LPN
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Job Description
Job Description
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Role Responsibilities – Administrative Duties: 1.
Directs the day-to-day functions of the nursing assistants in accordance with current rules, regulations,and guidelines that govern the long-term care facility 2.
Ensures that all nursing personnel assigned to you comply with the written policies and proceduresestablished by this facility 3.
Reviews the department's policies, procedure manuals,
job description
s, etc. periodically and makesrecommendations for revisions 4.
Meets with assigned nursing staff, as well as support personnel, in planning the shifts' services,programs, and activities 5.
Ensures that the Nursing Service Procedures Manual is current and reflects the day-to-day nursingprocedures performed in this facility 6.
Ensures that all nursing service personnel comply with the procedures set forth in the Nursing ServiceProcedures Manual 7.
Makes written and oral reports/recommendations concerning the activities of your shift as required 8.
Cooperates with other resident services when coordinating nursing services to ensure that theresident's total regimen of care is maintained 9.
Ensures that all nursing service personnel are in compliance with their respective
job description
s 10.
Participates in the development, maintenance, and implementation of the facility's quality assuranceprogram for the nursing service department 11.
Provides data to the Quality Assurance & Assessment Committee as requested 12.
Participates in facility surveys (inspections) made by authorized government agencies as may berequested 13.
Reviews the resident's written discharge plan periodically and participates in the updating of theresident's written discharge plan as required 14.
Assists in planning the nursing services portion of the resident's discharge plan as necessary 15.
Interprets the department's policies and procedures to personnel, residents, visitors, and governmentagencies as required 16.
Completes accident/incident reports as necessary LPN 2 17. Writes resident charge slips and forward to the Business Office 18. Maintains the Daily Census Report and submit to the Business Office as required 19. Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary B. Role Responsibilities – Charting and Documentation: 1. Completes and files required record keeping forms/charts upon the resident's admission, transfer, and/or discharge 2. Encourages attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies 3. Receives telephone orders from physicians and record on the Physicians' Order Form 4. Transcribes physician's orders to resident charts, cardex, and medication cards, treatment/care plans, as required 5. Charts nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care 6. Charts all reports of accidents/incidents involving residents. Follow established procedures 7. Records new/changed diet orders and forwards information to the Dietary Department 8. Reports all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor 9. Fills out and completes transfer forms in accordance with established procedures 10. Ensures that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures 11. Performs routine charting duties as required and in accordance with established charting and documentation policies and procedures 12. Signs and dates all entries made in the resident's medical record C. Role Responsibilities – Drug Administration: 1. Prepares and administers medications as ordered by the physician 2. Verifies the identity of the resident before administering the medication/treatment 3. Ensures that prescribed medication for one resident is not administered to another 4. Ensures that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents and reports needs to the Nurse Supervisor 5. Orders prescribed medications, supplies, and equipment as necessary, and in accordance with established policies 6. Ensures that narcotic records are accurate for your shift 7. Notifies the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift 8. Reviews medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies 9. Notifies the attending physician of automatic stop orders prior to the last dosage being administered 10. Disposes of drugs and narcotics as required, and in accordance with established procedures D. Role Responsibilities – Personnel Duties: 1. Participates in employee performance evaluations, determining your shift's staffing requirements, and m