Care - licensed practical nurse - nursing

Community Name: Four Winds Community
The Staff Nurse (LPN) is responsible for operating within scope of practice to coordinate care delivery interventions for approximately 25 residents in assigned area in accordance with current professional practice standards, physician's orders, community policies and procedures, and local, state and federal regulations.
Essential Functions Statement(s) Manages resident treatments
Distributes and administers prescribed medications and treatments, when required, according to approved nursing protocols, including IVs if certified
Assesses residents, under RN
Participates in assessing, planning, implementing and evaluating resident care delivery with actual outcome, also assesses, plans, implements and evaluates services and education to be delivered to the family or significant other in coping with and participating in the management of the resident's care
Assists in completing the initial and ongoing nursing assessments needed to plan care and interventions
Makes resident rounds to ensure care delivery meets quality standards and restorative protocols
Utilizes appropriate infection control techniques to prevent spread of infection
Observes vital signs and hydration status to detect deviations from normal limits, utilizing resident care equipment and ancillary supplies
Assists in receiving, transcribing and implementing physician's orders
Requests and arranges for diagnostic and therapeutic services as ordered by resident's physician, from departments within the institution or from outside the facility
Orders prescribed medications, requisitions supplies, equipment from appropriate resources, when requested
Records resident's responses to treatments/medications, response or lack of progress toward care plan or restorative goal
Assists in documenting and observing changes in condition and unusual incidents and reports findings to supervisor, physician and responsible party, as required
Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care (including irrigation); Foley catheter care (including insertion and irrigation); Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling; operating the pump; calculating intake and output
Ensures dietary recommended feeding allowances are maintained and monitors the weights of residents, assessing for abdominal distention and residual tube placement
Administers proper assessment skills and techniques as appropriate, including the following: Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal and integumentary assessments
Administers proper positioning techniques including transfer techniques and ROM exercises
Administers emergency procedures as necessary, including properly administers oxygen, suctions, performs CPR and uses the ambu bag
Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care
Applies proper sterile and isolation techniques as necessary
Collects lab specimens as required
Performs glucometer checks
Flushes, infusion, monitoring, piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order
Consults with dining services regarding resident's special dietary needs and follows through on recommendations
Monitors residents with significant weight loss/gain and identifies residents at risk for nutritional problems and implements preventative measures, reporting to the physician and dietary
Checks food brought by family members, ensuring it complies with residents' orders, dietary needs, and safety
Completes medical forms, reports, evaluations, studies, charting, etc., as necessary
Documents the following according to policies and procedures: medications, treatments, prn's; daily 24-hour report; residents' intake and output; monthly medication renewal process; any exceptions to residents' condition; daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; new/changed diet orders
Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to supervisor and/or the Dining Services department
Is familiar with and accurately completes forms used throughout the residents chart
Interprets policies and procedures to personnel, residents, visitors, and government agencies as required
Assists in completion of the care plans (acute and long term)
Participates in care conferences as deemed necessary
Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions
Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse
Ensures progress notes are reflective of care plan and ensures they are properly followed
Ensures assigned nursing assistants are aware of the resident care plans, and ensures nursing assistant refers to the

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