Dayshift LPN, RN

Overview

Full-Time Dayshift LPN, RN (Healthcare)

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

• Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility.
• Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility.
• Periodically review the department's policies, procedure manuals, job descriptions, etc., and make recommendations for revisions.
• Plan shifts, services, programs, and activities with assigned nursing staff and support personnel.
• Maintain the Nursing Service Procedures Manual to reflect day to day nursing procedures and ensure compliance with its procedures.
• Make written and oral reports/recommendations concerning shift activities as required.
• Coordinate with other resident services to maintain the resident's total regimen of care and ensure staff compliance with job descriptions.
• Participate in the development and maintenance of the facility's quality assurance program for the nursing service department and in facility surveys as requested.
• Review and update the resident discharge plan and assist in planning the nursing services portion of the discharge plan as necessary.
• Interpret department policies and procedures to personnel, residents, visitors, and government agencies as required.
• Admit, transfer, and discharge residents as required and complete accident/incident reports as necessary.
• Complete resident charge slips, maintain the Daily Census Report, and perform related administrative duties including charting and medical forms.
• Protect resident information and maintain security of access credentials and health information; report violations per facility policy.

• Complete and file required recordkeeping forms/charts upon resident admission, transfer, and discharge.
• Encourage physicians to review and sign orders and progress notes; record physician orders and transcribe them to resident charts and care plans as required.
• Document care and resident responses clearly in charts; file accident/incident reports as required and coordinate with the Director as needed.
• Record diet orders and communicate changes to Food Services; report discrepancies to the Nurse Supervisor.
• Ensure documentation of changes to unauthorized discharges and transfer forms; sign and date all entries in the medical record.

• Prepare and administer medications as ordered; verify resident identity before administration; ensure medications are not cross-administered to other residents.
• Maintain adequate stock of medications, supplies, and equipment; order as needed per policy.
• Maintain accurate narcotic records, report discrepancies, review medication cards, and manage automatic stop orders prior to last dosage.
• Dispose of drugs and narcotics per procedures.

• Participate in performance evaluations, determine staffing needs, and make recommendations to the Nurse Supervisor.
• Provide leadership to nursing personnel, develop assignments, and supervise daily rounds to ensure standard of care.
• Ensure CNAs are enrolled in appropriate training and supervised; meet with shift staff regularly to address issues and improve services.
• Promote adherence to department policies; foster teamwork and a positive unit environment.
• Coordinate with interdepartmental staff to maintain nursing services and activities aligned with resident needs.

• Inform and prepare nursing staff for new admissions; greet and orient residents and families; escort admissions as needed.
• Coordinate diagnostic and therapeutic services; consult with physicians on treatment plans and follow the resident care plans.
• supervise direct nursing care to ensure it is provided by licensed personnel or qualified aides and that care aligns with the care plan.
• Implement restorative and rehabilitative programs and coordinate social/activity programs with nursing schedules.
• Inspect care areas daily for cleanliness and safety; perform procedures and administer professional services as required.
• Use restraints only per policy; collect specimens for lab tests as ordered; monitor and respond to changes in resident condition.
• Notify physicians and families of incidents or changes; assist with post mortem procedures when applicable.

• Develop, conduct, and schedule in-service training; implement orientation for new employees; standardize methods to accomplish tasks.
• Provide exposure control training and participate in outside training programs and ongoing education to maintain licensure and knowledge.
• Participate in infection control, safety, and…