Quality LPN Medical Records

10 hours ago

Herkimer, United States Bassett Healthcare Network Full time
Job DescriptionJob Description

The best thing about this role

Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.

What You'll Do

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 assigne 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 insure 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).
  • Insure 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 LPN license current and provide a copy for personnel file.
  • Adheres to facility Code of Conduct including a commitment to professionalism and service excellence.
  • Assist in all other duties deemed necessary by Supervisor. This includes providing care and assisting with residents as needed. You may be required to work on other shifts or units as needed to maintain acceptable staffing levels.
  • Attend all required in-services and follow all department and facility policies and procedures including the use of personal protective equipment.
  • Maintain CONFIDENTIALITY of all pertinent resident care and employee information and follow HIPAA and HIV regulations.
Education

What we need from you

  • Must be a graduate from an accredited school of nursing and current licensure by the State of New York as a Licensed Practical Nurse

Experience

  • One (1) year experience as a LPN in which potential supervisory competence has been demonstrated, preferred

License/ Certification

  • Must be a Licensed Practical Nurse, required
  • BLS Certification within 6 months of hire

Skills

  • Accountability
  • Clinical Skills
  • Communication
  • Leadership
  • Multi-Tasking
  • Reliability

Physical Requirements

  • Medium Work - Exerting up to 50 lbs. for force occasionally, and/or up to 20 lbs. of force frequently, and/or up to 10 lbs. of force constantly to move objects.
  • Occasional balancing, crouching, typing/clerical/dexterity, grasping, kneeling, lifting, reaching, repetitive motion, seeing/monitor/computer use, stooping, visual acuity (color, depth, perception)
  • Occasional fit testing
  • Frequent hearing, pulling, pushing, standing, talking, walking

Hazards

  • Occasional bodily fluids/ bloodborne exposure

Travel

  • No travel required

Total Rewards

Benefits

Bassett Healthcare Network’s commitment to our employees includes benefit programs carefully designed with the needs and values of all our employees in mind. Many of the benefits we offer are paid fully or in large part by Bassett. Our generous benefits offerings include:

  • Paid time off, including company holidays, vacation, and sick time
  • Medical, dental and vision insurance
  • Life insurance and disability protection
  • Retirement benefits including an employer match
  • And more

Specific benefit offerings may vary by location and/or position.

We are also offering a sign-on bonus for this position Details and eligibility requirements will be discussed during the interview process. Current employees of Bassett Healthcare Network are not eligible and are encouraged to apply through the internal job board.

This position is eligible for a sign on bonus up to:

USD $20,000.00

Pay Transparency

Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement.

Pay Range Minimum

USD $24.68/Hr.

Pay Range Maximum

USD $33.00/Hr.

We love the difference people bring

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.

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