LVN Healthcare Job Houston area,Texas USA,Nursing

General Description: Responsible for the supervision and provision of all nursing care activities on his/her unit during each shift. Organizes and assigns resident care workload based on the acuity of the resident, number of available personnel, and capabilities of personnel.

Duties and Responsibilities: include the following. Other duties may be assigned.

Supervises, evaluates, and ensures that resident needs are met in accordance with the regulations of the Texas Department of Aging and Disability Services, instructions of the primary physician, and Holly Hall administrative policies and procedures.

Makes rounds on all assigned residents on a daily basis and is familiar with residents' physical and emotional needs/concerns. Makes specific resident assignments for CMAs and CNAs, to include meal times and special duties. Supervises and ensures that CMAs and CNAs are rendering appropriate care in a timely manner according to the resident's individualized plan of care.

Recognizes both subtle and significant changes in a resident's condition and takes prompt, appropriate action. Documents resident changes and nursing interventions in the nursing record. Notifies RN Supervisor, ADNS, and/or DNS of any significant resident changes, incidents, or deaths. Documents in the resident's record at intervals to clearly reflect the progress, decline, and condition of the resident at all times.

Notifies the primary care physician of any changes in resident condition and documents notification in resident record. Records all verbal and telephone orders on the physician order sheet according to established practice. Transcribes all physician orders according to established practice and implements orders within the designated time frame. Notifies the laboratory, dining services, and/or pharmacy of any new orders or changes in existing orders.

Communicates changes in resident status to oncoming nurse at change of shift report and to DNS on the 24 Hour Report Form.

Ensures that all medications are administered according to physician order and facility policy and procedure. Administers or supervises the preparation and administration of prescribed medications. Orders new medications and/or refills as needed per facility protocol. Gives all initial doses of medication and observes for side effects if noted, takes appropriate action and documents all relevant information in the resident's record. Supervises CMAs and is aware of limitations and capabilities.

Assists CMAs with decision-making and problem-solving as needed. Notifies RN Supervisor, ADNS, or DNS of any medication discrepancies immediately to facilitate prompt resolution.

Ensures that all treatments are completed and documented as prescribed by the physician.

Serves as a role model to other nursing personnel through visible compliance with all facility policies and procedures and ensures that personnel under his/her direct supervision are also in compliance. Notifies RN Supervisor, ADNS, or DNS of repeated employee non-compliance with facility policies and procedures.

Responds to residents, family members, physicians, nurse practitioners, and others in a professional and courteous manner. Works cooperatively with other departments to resolve problems and minimize disruptions. Assists in resolving resident complaints and concerns within realistic limitations by meeting with residents and family members. Notifies RN Supervisor, ADNS, or DNS if additional management support is needed to resolve the issue. Notifies Security personnel and DNS if there is a situation requiring law enforcement support.

Completes incident/unusual occurrence reports for all incidents occurring on the unit. Ensures that all relevant information is documented on the form, inclusive of the QA follow-up information. Documents the incident in the resident record per established practice. Ensures that resident receives appropriate and timely nursing care for all incidents. Notifies DNS immediately 24 hours a day if incident is suspicious or may require investigative follow-up and reporting to TDADS.

Transfers residents to acute care settings when the resident's condition can no longer be…