowing residents to attain or maintain his or her highest practicable physical, mental, and emotional well-being. Provides clinical data and observations to contribute to the nursing plan of care

CLINICAL

Admits, transfers, and discharges residents in accordance with policy and procedure

Orients new residents/families as necessary

Gives/receives nursing reports upon beginning and ending of assigned shift. Reviews daily patient report and assignments with Nursing Assistants upon the beginning of assigned shift

Assures that the unit area is maintained in a clean and safe manner for resident comfort and convenience

Conducts daily resident rounds to observe the resident’s physical and emotional status

Collects clinical data and reports significant clinical findings according to policy

Performs manual and technical skills according to the scope of practice under the direction of a Registered Nurse

Records care information accurately, timely and concisely. Completes all required documentation including resident observations, interventions, and patient response(s) in the medical record in accordance with policy

Assists in developing, reviewing, revising, and updating resident Plans of Care as indicated. Contributes to the evaluation of the patient’s progress towards specific goals and the adjustment of the nursing plan of care as necessary

Receives and transcribes orders accurately from attending/alternate physician. Assists in making rounds with the attending physician, as necessary

Prepares and administers medications as ordered by the physician and within the legal scope of practice

Completes medical treatments as indicated and ordered by the physician

Evaluates response and reports adverse reactions to medication or treatments in accordance with the policy

Assures that narcotic and controlled drugs are secure, inventory counts are accurate and narcotic register documentation is timely and accurate

Orders prescribed medications, supplies and equipment as established by the facility’s policies and procedures

Requisitions and arranges for diagnostic and therapeutic services as ordered by the physician. Notifies the attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within established policies

Notifies the attending/alternate physician of resident incidents/unusual occurrences. Completes Accident/Incident Report forms as indicated and documents relevant information in the resident’s medical record. Initiates investigation of accidents and unusual occurrences

Informs RN Supervisor or RN in charge of the facility of significant changes in resident condition, unusual occurrences, incidents, or accidents as indicated and per facility policy and procedure

Attends various facility meetings (care conferences, stand‑up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required

Reports allegations of abuse or unusual occurrence per State and Federal Regulations and facility policy. Assists with gathering of information relative to the event

Initiates emergency procedures (including basic CPR) and provides emergency patient treatments

Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff

Participates in procedures for reporting hazardous conditions or equipment

Assists in orientation of newly assigned personnel as requested

Assumes Charge responsibility following orientation period as requested

Performs other position‑related duties as assigned

Supervises CNAs

SUPERVISION

Make resident rounds to ensure appropriate care is being rendered, identifying, and making corrections as necessary

Meet with nursing personnel to assist in identifying and correcting problem areas and/or improving resident care

Assist the Charge Nurse in revision and distribution of nursing assignments as needed

Assist in the supervision and direction of nursing personnel

Participate in disciplinary action and evaluation of nursing personnel

CONSUMER SERVICE

Presents a professional image to consumers through dress, behavior, and speech

Treats residents/family members with dignity and respect

Responds to resident and family concerns and assists in resolving grievances. Records grievances per facility policy

ADDITIONAL DUTIES

Participate in the facility's Quality Assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. Actively participates in Quality Assurance Performance Improvement teams and activities

Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA)

Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff

Participates in procedures for reporting hazardous conditions or equipment

Orient new staff members upon request

Attends in‑services and educational classes to maintain nursing skills competency, and current knowledge for the standard of care and effective practices

Assumes Charge responsibility following orientation period as requested

Performs other position‑related duties as assigned

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