LVN Licensed Vocational Nurse

Under the direction of the Director of Nursing, the Charge Nurse (LVN) is responsible for the comprehensive care of assigned residents and for the supervision of nursing personnel, who assist in the provision of care to those residents. Such supervision must be in accordance with current Federal, State, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services, to ensure that the highest degree of quality care is maintained at all times.

• Participates in directing the day to day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long term care facility.
• Participates in ensuring that the Nursing Services procedure manual is followed by nursing service personnel and that it reflects the day to day nursing care procedures used by the facility.
• Assists in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care.
• Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc.
• Interprets and implements physicians' orders.
• Participates in the development, maintenance and implementation of the facility's quality assurance program for the Nursing Services Department.
• Participates in survey inspections made by authorized government agencies.
• Makes written and oral reports/recommendations to the Director of Nursing as necessary/required concerning the operation of the Nursing Services Department.
• Admits, transfers, and discharges residents as required.
• Complete accident/incident reports as necessary.
• Develops and maintains good working rapport with interdepartmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents.
• Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit and shift.
• Assists in the orientation and training of new nursing personnel.
• Attends staff meetings and in-service meetings as necessary.
• Meets with shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or improvement of services.

• Informs nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensures that rooms are ready for new admissions.
• Greets newly admitted residents upon admission; escort to room as necessary.
• Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided and that they reflect the resident's response to the care. Make rounds with physicians as necessary.
• Encourages attending physicians to record and sign progress notes, physicians' orders, etc. on a timely basis and in accordance with current regulations.
• Makes daily resident visits to observe and evaluate the residents' physical and emotional status.
• Performs medication passes and treatment schedules to assure that medications are being administered as ordered and treatments are provided as scheduled.
• Reviews medication documentation for accuracy, prior to end of shift, and for adherence to stop order policy.
• Provides direct nursing care as necessary.
• Reports problem areas to the Director of Nursing—assists in developing and implementing corrective action.
• Informs the Director of Nursing of the status of residents and other related matters through written/oral reports.
• Ensures that written procedures for the administration, storage, supplies, and control of medications are being followed by licensed nurses.
• Meets with residents and/or family members as necessary and reports problem areas to Director of Nursing.
• Assists in arranging transportation for discharged residents as necessary.
• Consults with the resident's physician and next of kin when there is a change in the resident's condition.
• Works with the facility's consultants and implements those changes authorized by the Director of Nursing.
• Makes independent decisions concerning nursing care.
• Take TPR's, blood pressures, etc. as necessary.
• Schedule appointments and follow up on referrals in a timely manner.
• Attends and participates in continuing educational programs designed to keep abreast of changes in the nursing profession, as well as to maintain license on a current status.

• Monitors shift…