Night Shift LPN​/RN

Essential Job Functions

• Responsible for total care of all assigned residents on his/her unit and supervision of direct care staff to ensure residents' needs are met.
• Ensure that restorative nursing care measures are performed as indicated and ordered.
• Help to maintain the self-respect, personal dignity, and physical safety of each resident.
• Maintain open communication with nursing management regarding conditions on the nursing unit and concerns related to staff, residents, and visitors.
• Explain treatment goals and expectations to the resident and family/representative, in an effort to obtain feedback and cooperation.
• Supervise/manage personnel on assigned hall/unit(s).
• Verify that medical records are properly maintained and updated.
• Review daily assignments of nursing staff on the unit/hall to assure that assigned duties are consistent with ability, training, and within scope of practice.
• Assist and instruct nursing staff on unit/hall in special treatments and nursing care.
• Ensure that all ordered treatments are carried out as ordered.
• Ensure that lab work and x‑rays are conducted according to physician order and results are reported to the physician in a timely manner.
• Make rounds with physicians and assist with examinations, as indicated.
• Assess residents on unit/hall, upon admission, as well as when indicated for problems/concerns or change in condition. Take necessary action, including emergency measures.
• Initiate and update the nursing care plan for residents on the unit/hall and participate in the interdisciplinary care plan conference, as requested or assigned.
• Responsible for the security of narcotic and controlled substances.
• Ensure that supplies are stocked on the unit per facility practice.
• Assist staff in delivery of direct resident nursing care.
• Assist with the discharge plan for resident. Instruct the resident and/or family member(s)/representative; and assess understanding of information provided.
• Receive report from off‑going charge nurse. Give thorough report to the on‑coming nurse at change of shift.
• Count narcotics at beginning and end of each shift and maintain accurate narcotic records.
• Make rounds on all residents with careful attention to those reported as in need of increased monitoring.
• Administer and document all medications at appropriate times.
• Notify medical providers as necessary regarding orders and visits.
• Confer and collect all data from staff (re: resident care problems, needs, turning and positioning, intake output, etc.). Notify medical provider of recognition of signs and symptoms of early disease or complication(s).
• Charting/documentation to be completed according to facility schedule. In accordance, document anything unusual or any change in condition and/or treatments for all residents.
• Responsible for the performance of the following nursing measures to ensure quality of care:
  • a. Maintenance of resident personal hygiene.
  • b. Maintenance of adequate hydration.
  • c. Promotion of normal elimination patterns.
  • d. Maintenance and promotion of maximum range of motion.
  • e. Promotion of normal sleep patterns.
  • f. Protection from accidents, neglect, or abuse.
  • g. Maintenance of infection control.
  • h. Promotion of resident socialization.
  • i. Promote resident self‑esteem and preservation of human dignity. Offer encouragement to resident to function at maximum level.
• Assist residents in psychosocial acceptance of their limitations.
• Assist in the evaluation of nursing staff supervised on the unit.
• Coordinate nursing service with other services:
  Dietary, Social Services, Activities, Physical therapy, etc.
• Participate in mandatory in‑service training as mandated by State rule and facility policy.
• Inform nursing staff, as indicated, of facility policies and procedures.
• Draw blood for lab work, as ordered, if applicable per facility policy.
• Assist in the orientation of new employees on the unit/hall as necessary.
• Assure that a clean, safe environment for residents and staff exists on the unit.
• Adhere to facility safety and infection control policies and procedures.
• Maintain confidentiality of resident information.
• Carefully observe all new admission orders, new orders, incident reports, memos, to promote timely care and implementation of necessary interventions.
• Make rounds to directly supervise the serving of the residents as well as to observe residents while they are eating, offering substitutes in the event a resident does not accept the meal.
• Monitor for provision of proper diet as ordered.
• Monitor utility, linen and shower rooms for order and cleanliness.
• Other duties as assigned.

• Ability to read and write in English, ability to communicate with residents, families, personnel and support agencies and ability to remain calm under stress.
• Bending, lifting, walking, grasping, fine hand coordination, ability to distinguish smells, tastes, temperatures, colors, and ability to hear and respond to pages.