LPN/RN Weekend Day and Night Shifts

Position Purpose

Organizes and directs assigned unit duties to provide quality nursing care to residents.

Essential Functions

• Responsible during the shift for the total nursing care of residents in the assigned unit
• Assumes responsibility for compliance with Federal, State, Local, and company regulations
• Explains procedures and treatments and care plan to resident
• Administers prescribed medications and treatments in accordance with approved nursing techniques
• Transcribes physician's orders
• Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care
• Receives/gives report from/to nurse he/she is relieving/coming on and records sufficient information and implements appropriate follow-up action as necessary
• Follows established procedures for charting and reporting all reports of incident/accidents for residents and employees
• Conducts frequent rounds to evaluate effectiveness of care delivery
• Prepares equipment and aids Physician during treatment and examination of resident
• Maintains awareness of comfort and safety needs of resident
• Observes resident, records significant conditions and reactions, and notifies supervisor or Physician of resident's condition and reaction to drugs, treatments, and significant incidents
• Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of resident
• Responds to emergency situations based upon nursing standards, policies, procedures, and protocol
• Assists in completion of the care plans (acute and long term) and is involved in the care conference as deemed necessary
• Participates, reports to DON/Administrator and conducts (as appropriate) investigations related to any alleged abuse
• Ensures that documentation is reflective of the care plan and that the approaches on the care plan are being followed
• Assures that assigned CNA's are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care
• Monitors that CNA's documentation is completed daily
• Takes report from CNA's to facilitate accurate documentation in resident medical record
• Follows company policy and procedure in the event a restraint must be utilized
• Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met
• Identifies residents at risk for nutritional problems and implements preventative measures
• Records new/changed diet orders. Forwards information to the Dietary Department
• Makes beds, bathes and feeds resident, when necessary
• Assures documentation is accurately completed for admission, discharge and transfer
• Supervises and evaluates implementation of the "Resident's Rights"
• Participates in department or unit quality improvement activities
• Follows facility procedure requesting supplies and charges for items ordered through Central Supply
• Participates and attends periodic in-services and staff meetings
• Perform additional duties as assigned

Requirements

• Current State of LPN/RN with a minimum of 1 year related experience; or equivalent combination of education and experience
• Good standing in the state registry is required