LPN (PRN) |
| Nov. 06, 2009 - Nov. 30, 2009 |
| Location: | Mobile, AL |
| Exempt/Non-Exempt: | Non-Exempt |
| Employment Type: | Casual |
| Department: | Nursing |
| Description: | The LPN Charge Nurse is responsible for the coordination and the supervision of the assigned unit in the absence of the Unit Manager. The Charge Nurse should follow the nursing care plan as established, but may make changes as care needs or physician orders change.
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| Duties: | Job Knowledge and Role Responsibilities:
1.Follows established philosophy and objectives, policy and procedures of nursing service and contributes to change when necessary.
2.Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e. physical, cognitive, and socialization factors) in planning delivery of care.
3.Demonstrates knowledge, skills, and techniques necessary to care for residents with the following needs: Alzheimer’s, dementia, dialysis, IV therapy, infectious diseases, wound care, and all disease processes if applicable.
4.Provides nursing care in accordance with Resident Care Policies and Procedures and ensures the safety and well-being of the residents is maintained.
5.Maintains and updates license in compliance with State regulations.
6.Acts appropriately under the direction of the Unit Manager and/or Shift Supervisor and acts as an active member of the interdisciplinary team.
7.Demonstrates ability to adjust to changes in unit/shift assignments to meet resident and facility needs.
8.Responds appropriately to behavioral, medical, and fire safety situations.
9.Demonstrates responsibility for units assigned personnel and ensures quality nursing care is provided.
10.Aware of Resident Abuse Reporting and Prevention Policies.
11.Demonstrates knowledge of and complies with the Code of Conduct and Compliance Program when performing work functions.
B. Resident Care Responsibilities:
1. Makes daily rounds to every resident under his/her supervision. Visits each resident to evaluate physical and emotional condition to receive comments relating to the resident’s needs and problems, and implements necessary nursing interventions.
2.Delegates responsibility to nursing personnel through work assignments, etc. for direct nursing and non-nursing care of residents during the shift. Knowledge of disciplinary policies and knows how to document issues.
3.Reviews all A/I daily and develops plan to prevent future A/I.
4.Coordinates and directs HART Team meeting.
5.Communicates regularly with Unit Manager and other department managers to ensure pertinent information exchange.
6.A thorough and comprehensive verbal and written report is given to the oncoming shift at the conclusion of duty. Walking rounds are made with the oncoming shift.
7.Assess, monitor, and treat specific resident care conditions pursuant to physician orders.
8.Make rounds with physicians when possible. Ensure all charts and forms are signed. Maintain open lines of communication with attending physicians and ensure that all residents are visited as required.
3.Assure nursing units are clean and organized.
4.Establish a medical record for each resident and ensure that written notations are made promptly of significant changes affecting:
a.Level of activity
b.Eating habits
c.Physical, mental, and emotional status
5.Demonstrates knowledge of State and Federal Code requirements pertaining to nursing service. Ensure adherence to those requirements by nursing staff.
6.Participates in Quality Improvement Program. Understand philosophy regarding quality of care.
7.Demonstrates knowledge of the MDS 2.0 and understands documentation required to support the assessment.
8.Participates in resident care plan meeting as needed:
a.Care Plans updated timely
b.Measurable goals and comprehensive approaches are identified
c.Daily Care Guides match Care Plans
9.Follows established systems including:
a.Skin Care Policies and Procedures are implemented and changes in skin condition are documented. Turning schedules are followed. Pressure Sore records are completed as assigned.
b.Understands definition of a physical restraint. Releases restraints and repositions the resident as per Care Plans. Restraint orders are to be reviewed by the Director of Nursing prior to implementation of the order.
c.Residents are out of bed according to established Care Plan. If a resident does not get out of bed, obtains physician order for bed rest after approval by the Director of Nursing.
d.Ambulation occurs as an observed system (i.e. before a meal into the dining room).
e.Policies regarding administration and monitoring of psycho-active drugs followed and completes the Behavior Monitoring Record per facility policy.
f.Toilets residents or provides Incontinence Care according to established Care Plans, when applicable.
10. Environment:
a.Periodically reviews that resident rooms, therapeutic equipment, and nursing areas are clean and orderly.
b.Cleaning schedule is developed and implemented on each shift.
11. Documentation:
a. Conducts periodic reviews to match Care Plans with monthly summaries, Nursing Assistant Care Sheets, Nursing Assistant Worksheets, Treatment Sheets and Physician Orders.
b. Periodically reviews that Care Plans are used when writing summary notes; addresses all problems in those notes. Ensure that Nursing Summary or Care Plan reflects whether or not the goals have been reached as set forth in the Care Plan.
c. Documents resident care according to Resident Care Policies and Procedures.
d. Understand and documents skilled services as required.
e. Understands Order of Medical Record.
12. Prevention:
a.Conducts audits to ensure the Pressure Sore Treatment protocol is being followed.
b.Conducts periodic reviews to assure all residents with pressure ulcers and/or at high risk of pressure ulcers have a preventive device on the bed and in the chair.
c.Documents a pressure sore immediately upon observation on the Wound Evaluation Sheet.
d.Conducts weekly head-to-toe assessments.
13. Meals / Supplements:
a.Manages resident meal times, including ensuring staff have completed lunch/breaks prior to resident meal times.
b.Rounds are made during the meal to assist those needing intermittent supervision.
c.Ensure that hydration cart is passed per schedule and all residents are offered fluids.
d.Check residents before/after meal to ensure they are clean, groomed, and dry.
e.Document meal consumption at the end of each meal.
f.Nursing Assistants are to be assigned residents for feeding.
g.Supplements are passed within 20 – 30 minutes from removal from the refrigerator / arrival, and documented immediately after consumption. |
| Qualifications: | SUMMARY OF QUALIFICATIONS:
1.Currently licensed as a Nurse in the State required.
2.Is a graduate of an accredited school of Nursing.
3.Successfully completes facility conducted orientation, mandatory training and in-service programs.
4.Previous work experience in a long term care setting. Supervisory experience and organizational skills in a long term care setting preferred.
5.Is listed in good standing as confirmed on the State Department of Professional Credentialing.
6.Possesses excellent technical assessment and documentation skills, and leadership qualities.
7.Possesses good communication skills and is patient and self-disciplined.
8.Is willing to commit to an interdisciplinary treatment approach to rehabilitation by exercising sound nursing judgment based on preparation, knowledge, skills, understanding and past experience in nursing situations.
9.Must meet health assessment requirements, including Mantoux skin test.
10.Must be capable of performing the essential functions of the job, with or without reasonable accommodations.
11.Must be able to communicate in English, both verbally and in writing, and possess sufficient communication skills to perform the tasks required. |
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