The Staff Nurse (LPN) is responsible for coordinating care delivery interventions for approximately 25 residents in assigned area in accordance with current professional practice standards, physician's orders, community policies and procedures, and local, state and federal regulations.
Requirements
- Manages resident treatments
- Distributes and administers prescribed medications and treatments
- Assesses residents, under RN
- Participates in assessing, planning, implementing and evaluating resident care delivery
- Assists in completing the initial and ongoing nursing assessments needed to plan care and interventions
- Makes resident rounds to ensure care delivery meets quality standards and restorative protocols
- Observes vital signs and hydration status to detect deviations from normal limits
- Requests and arranges for diagnostic and therapeutic services as ordered by resident's physician
- Orders prescribed medications, requisitions supplies, equipment from appropriate resources
- Records resident's responses to treatments/medications, response or lack of progress toward care plan or restorative goal
- Assists in documenting and observing changes in condition and unusual incidents and reports findings to supervisor, physician and responsible party
- Ensures dietary recommended feeding allowances are maintained and monitors the weights of residents
- Administers proper assessment skills and techniques as appropriate
- Administers proper positioning techniques including transfer techniques and ROM exercises
- Administers emergency procedures as necessary
- Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care
- Applies proper sterile and isolation techniques as necessary
- Collects lab specimens as required
- Performs glucometer checks
- Flushes, infusion, monitoring, piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order
- Consults with dining services regarding resident's special dietary needs and follows through on recommendations
- Monitors residents with significant weight loss/gain and identifies residents at risk for nutritional problems and implements preventative measures
- Checks food brought by family members, ensuring it complies with residents' orders, dietary needs, and safety
- Completes medical forms, reports, evaluations, studies, charting, etc., as necessary
- Documents the following according to policies and procedures: medications, treatments, prn's; daily 24-hour report; residents' intake and output; monthly medication renewal process; any exceptions to residents' condition; daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; new/changed diet orders
- Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to supervisor and/or the Dining Services department
- Is familiar with and accurately completes forms used throughout the residents chart
- Interprets policies and procedures to personnel, residents, visitors, and government agencies as required
- Assists in completion of the care plans (acute and long term)
- Participates in care conferences as deemed necessary
- Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions
- Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse
- Ensures progress notes are reflective of care plan and ensures they are properly followed
- Ensures assigned nursing assistants are aware of the resident care plans, and ensures nursing assistant refers to the care plan prior to administering care
- Oversees the admission process through the following: Orients patient to room, facility, policies; Obtains necessary physician orders; Completes nursing admission assessments; Orders necessary medication, supplies and diagnostic test
- Oversees the discharge process through the following: Completes post discharge plan; Educates resident on post discharge needs; Completes discharge paperwork; Informs nursing personnel of planned discharges for their shift; Arrange for discharge transportation
- Oversees the successful transfer of a patient
- Ensures all documentation is accurately completed for any admission, discharge and transfer
- Coordinates and evaluates the supportive interventions provided by nursing to other departments or services to achieve a holistic approach to resident care
- Coordinates and evaluates the efforts of other departments/services in providing education and support to family members in coping with and participating in the management of the residents' care needs
- Assists physicians, when necessary, during rounds and examinations
- Participates in the assessment, planning and implementation of nursing staff in providing resident care
- Participates in planning and implementing the coordination and involvement of nursing staff with other departments/services to teach family the management of the resident's care
- Monitors performance of nursing personnel to establish a high standard of care delivery and accurate documentation which reflects resident needs, progress, and condition
- Assists with sending requisitions to initiate physician orders
- Assists in planning, developing, directing, and teaching programs of in-service and continuing education for all nursing service and other personnel and directs other departments in the same, as necessary
- Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, religion, color, age, sex, marital status, national origin, disability, or veteran status
- Maintains confidentiality of necessary information; Handles unusual occurrences calmly and logically to maintain continuity of business and duties
- Follows all appropriate safety and security guidelines, procedures and protocol for residents in the Special Care Unit
- Maintains appropriate, effective communication with residents, and with residents' family or other significant relationships
- Provides all care, treatment and services with appropriate special care protocols
- Participates in relevant educational and training activities as appropriate
- Performs all other duties as assigned or directed
Benefits
- Medical insurance
- Paid time off
- Retirement plan
- Life insurance
- Dental insurance
- Vision insurance
