LPN) Licensed Practical Nurse

Department

Nursing Services

Director of Nursing, Assistant Director of Nursing, Unit Nurse Manager

• Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants.
• Such supervision must be in accordance with the current federal, state. And local standards, guidelines and regulations that govern our facility and As May also be required by the Director of Nursing to maintain the highest degree of quality care at all times.

• Meet the required physical and sensory requirements and be able to function in the environment as defined.
• Identify and participate. In process improvement initiatives that improve the customer service experience, enhanced workflow and or improve the work environment.
• Direct the day-to-day functions of the nursing assistants in according with rules, regulations and guidelines that govern the long-term care industry.
• Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
• Meet with your assigned nursing staff as well as support personnel and planning the shift services, programs and activities.
• Verify all nursing personnel comply with the procedures set forth in the nursing policies and Procedure Manual.
• Make written and or oral reports or recommendations concerning the activities of your shift, as required.
• Cooperate with other resident’s services when coordinating nursing services and be certain that the resident’s total regimen of care is maintained.
• Verify that all nursing service personnel are in compliance with their respective job descriptions.
• Participate in the development, maintenance, and implementation of the facilities Quality Assurance program for the Nursing department.
• Participate in surveys, (inspections) made by authorized government agencies. Periodically review the residence written discharge plan. Participate in the updating of the residents written discharge plan, as required.
• Assist in planning the nursing portion of the residence discharge plan as necessary.
• Admit transfer and discharge residents as required.
• Complete accident/ incident reports as necessary.
• Complete and file required forms/ charts upon residence, admission, transfer and or discharge.
• Encourage attending physicians to review treatment plans, record & their orders, progress notes, etc., in accordance with the established policies.
• Review telephone orders from physician and record on the physician’s order form.
• Transcribe physician orders to the residence chart car decks. Medication cards and 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 residents response to care.
• Record new. And change diet orders. Forward information to the Dietary Department.
• Report all discrepancies noted concerning physician orders, diet change, charting error, etc., to the Nurse, Supervisor, Unit Manager, ADON/DON.
• Fill out and complete transfer forms and according with established procedures.
• Enter appropriate documentation concerning unauthorized discharges in the residence 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.
• Write nurses’ notes to reflect that the care plan is being followed when administering nursing care or treatment.
• Prepare and administer medication as ordered by the physician.
• Verify the identity of the resident before administering the medication/treatment.
• Verify that prescribed medication for one resident is not…