LPN (Licensed Practical Nurse) 1st -2nd-3rd SHIFTS

LPN/RN Hall Nurse
*Job Description*
*Department*

Nursing

*Reports to*

Director of Nursing, Assistant Director of Nursing

*Reporting to this position*

None

*Job Classification*

Staff Nurse

*Position Purpose*

Provides nursing care to residents assigned

*Required Qualifications*

* Must be, as a minimum, a graduate of an approved LPN program.
* Training in rehabilitative and restorative nursing practices is preferred.
* Must have, as a minimum, training in a hospital, skilled nursing care facility, or other related medical facility
* Current CPR Certification.
* 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 also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license.

*Major Duties and Responsibilities*

* 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 pe11inent 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 consultant s 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)
* 1Chart 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: *Demonstrating a specific task or technique according to the facility's established procedures*
* Observing an unlicensed personnel return demonstration of a specific task or technique in comparison to the facility's established step-by-step procedure; and
* 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.
* 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 per form minor housekeeping duties around the nursing unit.
* Perform routine charting as required.

*Additional Assigned Tasks*

* Treats all residents with dignity and respect. Promotes and protects all residents’ rights.
* Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines.
* Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
* Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
* Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer.
* Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse and cooperates with all investigations.
* Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
* Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
* Reports work-related injuries and illnesses immediately to supervisor.
* Follows established infection control policies and procedures.
* As a condition of employment, completes all assigned training and skills competency.
* Attends care-plan meetings of assigned residents.
* Participates in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee.
* Uses proper lifting and body mechanics while delivering care to residents.

*Personal Skills and Traits Desired/Physical Requirements/Working Conditions*

* Ability to read, write, speak and understand the English language.
* Must be a supportive team member, contribute to and be an example of teamwork.
* Ability to make independent decisions when circumstances warrant such action.
* Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the public.
* Must have patience, tact, and willingness to deal with difficult residents, family, and staff.
* Must be able to relay information concerning a resident’s condition.
* Must not pose a threat to the health and safety of other individuals in the workplace.
* Must be able to move intermittently throughout the workday.
* Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
* Ability to work beyond normal working hours and on weekends and holidays when necessary.
* Ability to assist in evacuation of residents during emergency situations.
* Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
* May be subject to falls, burns from equipment, and/or odors throughout the day, encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants.
* Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis.
* May be subject to hostile or emotional residents, family members, visitors, or personnel.
* Must possess leadership and supervisory ability and be willing to work harmoniously with and supervise other personnel.
* Ability to work beyond normal working hours and on weekends/holidays when necessary.
* Ability to work independently, and to organize, plan, and manage time effectively to complete assignments.
* Effective verbal and written communication skills.
* Strong listening skills and ability to deal with conflict with professionalism and courtesy.
* Basic computer skills, including ability to navigate electronic medical record systems.
* Positive interpersonal relationship skills, including with persons of all ages and cultures.
* Communicates with medical staff, nursing personnel, and other department heads.
* Subject to call back for emergency situations.
* Subject to work beyond scheduled working hours and on weekends and holidays as needed.
* Dexterity of hands and fingers to perform resident care.

*Compliance as a Condition of Employment and Performance Appraisal*

Agreement to abide by all standards, policies, and procedures of the facility, including the facility’s compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating job performance. Violations, including failure to report violations, will result in disciplinary action, up to and including termination.

This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed here may be assigned if the tasks are similar or related to the essential duties of the position. Periodic revision may be necessary to reflect changes in expectations placed on the long-term care industry by various governmental agencies. This job description will be reviewed and/or revised annually and as needed.

Individual performance will be evaluated using the following scale:

* *Unsatisfactory: *Achieves results that are far less than the standards identified for the performance factors rated.
* *Needs Improvement: *Achieves results that are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer. May be new to job or need skill development.
* *Meets Standards: *Achieves results that meet the standards identified for the performance factors rated. This rating is the expected level of performance.
* *Exceeds Standards: *Achieves results that usually exceed the standards identified for the performance factors rated.

*Reasonable Accommodation Statement*

Consistent with the Americans with Disabilities Act (ADA) and North Carolina civil rights law, it is the policy of Carrolton to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Carrolton Facility Management Human Resources.

Job Types: Full-time, Part-time, PRN

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
Medical Specialty:
* Geriatrics
Physical Setting:
* Long term care
* Nursing home
* Rehabilitation center

Experience:
* Nursing: 1 year (Preferred)

License/Certification:
* BLS Certification (Preferred)
* RN (Preferred)

Ability to Relocate:
* Dunn, NC 28334: Relocate before starting work (Required)

Work Location: In person

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