PRN Licensed Practical Nurse (LPN)

Nursing Care Functions

• Conduct the daily nursing functions in accordance with current rules, regulations, and guidelines that govern the long-term care facility/assisted living communities.
• Ensure that all nursing personnel assigned to you comply with the written policies and procedures including the safety program.
• Admit, transfer, and discharge residents with documentation regarding care and service provided.
• Participate in the orientating new residents/family members to the facility.
• Make rounds with health care providers, Hospice staff and Home Health staff as needed.
• Utilize nursing personnel qualifications according to the resident's care plan, service plans and health care provider orders.

Communication/Documentation Functions

• Complete daily clinical and environmental rounds to evaluate resident care being provided and report significant events.
• Meet and resolve issues with residents and/or family members. Report significant issues to the supervisor.
• Participate in facility surveys (inspections) as requested by management.
• May be responsible for clinical programs as directed, e.g., dementia, wound care, quality assurance, infection control, admissions, and falls.
• Complete initial assessments as requested and assist or develop interim care plan/service plans.
• Avoid updating, reviewing, and transcribing the care plan that identifies the goals, problems, approaches, and revisions based on nursing needs and health care provider orders.
• Avoid assisting or developing interim care plan/service plans.
• Avoid communicating with electronic or written (24-hour report) and oral reports/recommendations concerning any changes in resident condition and other activities of your shift to nursing management.
• Avoid filling out and completing accident/incident reports involving residents and submitting them to Director of Nursing.
• Avoid completing assessments and all other medical record documentation as required to provide care services.
• Avoid providing resident and family information for care conferences or other meetings.
• Avoid reporting all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the supervisor.
• Avoid completing clinically accurate documentation according to policy.
• Avoid reviewing the resident medical documentation and progress notes from the interdisciplinary team to determine if the care plan/service plans are being followed.
• Avoid reporting any concerns to your supervisor.
• Avoid informing nursing personnel of new admissions and the resident's care needs.
• Avoid ensuring that rooms are ready for new admissions.
• Avoid notifying the resident's health care practitioner and family when there is a change in the resident's condition.
• Avoid assisting in arranging transportation for residents and other third-party services.

Medication Administration Functions

• Prepare and administer medications ordered by the health care provider.
• Communicate with pharmacy to ensure resident medications are available for administration.
• Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents.
• Report needs to the supervisor.
• Review medication administration record for completeness of information, accuracy in the transcription of the health care provider's order.
• Report concerns to your supervisor.
• Dispose of drugs and narcotics as required, and in accordance with established procedures.

Personnel Functions

• Supervise your nursing unit to ensure that all personnel are performing their work assignments in accordance with acceptable nursing standards.
• Work with the Director of Nursing to resolve staff performance issues including those that may lead to termination.
• Report complaints and grievances, to management and work with the Director of Nursing for a plan of action.

Safety And Sanitation Functions

• Assure and make available protective equipment for staff.
• Maintain nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.), resident rooms, and treatment areas in a clean and sanitary manner.
• Recommend to the Director of Nursing the equipment and supply needs of the nursing department.
• Avoid ensuring that a stock level of medications, medical supplies, equipment, etc., is always maintained on the premises to adequately meet the needs of the residents.
• Avoid performing other job-related duties as assigned.

Knowledge And Critical Skills

• Be able to make independent decisions and follow instructions.
• Deal tactfully with personnel, prospects, residents, family members, visitors, government agencies/personnel, and the public.
• Capable of working with ill, disabled, elderly, and emotionally upset people within the facility.
• Communicate effectively in a manner that is sufficient for effective communication with supervisors, team members, prospects, residents, and families.

Education And Experience

• Must meet all applicable state and federal requirements for this position.
• Must possess a current, unencumbered, active license to practice as an LPN/LVN in applicable state, in good standing throughout employment with no disciplinary action in effect against professional license.
• Prefers one year of experience in nursing in a home care, assisted living, or long-term care facility.

Supervisory Responsibility

This position requires the LPN/LVN to ensure resident care is provided by standards of practice following policies and procedures of the facility by CNAs/Caregivers, but the CNAs/Caregivers do not directly report to them.

Working Conditions and Physical Demands

• Tasks assigned to this position may involve potential and/or direct exposure to blood, body fluids, infectious diseases, air contaminants, and hazardous chemicals.
• The Physical activities of this position involve: Walk long distances, stand for extended periods of time, sustain repetitive movement (CPR compressions, bagging, etc.), maintain physical tolerance (stand/walk/work on your feet for 8-12 hours at a time with minimal breaks), be able to lift to fifty pounds at times, be able to push and pull up to fifty pounds at times.

Cognitive Requirements

• The Cognitive activities with or without prosthetics of this position are: Execute tasks independently, ability to express yourself clearly and effectively, general computer literacy.

Environmental Requirements

• An individual in this position may be exposed to: ambient room temperatures and lighting, other environmental factors.

Other Requirements

• May be required to work nights, weekends and holidays.

Platinum Service®

Platinum Service® is characterized by a high level of responsiveness delivered in a competent, timely and caring way. Employees commit to providing courteous, responsive, and quality service to our residents by following the principles of our Platinum Service® program.

Conclusion

All employees are expected to follow all policies and procedures. These policies and procedures can be found in the employee handbook, department policy and procedure manuals and with your supervisor. This job description is intended to convey information essential to understanding the scope of the position and it is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities at any time.

Acknowledgment

I understand this job description and its requirements, and that I am expected to complete all job-related duties as assigned. I understand the essential functions may be altered from time to time. By signing below, I acknowledge I can perform the essential functions of this job with or without a reasonable accommodation. If I require a reasonable accommodation, I will inform the recruiter/hiring manager, my manager, or Human Resources and agree to participate in the interactive process to discuss accommodations.