LVN - FT - H

Administrative Functions

• Direct the day-to-day functions of the nursing assistants in accordance with current rules, regulations, and guidelines.
• Ensure all nursing personnel comply with written policies and procedures.
• Periodically review department policies and procedures.
• Make recommendations for revisions.
• Meet with assigned nursing staff to plan shifts' services, programs, and activities.
• Maintain the Nursing Service Procedures Manual.
• Ensure nursing service personnel comply with the manual.
• Make written and oral reports/recommendations.
• Coordinate nursing services with resident services.
• Ensure compliance with job descriptions.
• Participate in quality assurance program.
• Participate in facility surveys.
• Review resident's discharge plan.
• Plan and update resident's discharge plan.
• Aid in planning nursing services portion of discharge plan.
• Interpret policies and procedures to personnel, residents, visitors, and government agencies.
• Admit, transfer, and discharge residents as required.
• Complete accident/incident reports.
• Write resident charge slips and forward to Business Office.
• Maintain Daily Census Report and submit to Business Office.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
• Agree not to disclose assigned user ID code and password.
• Agree not to disclose resident’s protected health information.
• Report any unauthorized attempts to access facility’s information system.

Drug Administration Functions

• Prepare and administer medications as ordered by the physician.
• Verify resident identity before administration.
• Ensure prescribed medication is not administered to another resident.
• Ensure adequate supply of floor stock medications, supplies, and equipment.
• Order medications, supplies, and equipment as necessary.
• Ensure narcotic records are accurate.
• Notify Nurse Supervisor of discrepancies.
• Review medication cards for completeness and accuracy.
• Notify attending physician of automatic stop orders.
• Dispose of drugs and narcotics as required.

Nursing Care Functions

• Inform nursing personnel of new admissions.
• Ensure rooms are ready for new admissions.
• Greet newly admitted residents.
• Escort them to their rooms.
• Participate in resident orientation.
• Make rounds with physicians.
• Requisition and arrange for diagnostic and therapeutic services.
• Consult with resident's physician.
• Review resident's chart for treatments, medication orders, diets, etc.
• Implement and maintain nursing objectives and standards.
• Make periodic checks and evaluations.
• Ensure proper care by certified nursing assistants.
• Cooperate with and coordinate social and activity programs.
• Notify attending physician of accidents/incidents.
• Notify attending physician and next-of-kin of changes in resident's condition.
• Carry out restorative and rehabilitative programs.
• Inspect treatment areas daily.
• Administer professional services such as catheterization, tube feedings, suction, dressing changes, etc.
• Use restraints when necessary.
• Take and record vital signs.
• Monitor seriously ill residents.
• Check food brought by family/visitors.
• Report problem areas to Nurse Supervisor.
• Ensure residents are checked frequently.
• Meet with residents and/or family members.
• Report problem areas to Nurse Supervisor.
• Admit, transfer, and discharge residents.
• Assist in arranging transportation for discharged residents.
• Inform family members of resident's death.
• Call funeral homes as requested.
• Follow established post-mortem procedures.

Staff Development

• Develop and conduct in-service training classes.
• Implement and maintain orientation program.
• Aid in standardizing work methods.
• Aid in training personnel on potential exposure to blood/body fluids.
• Aid in planning clinical supervision for nurse aide trainees.
• Attend and participate in outside training programs.
• Attend and participate in annual facility in-service training programs.