LPN Charge

Licensed Practical Nurse, Charge

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The primary purpose of the Licensed Practical Nurse, Charge is to evaluate and direct nursing care of residents on a particular nursing care unit.

Integrate the philosophy and objectives of the Nursing Home and the Nursing Department into the management of nursing care.

Initiates plan of care:

• Assign resident care in accordance with resident need and to the abilities of the staff members assigned to the unit.
• Observes the residents physiological and psychological behavior and notifies the NCC of any concerns and documents observations in the resident's medical records.
• Provide for continuity of care for all residents on assigned unit and cooperate in providing for continuity of care for all three (3) shifts.
• Provides updates regarding the plan of care to residents, families, nursing staff and other nursing home personnel.
• Participate in resident teaching programs.
• Contribute to resident care plans, defining needs and concerns of residents.
• Discuss administrative and nursing care problems with Nurse Care Coordinator and/or DON.
• Reviews all physicians' orders on a daily basis and insures they have been programmed accordingly.
• Responsible completion of a Quarterly Nursing Summary for each resident on assigned unit.
• Participates in Quality Assurance activities as directed

Keep informed of new medical and nursing measures as related to the needs of residents.

Maintain environment conducive to providing quality care.

Make rounds to observe effectiveness of care and consult with Nurse Care Coordinator to make changes when necessary.

Give care to residents who require skilled nursing as ordered.

Demonstrate new nursing techniques per facility policies.

Maintain a system for communication of nursing care information for each resident in the unit.

Make rounds with physicians, as needed.

Participate in nursing and resident care conferences.

Maintain nursing documentation in accordance with facility policies and procedures.

Use nursing care plan as a guide for reports, rounds, conferences and assignments.

Share information with other para-medical groups and professional disciplines.

Review critical incidents and discuss with Nurse Care Coordinator/DON.

Assure responsibility as directed by the Nurse Care Coordinator for teaching relative to planning, implementing and evaluating the nursing care for each resident on the unit.

Observe nursing care requirements relative to the number of residents, severity of conditions, medical treatment plans and nursing care activities and report concerns to the Nurse Care Coordinator.

Assign personnel in accordance with resident needs and technical competency of personnel.

Identify problems of nursing care and in assignment of personnel.

Participate in In-service programs.

Participate in orientation programs.

Supervise and counsel direct care personnel assigned to unit.

Create and maintain working climate conductive to producing quality care.

Assure direct care staff work assignments are completed daily.

Respect individual for ability, knowledge and skills.

Plan opportunities for growth and development.

Guide working relationship with residents, families, visitors, nursing personnel, medical staff, other departments and representative of community agencies.

Support personnel policies.

Recommend changes to Nursing Supervisors/DON.

Keep personnel informed of changes.

Interpret new, or current and standing policies for staff members.

Review all incident reports and discuss prevention with staff.

Maintain an effective communication system on unit.

Report any personnel problems to Nursing Care Coordinator.

Follow Standards of Practice and facility polices and protocols for medication and treatment administration.

Responsible for the narcotics cabinet, the maintenance of records, the receipt and use of narcotics when assigned as med nurse.

Support new programs and policies.

Suggest policy changes to Nurse Care Coordinator/DON.

Responsible for notifying the appropriate discipline for the maintenance or upkeep of equipment and supplies on the unit.

Check emergency equipment every week, i.e., O2, oral suctioning, ambu bags, CPR board to ensure good working order and report concerns to Maintenance and Nursing Administration.

Assure that nursing unit is clean neat and functional (dirty utility room, clean utility room & kitchen).

Ensure each resident is treated with dignity and respect and report any concerns with resident care and treatment to Administration in accordance with facility policy.

Must follow the established infection control procedures.

Participate in In-service education programs and in continuing education programs designed to keep abreast of changes in the nursing profession, keep…