LICENSED PRACTICAL NURSE (LPN)
Company: Embassy of Rockport
Location: Rocky River
Posted on: October 28, 2024
Job Description:
MID-DAY MAYHEM!
PURPOSE OF YOUR JOB POSITION
The primary purpose of your job position is to provide direct
nursing care to the residents, and to supervise the day-to-day
nursing activities performed by nursing assistants. Such
supervision must be in accordance with current federal, state, and
local standards, guidelines, and regulations that govern our
facility, and as may be required by the Director of Nursing
Services or Nurse Supervisor to ensure that the highest degree of
quality care is maintained at all times.
DELEGATION OF AUTHORITY:
As Licensed Practical Nurse you are delegated the administrative
authority, responsibility, and accountability necessary for
carrying out your assigned duties, in accordance with state
requirements.
ESSENTIAL JOB FUNCTIONS STATEMENT:
Every effort has been made to identify the essential functions of
this position. However, it in no way states or implies that these
are the only duties you will be required to perform. The omission
of specific statements of duties does not exclude them from the
position if the work is similar, related, or is an essential
function of the position.
SAFETY FACTORS:
Risk Potential to Blood/Body Fluids:
Category I: Tasks in this category involve exposure to blood, body
fluids, or tissues, and require the use of personal protective
equipment.
Category II: Tasks in this category involve no exposure to blood,
body fluids, and/or tissues, but employment may require performing
unplanned category I task.
Category III: These task require no exposure to blood, body fluids,
and /or tissues, and category I tasks are not a condition of
employment.
ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES
Administrative Functions
- Direct the day-to-day functions of the nursing assistants in
accordance with current rules, regulations, and guidelines that
govern the long-term care facility.
- Ensure that all nursing personnel assigned to you comply with
the written policies and procedures established by this
facility.
- Periodically review the department's policies, procedure
manuals, job descriptions, etc. Make recommendations for
revisions.
- Meet with your assigned nursing staff, as well as support
personnel, in planning the shifts' services, programs, and
activities.
- Ensure that the Nursing Service Procedures Manual is current
and reflects the day-to-day nursing procedures performed in this
facility.
- Ensure that all nursing service personnel comply with the
procedures set forth in the Nursing Service Procedures 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 resident's total regimen of
care is maintained.
- Ensure that all nursing service personnel are in compliance
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 (inspections_ made by
authorized government agencies as may be requested.
- Periodically review the resident's written discharge plan.
Participate in the updating of the resident's written discharge
plan as required.
- Assist in planning the nursing services portion of the
resident's discharge plan as necessary.
- Interpret the department's policies and procedures to
personnel, resident's visitors and government agencies as
required.
- Admit, transfer, and discharge residents as required.
- Complete accident/incident reports as necessary.
- Write resident charge slips and forward to the Business
Office.
- Maintain the Daily Census Report and submit to the Business
Office as required.
- Perform administrative duties such as completing medical forms,
reports, evaluations, studies, charting, etc., as necessary.
Charting and Documentation
- Complete and file required recordkeeping forms/charts upon the
resident's admission, transfer, and/or discharge; maintaining
compliance with the center's Medical records system- Electronic or
traditional paper medical record
- Encourage attending physicians to review treatment plans,
record and sign their orders, progress notes, etc., in accordance
with established policies.
- Receive telephone orders from physicians and record on the
Physicians' Order Form.
- Transcribe physician's orders to resident charts, cardex, and
medication cards, treatment/care plans, as required.
- Chart nurses' notes in an informative and descriptive manner
that reflects the care provided to the resident, as well as the
resident's response to the care.
- Fill out and complete accident/incident reports. Submit to
Director as required.
- Chart all reports of accidents/incidents involving residents.
Follow established procedures.
- Record new/changed diet orders. Forward information to the
Dietary Department.
- Report all discrepancies noted concerning physician's orders,
diet change, charting error, etc., to the Nurse Supervisor.
- Fill out and complete transfer forms in accordance with
established procedures.
- Ensure that appropriate documentation concerning unauthorized
discharges is entered in the resident's medical record in
accordance with established procedures.
- Perform routine charting duties as required and in accordance
with established charting and documentation policies and
procedures.
- Sign and date all entries made in the resident's medical
record. Drug Administration Functions
- Prepare and administer medications as ordered by the
physician.
- Verify the identity of the resident before administering the
medication/treatment.
- Ensure that prescribed medication for one resident is not
administered to another.
- 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 Nurse Supervisor.
- Order prescribed medications, supplies, and equipment as
necessary, and in accordance with established policies.
- Ensure that narcotic records are accurate for your shift.
- Notify the Nurse Supervisor of all drug and narcotic
discrepancies noted on your shift.
- Review medication cards for completeness of information,
accuracy in the transcription of the physician's order, and
adherence to stop order policies.
- Notify the attending physician of automatic stop orders prior
to the last dosage being administered.
- Dispose of drugs and narcotics as required, and in accordance
with established procedures. Personnel Functions
- Participate in employee performance evaluations, determining
your shift's staffing requirements, and making recommendations to
the Nurse Supervisor concerning employee dismissals, transfers,
etc.
- Inform the Nurse Supervisor of staffing needs when assigned
personnel fail to report to work.
- Report absentee call-ins to the Nurse Supervisor.
- Review and evaluate your department's work force and make
recommendations to the Nurse Supervisor.
- Develop work assignments and /or assist in completing and
performing such assignments.
- Provide leadership to nursing personnel assigned to your
unit/shift.
- Make daily rounds of your unit/shift to ensure that nursing
service personnel are performing their work assignments in
accordance with acceptable nursing standards. Report problem areas
to the Nurse Supervisor.
- Ensure that all nurse aide trainees are under the direct
supervision of a licensed nurse.
- Meet with your shift's nursing personnel, on a regularly
scheduled basis, to assist in identifying and correcting problem
areas, and/or to improve services.
- Ensure that department personnel, residents, and visitors
follow the department's established policies and procedures at all
times.
- Develop and maintain a good working rapport with
inter-departmental personnel, as well as other departments within
the facility to ensure that nursing services and activities can be
adequately maintained to meet the needs of the residents.
- Create and maintain an atmosphere of warmth, personal interest
and positive emphasis, as well as a calm environment throughout the
unit and shift.
- Review complaints and grievances made or filed by your assigned
personnel. Make appropriate reports to the Nurse Supervisor as
required or as may be necessary. Follow facility's established
procedures.
- Ensure that departmental disciplinary action is administered
fairly and without regard to race, color, creed, national origin,
age sex, religion, handicap, or marital status.
- Receive/give the nursing report upon reporting in the ending
shift duty hours.
- Report occupational exposures to blood, body fluids, infectious
materials, and hazardous chemicals in accordance with the
facility's policies and procedures governing accidents and
incidents. Nursing Care Functions
- Inform nursing personnel of new admissions, their expected time
of arrival, room assignment, etc.
- Ensure that rooms are ready for new admissions.
- Participate in the orientation of new residents/family members
to the facility.
- Make rounds with physicians as necessary.
- Requisition and arrange for diagnostic and therapeutic
services, as ordered by the physician, and in accordance with our
established procedures.
- Consult with the resident's physician in providing the
resident's care, treatment, rehabilitation, etc., as
necessary.
- Review the resident's chart for specific treatments, medication
orders, diets, etc., as necessary.
- Implement and maintain established nursing objectives and
standards in accordance with the plan of care.
- Make periodic checks to ensure that certified nursing
assistants are properly administering prescribed treatments and to
evaluate the resident's physical and emotional status.
- Cooperate with the coordinate social and activity programs with
nursing service schedules.
- Notify the resident's attending physician and next-of-kin when
there is a change in the resident's condition.
- Carry out restorative and rehabilitative programs, to include
self-help and care.
- Inspect the nursing service treatment areas daily to ensure
that they are maintained in a clean and safe manner.
- Administer professional services such as; catheterization, tube
feedings, suction, applying and changing dressings/bandages, packs,
colostomy, and drainage bags, taking blood, giving massages and
range of motion exercises, care for the dead/dying, etc., as
required and authorized within the scope of practice for LPNs as
defined by the Ohio Nurse Practice Act .
- Use restraints when necessary and in accordance with
established policies and procedures in accordance with the plan of
care.
- Obtain sputum, urine and other specimens for lab tests as
ordered.
- Take and record TPRs, blood pressures, etc., as necessary.
- Monitor seriously ill residents as necessary.
- Check foods brought into the facility by the resident's
family/visitors to ensure that it is within the resident's dietary
allowances. Report problem areas to the Nurse Supervisor and
Dietary Supervisor.
- Ensure that personnel providing direct care to residents are
providing such care in accordance with the resident's care plan and
wishes.
- Ensure that residents who are unable to call for help are
checked frequently.
- Meet with residents, and/or family members, as necessary.
Report problem areas to the Nurse Supervisor.
- Admit, transfer and discharge residents as necessary.
- Assist in arranging transportation for discharged residents as
necessary.
- Ensure that discharged residents are escorted to the pick-up
area.
- Inform family members of the death of the resident.
- Call funeral homes when requested by the family. Ensure that
established post-mortem procedures are followed. Staff Development
- Participate in developing, planning, conducting, and in-service
training classes that provide instructions on how to do the job,
and ensure a well-educated nursing service department.
- Implement and maintain an effective orientation program that
orients the new employee to your shift, its policies and
procedures, and to his/her job position and duties.
- Assist in standardizing the methods in which work will be
accomplished.
- Assist in training department personnel in identifying tasks
that involve potential exposure to blood/body fluids.
- Attend and participate in outside training programs.
- Attend and participate in annual OSHA and CDC in-service
training programs for hazard communication, TB management, and
blood borne pathogens standard.
- Attend and participate in continuing education programs
designed to keep you abreast of changes in your profession, as well
as to maintain your license on a current status. Safety and
Sanitation
- Monitor your assigned personnel to ensure that they are
following established safety regulations in the use of equipment
and supplies.
- Ensure that your assigned nursing personnel follow established
departmental policies and procedures, including dress codes.
- Assist the Director and/or Infection Control Coordinator in
identifying, evaluating, and classifying routine and job-related
functions to ensure that tasks in which there is potential exposure
to blood/body fluids are properly identified and recorded.
- Ensure that all personnel performing tasks that involve
potential exposure to blood/body fluids participate in appropriate
in-service training programs prior to performing such tasks.
- Ensure that an adequate supply of personal protective equipment
are on hand and are readily available to personnel who perform
procedures that involve exposure to blood or body fluids.
- Ensure that your assigned work areas (i.e., nurses' stations,
medicine preparation rooms, etc.) are maintained in a clean and
sanitary manner.
- Ensure that your unit's resident care rooms, treatment areas,
etc., are maintained in a clean, safe, and sanitary manner.
- Ensure that your assigned personnel follow established hand
washing techniques in the administering of nursing care
procedures.
- Ensure that your assigned personnel participate in and conduct
all fire safety and disaster preparedness drills in a safe and
professional manner.
- Participate in the development, implementation, and maintenance
of the infection control program for monitoring communicable and/or
infectious diseases among the residents and personnel.
- Ensure that your assigned personnel follow established
infection control procedures when isolation precautions become
necessary.
- Ensure that nursing personnel follow established procedures in
the use and disposal of personal protective equipment.
- Participate in the development, implementation and maintenance
of the procedures for reporting hazardous conditions or
equipment.
- Ensure that all personnel wear and/or use safety equipment and
supplies (e.g., back brace, mechanical lifts, etc.) when lifting or
moving residents.
- Report missing/illegible labels and MSDSs to the safety officer
or other designated person. Equipment and Supplies
- Recommend to the Nurse Supervisor the equipment and supply
needs of you unit/shift.
- Ensure that an adequate stock level of medications, medical
supplies, equipment, etc., is maintained on your unit/shift at all
times to meet the needs of the residents.
- Participate in the development and implementation of the
procedures for the safe operation of all nursing service
equipment.
- Ensure that all personnel operate nursing service equipment in
a safe manner.
- Monitor nursing procedures to ensure that nursing service
supplies are used in an efficient manner to avoid waste. Care Plan
Functions
- Review care plans to ensure that care in accordance with the
plan of care. Inform the RN Nurse Supervisor of any observations,
health information or data that may indicate that changes need to
be made on the care plan.
- Ensure that your nurses' notes reflect that the care plan is
being followed when administering nursing care or treatment.
- Ensure that your assigned certified nursing assistants (CNAs)
are aware of the resident care plans.
- Assist the Resident Assessment/Care Plan Coordinator in
planning, scheduling, and revising the MDS, including the
implementation of RAPs and
- Triggers by providing health information from data collection
and observations. Resident Rights
- Maintain the confidentiality of all resident care
information.
- Monitor nursing care to ensure that all residents are treated
fairly, and with kindness, dignity, and respect.
- Ensure that all nursing care is provided in privacy and that
nursing service personnel knock before entering the resident's
room.
- Ensure that all nursing service personnel are knowledgeable of
the residents' responsibilities and rights including the right to
refuse treatment.
- Review complaints and grievances made by the resident and make
a written/oral report to the Nurse Supervisor indicating what
action(s) were taken to resolve the complaint or grievance. Follow
the facility's established procedures.
- Maintain a written record of the resident's complaints and/or
grievances that indicates the action taken to resolve the complaint
and the current status of the complaint.
- Report and investigate all allegations of resident abuse and/or
misappropriation of resident property.
- Ensure that nursing staff personnel honor the resident's
refusal of treatment request. Ensure that such requests are in
accordance with the facility's policies governing advance
directives. Miscellaneous
- Provide data to the Quality Assurance & Assessment Committee as
requested. Working Conditions
- Works in office area(s) as well as throughout the nursing
service area (i.e., drug rooms, nurses' stations, resident rooms,
etc.).
- Moves intermittently during working hours.
- Is subject to frequent interruptions.
- Is involved with residents, personnel, visitors, government
agencies/personnel, etc., under all conditions and
circumstances.
- Is subject to hostile and emotionally upset residents, family
members, personnel, and visitors.
- Communicates with the medical staff, nursing personnel, and
other department supervisors.
- Works beyond normal working hours, and in other positions
temporarily, when necessary.
- Is subject to callback during emergency conditions (e.g.,
severe weather, evacuation, post disaster, etc.).
- Attends and participates in continuing educational
programs.
- Is subject to injury from falls, burns from equipment, odors,
etc., throughout the workday, as well as to reactions from dust,
disinfectants, tobacco smoke, and other air contaminants.
- Is subject to exposure to infectious waste, diseases,
conditions, etc., including TB and the AIDS and Hepatitis B
viruses.
- May be subject to the handling of and exposure to hazardous
chemicals.
- Maintains a liaison with the residents, their families, support
departments, etc., to adequately plan for the residents' needs.
Education
- Must possess, as a minimum, be a graduate of an approved
LPN/LVN program.
- Participation in continuing education classes, workshops and
seminars affiliated with outside nursing organizations desirable.
Experience
- On-the-job training provided. Specific Requirements
- Must possess a current, unencumbered, active license to
practice as an LPN/LVN in this state.
- Must be able to read, write, speak, and understand the English
language.
- Must possess the ability to make independent decisions when
circumstances warrant such action.
- Must possess the ability to deal tactfully with personnel,
residents, family members, visitors, government agencies/personnel,
and the general public.
- Must be knowledgeable of nursing and medical practices and
procedures, as well as laws, regulations, and guidelines that
pertain to long-term care.
- Must possess the ability to plan, organize, develop, implement,
and interpret the programs, goals, objectives, policies and
procedures, etc., that are necessary for providing quality
care.
- Must have patience, tact, a cheerful disposition and
enthusiasm, as well as the willingness to handle difficult
residents.
- Must be willing to seek out new methods and principles and be
willing to incorporate them into existing nursing practices.
- Must be able to relate information concerning a resident's
condition.
- Must not pose a direct threat to the health or safety of other
individuals in the workplace. Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)
- Must be able to move intermittently throughout the
workday.
- Must be able to speak and write the English language in an
understandable manner.
- Must be able to cope with the mental and emotional stress of
the position.
- Must possess sight/hearing senses or use prosthetics that will
enable these senses to function adequately so that the requirements
of this position can be fully met.
- Must function independently, have flexibility, personal
integrity, and the ability to work effectively with residents,
personnel, and support agencies.
- Must meet the general health requirements set forth by the
policies of this facility, which include a medical and physical
examination.
- Must be able to relate to and work with ill, disabled, elderly,
emotionally upset, and at times hostile people within the
facility.
- Must be able to operate office, business and accounting
machines, data processors, word processors, etc.
- Must be able to push, pull, move, and/or lift a minimum of
twenty-five pounds.
- May be necessary to assist in the evacuation of residents
during emergency situations.
Keywords: Embassy of Rockport, Parma , LICENSED PRACTICAL NURSE (LPN), Healthcare , Rocky River, Ohio
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