Licensed Practical Nurse – Long Term Care
LICENSED PRACTICAL NURSE (LPN)
The primary purpose of this position is to provide direct nursing care to the residents and to supervise the day‐to‐day nursing activities performed by the Nursing Assistants in accordance with the Nurse Practice Act; current federal, state and local standards; guidelines and regulations that govern the center; and as may be required by the Director of Nursing Services or Assistant Director of Nursing/Unit Manager to ensure the highest degree of quality care is maintained at all times.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Direct the day‐to‐day functions of the Nursing Assistants in accordance with current rules, regulations, and guidelines that govern the long‐term care center.
- Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by the center.
- Ensure that all nursing service personnel comply with the procedures set forth in the Nursing
Service Procedure Manual.
- Make written and oral reports/recommendations concerning the activities of your shift as required.
- Cooperate with other resident services when coordinating nursing services to ensure that the residents’ total regimen of care is maintained.
- Participate in center surveys (inspections) made by authorized government agencies as may be requested.
- Assist in planning the nursing services portion of the residents’ discharge plans as required.
- Admit, transfer, and discharge residents as required.
- Complete accident/incident reports as necessary.
- Complete and file required record keeping forms upon the residents’ admissions, transfers, and/or discharges.
- Receive telephone orders from physicians and transcribe as required by center policy.
- Chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the residents, as well as the residents’ responses to the care.
- Perform routine and required documentation/charting duties in accordance with established policies and procedures.
- Sign and date all entries.
- Prepare and administer medications as ordered by the physician in accordance with federal, state, and local regulations and as required by center policy.
- Order prescribed medications, supplies, and equipment as necessary and in accordance with established policies.
- Ensure that narcotics are handled in accordance with federal, state, and local regulations and as required by center policy and that narcotic records are accurate for your shift.
- Participate in associate performance evaluations and making recommendations to the Nurse
Supervisor concerning associate dismissals, transfers, etc.
- Develop work assignments.
- Make daily rounds of your unit/shift to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.
- Meet with the nursing personnel on your shift on a regularly scheduled basis to assist in identifying and/or to improve services.
- Understand and implement the Disciplinary Policy and Procedures. Instigate an Associate
Memorandum involving all stages of disciplinary action up to and including discharge. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status.
- Make rounds with physicians as necessary.
- Consult with the residents’ physicians in providing the residents’ care, treatment, rehabilitation, etc. as necessary.
- Implement and maintain established nursing objectives and standards.
- Notify the residents’ attending physicians and next‐of‐kin when there is a change in the residents’ conditions or if the residents are involved in an incident or accident.
- Administer professional services such as catheterizations, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, etc. as required.
- Ensure that personnel providing direct care to residents are providing such care in accordance with the residents’ care plans and wishes.
- Attend and participate in all center in‐service programs as required.
- Maintain professional competence through participation in continuing education programs, seminars, and training programs.
- Monitor assigned personnel to ensure established safety regulations are followed in the use of equipment and supplies.
- Ensure that established departmental policies and procedures are followed by self and assigned personnel.
- Ensure work area, unit, resident care rooms, treatment areas, etc., are maintained in a confidential, safe and sanitary manner.
- Ensure self and assigned personnel follow established infection control procedures.
- Review care plans to ensure that appropriate care is being rendered.
- Ensure nursing documentation reflects that the care plan is being followed when administering nursing care or treatment.
- Ensure assigned Licensed Practical Nurses (LPNs) and Certified Nursing Assistants (CNAs) are aware of and carry out resident care plans.
- Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the
MDS, including the implementation of CAAs and triggers.
- Must hold a current and valid LPN license in the state employed.
- Completion of post‐secondary education and be able to read, write, and follow oral and written directions.
- Must be capable of maintaining regular attendance as required.
- Must be able to work weekend and overtime as required.
- Must meet all local health regulations and pass post‐employment exam, if required.
- Related experience at a level necessary to accomplish this position.