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Licensed Practical Nurse LPN

3 months ago


Raleigh, United States Sanford Health & Rehabilitation Full time

Sanford Health & Rehabilitation -

Job Description PURPOSE OF YOUR JOB POSITION:The primary purpose of your job position is to participate in the nursing plan and in implementing the nursing plan of care on the assigned shift and unit in accordance with current applicable federal, state, and local standards, guidelines, and regulations, within the individual’s scope of practice (SOP), as applicable, and as may be delegated by the DON or Administrator, to assure that the highest degree of quality resident care can be maintained.MAJOR DUTIES AND RESPONSIBILITIES:Listed below is an outline of the duties and responsibilities that you will be required to perform as you are delegated the responsibility and accountability to carry out your assigned duties.Even though your job description is broad, every effort has been made to make this outline as complete as possible. HOWEVER, we must emphasize that you may be required to perform other related duties and activities in compliance with legally defined SOP and agency policy/procedure.

Participates in planning and implementing of your unit’s activities on the shift and unit as assigned by the DON and/or RN Supervisor

Assure that department personnel, residents, visitors, etc. follow established policies and procedures, to include safety rules and regulations, by interceding when a violation occurs

Provides accurate and consistent information to personnel, residents, visitors, family members, etc. as necessary

Ensure that resident’s rights to fair and equitable treatment, self determination, individuality, privacy, property, and civil rights, including the right to a complaint, are followed by all department personnel as given in the facility’s established policy

Maintain CONFIDENTIALITY of pertinent resident care information to assure resident rights are protected

Assure that a stock level of medications, medical supplies, equipment, etc. are maintained at adequate levels. Requisition equipment and supply needs as required

Notify the resident’s attending/alternate physician, RN supervisor, as well as the resident’s legal guardian representative, when the resident becomes critically ill, injured, etc. as outlined within our established policies

Work with the facility’s consultants as necessary and implement recommended changes as directed by the DON

In cases of death, may call the funeral home as requested by the family, or as otherwise outlined in our established policies. Assure that the body is properly prepared/cleaned for pick up. May announce death as allowed within this state’s rules.

Make oral reports/recommendations for interventions for nursing POC to the supervising RN/DON concerning the delivery of resident care on the nursing unit/hall assigned

Assure that the unit area is maintained in a clean and safe manner for resident comfort and convenience by assuring that necessary equipment and supplies are maintained to perform such duties/services

Notify physician and RN supervisor of resident accidents/incidents. Fill out and complete accident/incident report forms on all such occurrences and chart such information in the resident’s medical record as outlined in our established policies and procedures

Take TPRs, blood pressures, etc. and chart as required

Gives/receives nursing report upon reporting in and ending shift duty hours

To monitor residents throughout the assigned shift to assure that prescribed treatment is being properly administered as assigned to other LPNs or delegated to nursing assistants. Record findings in the resident’s chart

Communicate changes in resident condition to RN as needed according to agency policy

Prepare/administer medications as ordered by the physician and according to agency policy (NOTE: Another nurse MAY NOT administer medication set up by another nurse)

Chart nurses’ notes in an informative and descriptive manner that reflects pertinent information and the care provided as well as the resident’s response to the care

Complete required record keeping forms/charts upon the resident’s admission, discharge, transfer, etc. File in the resident’s chart and/or forward to appropriate department

Receive verbal orders from attending/alternate physician and chart on the physician’s order sheet and inform RN supervisor of changes per this facility’s established policies

Assist in orientation of newly assigned unlicensed personnel to facility-specific nursing procedures assigned by the RN as follows: a) Demonstrating a specific task or technique according to the facility’s established procedures b) Observing an unlicensed personnel return demonstration of a specific task or technique in comparison to the facility’s established step-by-step procedure; and c) Providing data regarding the unlicensed personnel performance of the nursing task or technique to the registered nurse to determine competency

Submit an order for prescribed medications, supplies, and equipment as established by our policies and procedures

Maintain the daily census report and submit to the department supervisor or business office

Review physician’s orders, transfer/pre-admission information, etc. for completeness

Orient new residents/family members as necessary according to policy

Forward new diet orders and/or diet changes to the dietary department

Transcribe physician’s orders to resident charts, treatment plans, etc. to assure that they remain current

Verify the identification of the resident before administering medication, treatment, etc

Requisition and arrange either for diagnostic and therapeutic services, as ordered by the physician, within the facility or by outside arrangements in accordance with established policies and procedures

Assure that narcotic records are current

Admit, transfer, and discharge residents according to policy. Assist in arranging transportation, packing, etc. as necessary

Check current charts for specific treatment, medication orders, schedules, etc

Administer nursing interventions, such as catheterization; tube feedings; suction; applying and changing dressings/bandages, packs, colostomy and drainage bags; taking blood, sputum, urine specimens; massage and exercises; care of the dead/dying; etc. as established by our policies and procedures and nursing plans of care

Assure that personnel follow established infection control and aseptic techniques when isolation procedures become necessary

Make rounds with the physician and assist with examinations and treatment

Notify physician of auto-stop orders on specific medications as established by our policies and procedures

Review Medication Administration Record for completeness of information, accuracy in the transcription of physician orders, and adherence to stop-order policies

Carry out restorative and rehabilitative programs, to include self-help/care, as per established plan of care

May perform minor housekeeping duties around the nursing unit

Perform routine charting as required

Notify the attending physician and RN supervisor when a resident is discharged without approval. Assure that appropriate documentation is made in accordance with established policies and procedures

Report discrepancies of physician’s orders, diet, charting, etc. to the RN supervisor

Responsible and accountable for the care of residents for whom care has been assigned and within the legally defined scope of practice

Other duties as may become necessary and appropriate, or as may be directed by the Director of Nursing, RN supervisor, or Administrator and within legally defined SOP

Assure that LPNs and CNAs being assigned to or delegated to are providing adequate nursing care in accordance with established nursing service procedures

WORKING CONDITIONS:

Works in well-lighted/ventilated work areas as well as throughout the nursing service areas

Sitting, standing, bending, lifting, and moving intermittently during working hours

Subject to frequent interruptions

Involved with residents, family members, personnel, visitors, government agencies/personnel, etc. under all conditions/circumstances

Subject to hostile and emotionally upset residents, family members, etc

Communicates with the medical staff, nursing personnel, and other department supervisors

Willingness to work beyond normal working hours as assigned when necessary

Attend and participate in continuing educational programs

Subject to falls, burns from equipment, infectious diseases, substances, odors, etc. throughout the work day

This facility will make reasonable accommodations that will permit an employee to perform the essential functions of his or her position

Job Requirements LPN/RN HALL NURSE QUALIFICATIONS:

Education:

Must be, as a minimum, a graduate of an approved LPN/RN program

Experience:

Must have, as a minimum, training in a hospital, skilled nursing care facility, or other related medical facility

Training in rehabilitative and restorative nursing practices is preferred

Specific Requirements:

Must possess a valid and current LPN /RN license in the state in which the facility is located

Must be able to read, write, and speak the English language

Possess the ability to make decisions as defined by practice

Possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public

Be a minimum of 19 years of age

Knowledgeable of nursing and medical practices and procedures

Maintaining the care and use of supplies, equipment, etc. and maintaining the appearance of nursing areas; regular inspection of nursing units for sanitation, order, safety, and proper performance of assigned duties

Must have patience, tact, cheerful disposition, and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning

Must be able to cope with the mental and emotional stress of the position

Physical Requirements:

Must be able to move intermittently throughout the work day

Must possess sight/hearing senses, or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met

Must function independently within the scope of practice for LPN, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies

Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times, hostile people within the facility

Is required to lift residents, medical equipment, supplies, etc