Licensed Practical Nurse/ LPN/ RN

• Resident Care Functions
• Maintains competence in all required skills within the facility.
• Treats and ensures that residents are treated with respect and dignity.
• Observes, records, and reports to supervisor regarding residents’ conditions, reaction to drugs and treatments and significant events.
• Participates in resident care planning as assigned by the Nurse Manager/Director of Nursing.
• Immediately reports any suspected abuse or neglect per facility policy
• Perform nursing techniques for the comfort and well being of the resident.
• Administers prescribed medications and treatments per MD orders.
• Follows all shift routines, policy and procedures regarding monitoring of vital signs, weights, administration of medications and treatments.
• May administer professional services, such as catheterization, tube feedings, suctioning, applying/ changing bandages, packs, colostomies and drainage bags. Provide range of motion exercises, care of the dying/expired resident etc.
• Makes physician calls to report resident change in condition and documents same.
• Keeps families updated on resident condition and documents same.
• Comply with acute emergency protocols and tasks involved.
• Follows all DNR/DNI/CPR/Comfort Care protocols.

Charting and Documentation Functions

• Maintains all required documentation in an accurate and timely manner according to policies and procedures of the facility, including documentation of medications, treatments, restraints, psychotropic medications and skin condition.
• Contributes toward completing and updating resident’s care plans, as directed by RN.
• Performs routine charting duties as required and in accordance with established charting and documentation policies and procedures.
• Accurately transcribes physician’s orders as per facility protocol and forwards necessary information to other departments.
• Document and report all incidents, accidents that occur involving residents, visitors, and staff.
• Chart nurses’ notes in an informative and descriptive manner that reflects the care provided as well as the resident response.
• Provides ongoing data collection and completion of forms as necessary and as assigned.

• Personnel Function
• Attend nurses meetings as scheduled.
• Maintain a clean, safe and efficient work environment.
• Maintains continuing education requirements.
• Participate in employee performance evaluations, provide input into your shifts staffing requirements, and making recommendations to the Supervisor concerning employee counseling etc.
• Participate in disciplinary action as requested by the immediate supervisor when the performance of personnel warrants such action per facility policy.
• Develop and maintain a good working relationship with inter-departmental personnel.
• Report occupational exposures to needlesticks, blood, body fluids, infectious materials, and hazardous chemicals in accordance with facility policy and procedures governing accidents and incidents.
• Attends required in-services and completes assigned online modules.

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