LPN- Day and Night Shift

About the Role

Provide direct nursing care to residents and supervise the day-to-day nursing activities performed by nursing assistants. Supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern the facility, ensuring the highest degree of quality care at all times.

Promote an atmosphere of teamwork with other employees and hospitality and comfort for residents.

Responsibilities

• Administrative Functions
  • Direct the day-to-day functions of nursing assistants in accordance with rules, regulations, and guidelines for the long-term care industry.
  • Ensure all nursing personnel comply with facility policies and procedures.
  • Plan shift services, programs, and activities with assigned nursing staff and support personnel.
  • Verify compliance with the Nursing Policies and Procedures Manual.
  • Provide written and oral reports concerning shift activities as required.
  • Coordinate with other resident services to maintain the resident’s total regimen of care.
  • Ensure nursing service personnel adhere to their job descriptions.
  • Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing department.
  • Participate in government surveys and inspections.
  • Review and update the resident’s written discharge plan as required.
  • Assist in planning the nursing portion of the resident’s discharge plan.
  • Admit, transfer, and discharge residents as required.
  • Complete accident/incident reports as necessary.
• Charting and Documentation
  • Complete and file required forms/charts upon resident admission, transfer, and/or discharge.
  • Encourage physicians to review treatment plans and document orders and progress notes.
  • Receive and record telephone orders from physicians.
  • Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans.
  • Chart nurses’ notes descriptively to reflect care provided and resident response.
  • Record and forward new/changed diet orders to the Dietary Department.
  • Report discrepancies in physician’s orders, diet changes, or charting errors to the Nurse Supervisor.
  • Complete transfer forms and document unauthorized discharges.
  • Perform routine charting duties in accordance with established policies.
  • Document adherence to the care plan when administering nursing care or treatment.
• Medication Administrative Functions
  • Prepare and administer medication as ordered by the physician.
  • Verify resident identity before administering medication or treatment.
  • Ensure medications prescribed for one resident are not administered to another.
  • Maintain adequate supply of floor stock medications, supplies, and equipment.
  • Order prescribed medications, supplies, and equipment as necessary.
  • Verify narcotic records for accuracy each shift and report discrepancies.
  • Review medication cards for completeness and accuracy.
  • Notify the attending physician of automatic stop orders prior to the last dosage.
  • Immediately report medication administration errors to the Nurse Supervisor and attending physician.
• Nursing Care Functions
  • Deliver and maintain optimum resident care and comfort through current nursing practices.
  • Respond promptly to call lights and resident needs.
  • Make rounds with physicians as necessary.
  • Consult with the resident’s physician regarding care, treatment, and rehabilitation.
  • Review resident charts for treatments, medication orders, and diets.
  • Conduct periodic checks to ensure prescribed treatments are administered properly and evaluate resident status.
  • Notify the attending physician of accidents, incidents, or changes in resident condition.
  • Administer professional services such as catheterization, tube feedings, suction, wound care, colostomy care, blood draws, massages, range of motion exercises, and end-of-life care.
  • Monitor seriously ill residents as necessary.
  • Review and update care plans daily to ensure appropriate care is rendered.
  • Ensure CNAs are aware of and follow resident care plans.
• Other Duties
  • Attend in-service education programs to meet facility requirements.
  • Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill, and Evacuation Procedures.
  • Maintain confidentiality of resident and facility records.
  • Protect residents from neglect, mistreatment, and abuse.
  • Protect the personal property of residents.
  • Perform additional duties as directed by the supervisor or administrator.

Requirements

• Licensed Practical Nurse with current state license.
• Excellent technical, assessment, and documentation skills.
• Strong leadership qualities.
• Organized and detail-oriented work performance.
• Good communication skills with excellent self-discipline and patience.
• Genuine caring for and interest in elderly and disabled people in a nursing facility.
• Compliance with Residents Rights and Facility Policies and Procedures.
• Ability to perform work tasks within physical demand requirements.
• Ability to perform all essential duties as outlined.