PRN LPN DAYSHIFT

About the Role

The primary purpose of this position is to provide direct nursing care to residents and supervise the day-to-day nursing activities performed by nursing assistants. Supervision must adhere to current federal, state, and local standards, guidelines, and regulations governing the facility, ensuring the highest degree of quality care is maintained at all times.

Responsibilities

• Administrative Functions
  • Direct the day-to-day functions of nursing assistants in compliance with facility policies and regulations.
  • Ensure nursing personnel adhere to written policies and procedures, and recommend revisions as needed.
  • Plan shifts’ services, programs, and activities with assigned nursing staff and support personnel.
  • Maintain and ensure compliance with the Nursing Service Procedures Manual.
  • Submit 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 job descriptions.
  • Participate in the facility’s quality assurance program for the nursing service department.
  • Participate in facility surveys conducted by authorized government agencies.
  • Review and update residents’ written discharge plans as required.
  • Interpret department policies 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, evaluations, and charting.
  • Maintain confidentiality of resident and facility information, reporting any violations or unauthorized access attempts.
• Charting and Documentation
  • Complete and file required recordkeeping forms upon resident admission, transfer, or discharge.
  • Encourage physicians to review treatment plans and document orders, progress notes, etc.
  • Receive and record telephone orders from physicians on the Physicians’ Order Form.
  • Transcribe physician’s orders to resident charts, cardex, medication cards, and treatment/care plans.
  • Chart nurses’ notes descriptively, reflecting care provided and resident responses.
  • Complete and submit accident/incident reports as required.
  • Record new or changed diet orders and forward to the Food Services Department.
  • Report discrepancies in physician’s orders, diet changes, or charting errors to the Nurse Supervisor.
  • Complete transfer forms and ensure appropriate documentation for unauthorized discharges.
  • Perform routine charting duties and ensure all entries are signed and dated.
• Drug Administration Functions
  • Prepare and administer medications 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 an adequate supply of floor stock medications, supplies, and equipment.
  • Report medication and supply needs to the Nurse Supervisor.
  • Ensure narcotic records are accurate and report discrepancies.
  • Review medication cards for completeness and accuracy.
  • Notify physicians of automatic stop orders prior to the last dosage.
  • Dispose of drugs and narcotics according to established procedures.
• Personnel Functions
  • Participate in employee performance evaluations and determine staffing requirements.
  • Make recommendations concerning employee dismissals or transfers.
  • Inform the Nurse Supervisor of staffing needs due to absences or call-ins.
  • Review and evaluate the department’s workforce and recommend improvements.
  • Develop work assignments and assist in completing them.
  • Provide leadership to nursing personnel assigned to your unit/shift.
  • Conduct daily rounds to ensure nursing personnel perform duties according to standards.
  • Ensure nursing assistants are enrolled in or have graduated from an approved training program.
  • Supervise nurse aide trainees under the direct supervision of a licensed nurse.
  • Hold regular meetings with nursing personnel to address and correct problem areas.
  • Ensure compliance with department policies by personnel, residents, and visitors.
  • Maintain a positive working rapport with inter-departmental personnel.
  • Create a calm and welcoming environment for residents and staff.
  • Review and address complaints or grievances filed by assigned personnel.
  • Administer disciplinary action fairly and without bias.
  • Receive and give nursing reports at the start and end of shifts.
  • Report occupational exposures to blood, body fluids, or hazardous chemicals.
  • Report suspected incidents of fraud to the Administrator.
  • Ensure unattended workstations are logged off or password-protected.
• Nursing Care Functions
  • Inform nursing personnel of new admissions, room assignments, and prepare rooms for arrivals.
  • Greet and escort newly admitted residents to their rooms.
  • Participate in orienting new residents and family members to the facility.
  • Make rounds with physicians as necessary.
  • Requisition and arrange for diagnostic and therapeutic services as ordered by the physician.
  • Consult with physicians regarding resident care, treatment, and rehabilitation.
  • Review resident charts for treatments, medication orders, and diets.
  • Implement and maintain established nursing objectives and standards.
  • Conduct periodic checks to ensure prescribed treatments are administered properly.
  • 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 resident condition or accidents/incidents.
  • Carry out restorative and rehabilitative programs, including self-help and care.
  • Inspect nursing service treatment areas daily to ensure cleanliness and safety.
  • Administer professional services such as catheterization, tube feedings, suction, dressings, colostomy care, and more.
  • Use restraints when necessary and in accordance with established policies.
  • Obtain specimens for lab tests as ordered (e.g., sputum, urine).
  • Monitor and record vital signs (TPRs, blood pressures) as necessary.
  • Monitor seriously ill residents and check on residents unable to call for help.
  • Inspect foods brought by family/visitors to ensure compliance with dietary allowances.
  • Ensure care is provided in accordance with the resident’s care plan and wishes.
  • Meet with residents and family members to address concerns or issues.
  • Assist in arranging transportation for discharged residents and escort them to pick-up areas.
  • Inform family members of resident deaths and coordinate with funeral homes as requested.
  • Follow established post-mortem procedures.
• Staff Development
  • Participate in developing, planning, and conducting in-service training classes.
  • Implement and maintain an effective orientation program for new employees.