LPN DAY SHIFT

Administer medications, perform ordered treatments, monitor medical conditions and document.

To deliver nursing care and provide active treatment to the intellectually disabled and/or developmental delayed individuals requiring long-term or rehabilitative care.

• 1.Works under the direct supervision of the Director of Nursing and/or Assistant Director of Nursing using the state-specific Nurse Practice Act, IHS Standards, Policies and Procedures, and nursing judgement.
• 2.Delivers nursing care to clients requiring long-term or rehabilitative care.
• 3.Collects client data, makes observations, and reports pertinent information related to the care of the client.
• 4.According to state-specific regulations, implements the client plan of care, which includes active treatment and evaluates the client response.
• 5.In accordance with state-specific regulations, directs and supervises care given by other personnel in selected situations.
• 6.Maintains knowledge of necessary documentation requirements.
• 7.Maintains knowledge of equipment set-up and maintenance.
• 8.Maintains confidentiality and client rights, regarding all client/personnel information.
• 9.Provides client/family/responsible party education as directed.
• 10.Conducts self in a professional manner in compliance with unit and facility policies.
• 11.Works rotating shifts, holidays and weekends as scheduled.
• 12.Initiates emergency support measures (i.e., CPR, protects clients from injury).
• 13.Performs other duties as deemed necessary and appropriate, or as may be directed by the Director of Nursing and/or Administrator.

• 1.Participates in the identification of staff educational needs.
• 2.Serves as a preceptor, as delegated, for new staff.
• 3.Maintains patient/resident care supplies, equipment and environment.
• 4.Participates in the development of unit objectives.
• 5.Provides input in the formulation and evaluation of standards of care.

The Licensed Vocational Nurse is at moderate to high risk for exposure to blood and body fluids or other potentially infectious materials.

Receives administrative supervision from the Director of Nursing and/or Administrator.

May receive functional supervision from the Director of Nursing and/or Assistant Director of Nursing.

According to state-specific regulations, exercises functional supervision in specific situations over facility personnel.

• 1.Graduation from a basic educational program in practical (vocational) nursing.
• 2.Current license to practice profession in state.
• 3.A minimum of one (1) year nursing experience in a long-term or acute care setting preferred.

Performance in the following areas is acceptable when:

• 1.Admission and routine client observations/transfer notes are complete and accurately reflect the client’s status.
• 2.Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures.
• 3.Nursing history is present in the medical record for all clients.
• 4.Changes in client’s physical/psychological condition (i.e., changes in lab data, vital signs, mental status), are reported appropriately.

Contributions to the formulation/review of nursing care plans are made as needed.

• 1.Pertinent nursing problems are identified.
• 2.Goals are stated.
• 3.Appropriate nursing orders are suggested.

• 1.Observations related to the effectiveness of nursing interventions, medications, etc. are reported as appropriate and documented in the progress notes.
• 2.Care plans:
  • a.Evaluation of care plan is noted monthly or as indicated.
  • b.Contributions to care plan revision are made as indicated by the client’s status.

• 1.Client is approached in a kind, gentle and friendly manner.
  
  Respect for the client’s dignity and privacy is consistently provided.
• 2.Interventions are performed in a timely manner.
  
  Explanations for delays in answers/responses are provided.
• 3.Independence by the client in activities of daily living is encouraged to the fullest extent possible.
• 4.Treatments are completed as indicated.
• 5.Make rounds every two- (2) hours of your unit to assist in the hydration needs of clients deemed by the Interdisciplinary Team as high-risk to dehydration and constipation.
• 6.Ensure clients who are at risk for pressure sores are repositioned at the time intervals documented on Client Repositioning form which is located in the clients' closet.
  
  Initial…