Job Title: LPN or RN
Department: Nursing
Reports To: Director of Nursing
Position Purpose
The primary purpose of this job position is to identify and meet the medical, physical, and psychosocial needs of each resident in accordance with physician orders and the resident plan of care as well as federal, state and local standards, guidelines and regulations to ensure that the highest quality of resident care is maintained at all times. The LPN or RN assumes the authority, responsibility and accountability necessary to understand and carry out his or her assigned duties within the LPN or RN scope of practice.
Job Requirements
1. Must have graduated from an accredited school of nursing and have an active nursing license in good standing with no restrictions as a Registered Nurse or Licensed Practical Nurse with privileges to work in the state of employment. It is the responsibility of the employee to maintain active certifications throughout their time of employment;
2. Previous nursing experience is preferred, with some of that experience in a long-term care facility;
3. Must provide all necessary documentation in accordance with the company’s new hire process to evidence eligibility for employment, including passing a criminal background check, obtaining a Food Handler’s permit, obtaining Basic Life Support certification for healthcare providers, etc. It is the responsibility of the employee to maintain active certifications throughout their time of employment;
4. Must complete new hire orientation as required by company policy and participate in continuing education such as in-services, training, etc.;
5. Must possess excellent interpersonal skills, including the ability to communicate clearly and work well with others;
6. Must possess excellent organizational, critical thinking, decision making, problem solving and time management skills;
7. Must possess the ability to communicate proficiently in English, both orally and in writing;
8. Must be proficient in the use of technology, including and especially the use of computers;
9. Must be willing to follow all federal, state and local laws and regulations as well as company policies and procedures and abide by the employee handbook, including but not limited to dress and grooming standards, time and attendance standards, drug and alcohol policy, respect and courtesy towards others, etc.;
10. Must have flexibility and availability to work outside of standard business hours, including on-call shifts, night shifts, weekends and holidays;
11. Must participate in and respond professionally to surveys and inspections conducted by government agencies;
12. Must be able to perform physical tasks and operate equipment associated with the standard work and essential functions of a nurse, including standing or sitting for extended periods, lifting/carrying in excess of 30 pounds, or be able to be reasonably accommodated for any limitations;
13. Must be able to cope with the mental and emotional stress inherent to the position, including working daily with residents in the geriatric, mentally ill, dementia, and disabled populations;
14. Must be able to perform assigned tasks with a minimum of supervision and oversight and develop awareness for and a willingness to perform other tasks, as needed, without constant supervision;
15. Must help foster and maintain an atmosphere of warmth, cheerfulness, enthusiasm and compassion, giving residents the quality of service you would want to receive.
Summary of Principal Accountabilities
The licensed nurse is responsible for all phases of direct resident care for assigned residents on his or her shift. Certain responsibilities for the direct care of each resident may be delegated to appropriate nursing personnel within the guidelines of the Nurse Practice Act. The licensed nurse is responsible to supervise nursing personnel to whom care tasks are delegated.
Receive/provide report at each shift change with updated information on the present status of each resident for continuity of care. Shift change report shall also include a controlled substance count and reconciliation between the oncoming and off-going nurse.
Provide care to residents in a person-centered manner, taking into consideration each resident’s rights, goals and preferences for care and accommodating the resident’s needs to the maximum extent possible and reasonable. This includes becoming familiar with each resident’s care plan in his or her medical record.
Administer all medications and treatments in accordance with the physician order for each resident on the assigned shift. Accurately document the administration of medications and treatments in the resident’s medical record, including refusals of care.
Monitor and evaluate each assigned resident’s response to current medications and treatments. Notify the resident’s provider as indicated with any new or concerning observations/findings.
Enter new physician orders into the resident’s medical record as soon as practical.
Order or reorder medications and other supplies using the facility’s designated process.
Keep medication and treatment carts clean and properly stocked at all times, including labeling medications with open/use by dates when indicated.
Communicate changes in resident condition to the director of nursing, resident’s provider and resident’s representative as indicated. This includes but is not limited to medical, cognitive or physical condition from their baseline, new skin conditions, accidents/incidents, changes in behavior, etc. which may require a change in the current plan of care.
Initiate an incident report for any incidents that occur for assigned residents during the shift, including all associated assessments and notifications.
Review and update the resident’s plan of care as indicated with changes in goals, problems, needs, approaches and interventions.
Maintain completeness of each assigned resident’s medical record by completing all assigned assessments and progress notes according to posted schedules for the shift, making sure entries are timely, informative and accurate.
Collect specimens for laboratory testing in accordance with physician orders, fill out necessary lab requisitions, report results to the provider and complete applicable documentation in the medical record.
Assist with the admission/readmission of residents to the facility, including obtaining a report from the previous care setting, reviewing admission orders with the resident’s provider and then entering admission orders as indicated, welcoming the resident, orienting the resident to the facility, completing initial admission assessments, reviewing applicable consent forms, completing an admission progress note, filling out initial laboratory requisition form, etc.
Assist with the discharge of residents from the facility, including preparing discharge paperwork and completing discharge education with the resident as indicated, preparing medications for discharge, etc.
Collaborate with other facility departments and ancillary service providers (pharmacy, lab, etc.) to coordinate provision of care.
Help maintain cleanliness of work areas, break areas, linen closets, supply closets, etc.
Perform other related duties as may become necessary or as directed by supervisor(s).
Job Types: Full-time, Permanent
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Medical specialties:
Physical setting:
- Long term care
- Skilled nursing facility
Schedule:
License/Certification:
- BLS Certification (Preferred)
- LPN (Required)
- RN (Required)
Ability to Commute:
- Columbus, MT 59019 (Required)
Work Location: In person