Staff Nurse, LPN

Community Name:

Trinity Community at FairbornThe Staff Nurse (LPN) is responsible for operating within scope of practice to coordinate care delivery interventions for approximately 25 residents in assigned area in accordance with current professional practice standards, physician's orders, community policies and procedures, and local, state and federal regulations.

Essential Functions Statement(s)

Manages resident treatments  Distributes and administers prescribed medications and treatments, when required, according to approved nursing protocols, including IVs if certified  Assesses residents, under RN  Participates in assessing, planning, implementing and evaluating resident care delivery with actual outcome, also assesses, plans, implements and evaluates services and education to be delivered to the family or significant other in coping with and participating in the management of the resident's care  Assists in completing the initial and ongoing nursing assessments needed to plan care and interventions  Makes resident rounds to ensure care delivery meets quality standards and restorative protocols  Utilizes appropriate infection control techniques to prevent spread of infection  Observes vital signs and hydration status to detect deviations from normal limits, utilizing resident care equipment and ancillary supplies  Assists in receiving, transcribing and implementing physician's orders  Requests and arranges for diagnostic and therapeutic services as ordered by resident's physician, from departments within the institution or from outside the facility  Orders prescribed medications, requisitions supplies, equipment from appropriate resources, when requested  Records resident's responses to treatments/medications, response or lack of progress toward care plan or restorative goal  Assists in documenting and observing changes in condition and unusual incidents and reports findings to supervisor, physician and responsible party, as required  Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care (including irrigation); Foley catheter care (including insertion and irrigation); Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling; operating the pump; calculating intake and output  Ensures dietary recommended feeding allowances are maintained and monitors the weights of residents, assessing for abdominal distention and residual tube placement  Administers proper assessment skills and techniques as appropriate, including the following: Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal and integumentary assessments  Administers proper positioning techniques including transfer techniques and ROM exercises  Administers emergency procedures as necessary, including properly administers oxygen, suctions, performs CPR and uses the ambu bag  Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care  Applies proper sterile and isolation techniques as necessary  Collects lab specimens as required  Performs glucometer checks  Flushes, infusion, monitoring, piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order  Consults with dining services regarding resident's special dietary needs and follows through on recommendations  Monitors residents with significant weight loss/gain and identifies residents at risk for nutritional problems and implements preventative measures, reporting to the physician and dietary  Checks food brought by family members, ensuring it complies with residents' orders, dietary needs, and safety  Completes medical forms, reports, evaluations, studies, charting, etc., as necessary  Documents the following according to policies and procedures: medications, treatments, prn's; daily 24-hour report; residents' intake and output; monthly medication renewal process; any exceptions to residents' condition; daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; new/changed diet orders  Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to supervisor and/or the Dining Services department  Is familiar with and accurately completes forms used throughout the residents chart  Interprets policies and procedures to personnel, residents, visitors, and government agencies as required  Assists in completion of the care plans (acute and long term)  Participates in care conferences as deemed necessary  Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions  Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse  Ensures progress notes are reflective of care plan and ensures they are properly followed  Ensures assigned nursing assistants are aware of the resident care plans, and ensures nursing assistant refers to the care plan prior to administering care  Oversees the admission process through the following: Orients patient to room, facility, policies; Obtains necessary physician orders; Completes nursing admission assessments; Orders necessary medication, supplies and diagnostic test  Oversees the discharge process through the following: Completes post discharge plan; Educates resident on post discharge needs; Completes discharge paperwork; Informs nursing personnel of planned discharges for their shift; Arrange for discharge transportation  Oversees the successful transfer of a patient  Ensures all documentation is accurately completed for any admission, discharge and transfer  Coordinates and evaluates the supportive interventions provided by nursing to other departments or services to achieve a holistic approach to resident care  Coordinates and evaluates the efforts of other departments/services in providing education and support to family members in coping with and participating in the management of the residents' care needs  Assists physicians, when necessary, during rounds and examinations  Participates in the assessment, planning and implementation of nursing staff in providing resident care  Participates in planning and implementing the coordination and involvement of nursing staff with other departments/services to teach family the management of the resident's care  Monitors performance of nursing personnel to establish a high standard of care delivery and accurate documentation which reflects resident needs, progress, and condition  Assists with sending requisitions to initiate physician orders  Assists in planning, developing, directing, and teaching programs of in-service and continuing education for all nursing service and other personnel and directs other departments in the same, as necessary  Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, religion, color, age, sex, marital status, national origin, disability, or veteran status  Maintains confidentiality of necessary information; Handles unusual occurrences calmly and logically to maintain continuity of business and duties  Follows all appropriate safety and security guidelines, procedures and protocol for residents in the Special Care Unit  Maintains appropriate, effective communication with residents, and with residents' family or other significant relationships  Provides all care, treatment and services with appropriate special care protocols  Participates in relevant educational and training activities as appropriate  Performs all other duties as assigned or directed 

Competency Statement(s)

Accountability - Ability to accept responsibility and account for his/her actions.  Accuracy - Ability to perform work accurately and thoroughly.  Communication, Oral - Ability to communicate effectively with others using the spoken word.  Communication, Written - Ability to communicate in writing clearly and concisely.  Customer Oriented - Ability to take care of the customers’ needs while following company procedures.  Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace.  Interpersonal - Ability to get along well with a variety of personalities and individuals.  Organized - Possessing the trait of being organized or following a systematic method of performing a task.  Patience - Ability to act calmly under stress and strain, and of not being hasty or impetuous. 

Skills & Abilities

Education: Successful completion of a state-approved pre-licensure nursing education program: Required Experience: One (1) year of experience in nursing and/or long-term care, preferred Computer Skills: Must be able to operate a computer, the Internet and knowledge of basic office equipment preferred  Certifications & Licenses: Successful completion of a state-approved pre-licensure nursing education program; Active LPN license conferred by the State Board of Nursing; Must obtain and maintain mandatory, state and federal requirements and certifications for practice or occupation; Must be CPR certified  Other Requirements: Good base knowledge of pharmacology, treatments, issues specifically concerning the elderly, dementia, various diseases, and side effects; Demonstrated people skills, with special attention to interfacing with patients" family members; Working knowledge of different cultures and religions; Must be familiar with/able to use the following equipment: WiFis, pagers, point click care, computer, sit to stand, hoyer, gait belt; Must be able to read, write, understand and speak the English language; Special care/dementia care employees will have additional training in caring for and treating dementia residents; Must be able to work with elderly residents, families and other health care staff members; Must be able to adhere to all terms and conditions set forth in the United Church Homes Employee Handbook. 

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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