LVN/LPN

Responsibilities

• Direct the day-to-day functions of nursing assistants in accordance with current rules, regulations, and guidelines governing long-term care facilities.
• Ensure compliance with facility policies and procedures by all assigned nursing personnel.
• Periodically review and recommend revisions to department policies, procedure manuals, and job descriptions.
• Plan shifts’ services, programs, and activities with assigned nursing staff and support personnel.
• Maintain and ensure compliance with the Nursing Service 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 comply with their respective job descriptions.
• Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department.
• Participate in facility surveys and inspections by authorized government agencies.
• Review and update residents’ written discharge plans as required.
• Interpret department policies and procedures to personnel, residents, visitors, and government agencies.
• Admit, transfer, and discharge residents as required.
• Complete and submit accident/incident reports, daily census reports, and resident charge slips.
• Perform administrative duties such as completing medical forms, reports, evaluations, and charting.
• Protect resident and facility information by maintaining confidentiality of assigned user IDs, passwords, and protected health information.
• Report unauthorized attempts to access facility information systems or violations of confidentiality policies.
• Complete and file required recordkeeping forms/charts upon resident admission, transfer, and/or discharge.
• Encourage and facilitate attending physicians to review treatment plans and record orders.
• Receive and transcribe physician telephone orders to resident charts and related documents.
• Chart nurses’ notes descriptively to reflect care provided and resident responses.
• Record and report new/changed diet orders to the Food Services Department.
• Ensure accuracy in physician orders, diet changes, and charting; report discrepancies.
• Prepare and administer medications as ordered by the physician, verifying resident identity.
• Ensure adequate supply of floor stock medications, supplies, and equipment.
• Maintain accurate narcotic records and report discrepancies.
• Review medication cards for completeness and accuracy; notify physicians of automatic stop orders.
• Dispose of drugs and narcotics according to established procedures.
• Participate in employee performance evaluations and make staffing recommendations.
• Inform the Nurse Supervisor of staffing needs and absenteeism.
• Develop work assignments and provide leadership to nursing personnel.
• Make daily rounds to ensure nursing service personnel perform duties according to standards.
• Ensure nursing assistants are enrolled in or have graduated from an approved training program.
• Meet regularly with nursing personnel to address and correct problem areas.
• Develop and maintain rapport with interdepartmental personnel to meet resident needs.
• Review and address complaints and grievances from assigned personnel.
• Administer disciplinary action fairly and without bias.
• Receive and give nursing reports at shift changes.
• Report occupational exposures and known or suspected incidents of fraud.
• Inform nursing personnel of new admissions and ensure rooms are ready.
• Participate in the orientation of new residents and family members.
• Requisition and arrange for diagnostic and therapeutic services as ordered by physicians.
• Consult with residents’ physicians regarding care, treatment, and rehabilitation.
• Monitor and evaluate residents’ physical and emotional status through periodic checks.
• Ensure direct nursing care is provided by qualified personnel.
• Coordinate social and activity programs with nursing service schedules.
• Notify attending physicians and next of kin of changes in residents’ conditions or accidents/incidents.
• Carry out restorative and rehabilitative programs, including self-help and care.
• Inspect nursing service treatment areas daily for cleanliness and safety.
• Administer professional services such as catheterization, tube feedings, suction, wound care, and specimen collection.
• Use restraints when necessary and in accordance with established policies.
• Monitor seriously ill residents and check on residents unable to call for help.
• Ensure compliance with residents’ care plans and wishes by direct care personnel.
• Meet with residents and/or family members as necessary to address concerns.
• Assist in arranging transportation for discharged residents and escort them to pick-up areas.
• Inform family members of resident deaths and follow established post-mortem procedures.
• Participate in developing and conducting in-service training classes for nursing staff.
• Implement and maintain an effective orientation program for new employees.
• Assist in standardizing work methods and training personnel on exposure risks.
• Attend and participate in facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control).
• Attend and participate in outside training programs and clinical supervision for nurse aide trainees.