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RN/LVN (10pm/6am-3rd shift)
3 months ago
- Confer with the Medical Director and the attending physician regarding specific residents assigned to you.
- Consult with the physician concerning resident evaluation and assist the Director of Nursing Services in planning and developing the nursing services to be performed for the resident.
- Initiate requests for consultation or referral. Respond to requests from the resident, physician, or nursing staff.
- Examine the resident and his/her records and charts to distinguish between normal and abnormal findings in order to recognize early stages of serious physical, emotional or mental problems.
- Determine when to refer the resident to a physician for evaluation, supervision, or directions.
- Perform administrative duties regarding assigned residents, such as completing medical forms, reports, evaluations, studies, charting, etc.
- Implement and maintain established policies, procedures, objectives, quality assurance, safety and environmental and infection control. Interpret these to the physician, resident, family members, and public, as appropriate.
- Make written and oral reports/recommendations to the attending physician, Medical Director, or the Administrator concerning the status and care of the assigned resident.
- Participate in the planning and evaluation of the written policies and procedure that govern the day-to-day functions of the nursing service department.
- Participate in facility surveys (inspections) made by authorized government agencies.
- Resolves complaints and grievances made by nursing department personnel.
- Ensures that nursing department employment actions are administered fairly and in compliance with the facility's Policy Against Discrimination, Harassment and Retaliation.
- Supervises and assists in management of the infection control program including ensuring that personal protective equipment is used in the handling of infectious materials by nursing personnel.
- Assists in the development of preliminary and comprehensive assessments of the nursing needs of each resident are performed in furtherance of the resident care planning policy.
- Observes medication passes and treatments to ensure quality.
- Administer services within the applicable scope of nursing practice, which may include: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as appropriate and in accordance with applicable standards.
- Prepare and administer medications as ordered by the physician.
- Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
- Chart nurses' notes in professional and appropriate manner that timely, accurately and thoroughly reflects the care provided to the resident, as well as the resident's response to the care.
- Chart all reports of accidents/incidents involving residents.
- Chart all changes in resident condition and the response to those changes.
- Chart all communications with the resident's attending physician regarding the resident, the resident's treatment, or the response to that treatment.
- Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures and applicable state and federal regulations.
- Ensures that adequate stock levels of medications, medical supplies and equipment are maintained.
- Assist the Quality Assessment and Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
- Performs other duties as may be assigned.
Education and/or Experience:
- High School Diploma or equivalent
- Graduate of an accredited Licensed Vocational or Practical Nurse program.
- Must possess an active license to practice as a Licensed Vocational Nurse or a Licensed Practical Nurse valid in this state.
- Must provide evidence of being free of tuberculosis infection upon hire and as set forth by the policies of the facility.
- Must be able to read, write, speak and understand the English language.
- Must possess the ability to make independent decision when circumstances warrant such action.
- Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care.
- Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
- Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
- Works throughout the nursing service area (i.e. nurse's stations, resident rooms, etc.).
- Moves intermittently during working hours.
- Is subject to frequent interruptions.
- Interacts with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
- Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
- Communicates with the medical staff, nursing personnel, and other department supervisors.
- Works beyond normal working hours and on weekends and holidays when necessary. May be on call 24 hours per day, 7 days per week.
- Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
- Is subject to injury from falls, burns from equipment, odors, etc., as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
- Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
- May be subject to the handling of and exposure to hazardous chemicals.
- Must be able to move intermittently throughout the work day.
- Must be able to cope with the mental emotional and stress of the position.
- 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, have flexibility, personal integrity, and the ability to work effectively.
- Must meet the general health requirements set forth by the policies of this facility which may include a medical and physical examination.
- Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
- Must be able to lift up to 25 pounds. Requires infrequent lifting of more weight up to 50 pounds. Occasional pushing and pulling of carts.
- May be necessary to assist in the evacuation of residents during emergency situations.
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