Licensed Vocational Nurse; SNF Day Shift

Position Summary

Using independent and interdependent judgment, the Licensed Vocational/Practical Nurse (LVN/LPN) maintains the delivery of quality care by assuring the nursing care plan is followed. In collaboration with the physician, the LVN/LPN assures implementation of the assessment plan, evaluation, and follow‑up of the plan of care for the patient population.

• Participates in an ongoing systematic assessment of the physical, emotional, social, educational, and functional needs of the patient/family through interview, observation, and physical examination.
• Provides plans, coordinates or manages nursing care, nursing services, and health education to patients/residents.
• Interprets assessment data and information to develop a nursing care plan which contains problem identification, nursing diagnosis, nursing orders, approaches, interventions, short/long term goals, and discharge planning.
• Develops nursing care plan utilizing nursing diagnosis.
• Assesses safety and fall risk levels for patients.
• Ensures that medical orders are transcribed and processed accurately, and integrates the medical care plan into the provision of nursing care.
• Ensures that medication/I.V. administration is correct and according to the established nursing policies and procedures.
• Looks up unfamiliar medications, processes medication orders, administers medications as ordered, evaluates effectiveness of PRN medications.
• Verbalizes process for self‑administered medications and patient education on identified medications, standing orders.
• Administers I.V. hydration if I.V. certified.
• Provides for personal and environmental safety in accordance with hospital and nursing policies and procedures.
• Demonstrates skills in handling emergency and life‑threatening situations, locates and uses crash cart items, calls Code Blue and Medical Emergency, initiates CPR, follows P&P and POLST.
• Ensures that documents in the medical record are complete, factual, accurate and timely; documents materials, equipment used; notes orders; documents discharge in chart; initiates and updates care plan as appropriate; provides discharge instructions; completes inter‑agency transfer form.
• Performs a complete head‑to‑toe assessment of each assigned patient per shift using proper documentation tools; acts promptly on changes in patient condition using the SBAR method; reviews lab and test results, notifying physician of abnormal and critical results; performs wound care, basic ventilator management and trouble‑shooting.

• Provides direction and leadership in patient care to assigned personnel.
• Acts as a team leader and provides guidance to unlicensed personnel.
• Makes assignments for team, prioritizes activities and plans for effective use of time for patient needs.
• Communicates the plan of nursing care for each patient through reports, conferences, rounds, and patient care records; leads shift‑to‑shift report and shift huddle with aides; delegates tasks to aides and monitors completion.
• Demonstrates responsibility for teaching nursing assistants in new techniques, policies, and procedures; serves as preceptor.
• Participates in quality improvement activities, attends appropriate meetings, communicates identified learning needs to the DON, assists the DON in orientation of new staff, adheres to established policies and procedures of the hospital and Nursing Department, actively participates on nursing committees, performs other duties as assigned or requested.

• Evaluates own performance and seeks opportunities for growth and expansion of skills.
• Takes initiative to upgrade and maintain skills necessary to provide quality care and leadership to assigned staff.
• Acquires continuing education sufficient to maintain licensure and certification; maintains current nursing licensure; provides Human Resources and DON with a copy of current nursing license; maintains required competencies; completes assigned program tracks by DON/DSD; completes appropriate level of Clinical Advancement within established time frames; holds membership in appropriate professional organizations.
• Assumes responsibility for maintaining/enhancing…