LPN Licensed Practical Nurse
Company: North Raleigh Universal Healthcare
Posted on: January 27, 2023
$3,OOO SIGN-ON BONUS! SKILLED NURSING FACILITY DAYS 7am-7pm NEW
The Licensed Practical Nurse (LPN) provides direct nursing care to
the residents and supervise the day-to-day nursing activities
performed by nursing assistants. Such supervision and service must
be in accordance with current Federal, State, and Local standards,
guidelines, and regulations that govern our facility to always
maintain the highest degree of quality care.
Every effort has been made to make your job description as complete
as possible. However, it in no way states or implies that these are
the only duties you will be required to perform. The omission of
specific statements of duties does not exclude them from the
position if the work is similar, related or is a logical assignment
to the position.
Knows and respects patients' rights.
Ensures protected health information is kept confidential. Reports
Reports complaints made by residents/patients to supervisor.
Reports all allegations of patient abuse, neglect and/or
misappropriation of patient property.
Safety and Sanitation
Follows established safety policies and procedures.
Observes safety needs of patients as indicated in care plan.
Wears and/or uses safety equipment and supplies when indicated and
properly trained to use.
Demonstrates job-specific knowledge of fire and disaster
preparedness during drills or actual situations.
Attends and participates in scheduled in-service training,
educational classes, and meetings to maintain current certification
and licensure and as managed by regulatory agencies and company
Serves on, participates in, and attends various other committees of
the facility as required, and as appointed by the Executive
Director or Director of Health Services.
Completes assigned Relias training.
General Nursing Care Responsibilities
Identifies and participates in process improvement initiatives that
improve the customer experience, enhance workflow, and/or improve
the work environment.
Directs the day-to-day functions of the nursing assistants in
accordance with rules, regulations, and guidelines that govern the
long-term care industry.
Confirms that all nursing personnel assigned comply with the
written policies and procedures established by the facility.
Meets with your assigned nursing staff, as well as support
personnel, in planning the shift's services, programs and
Verifies that all nursing personnel comply with organization
policies and procedures.
Makes written and oral reports/recommendations concerning the
activities of shift, as required.
Cooperates with other resident services when coordinating nursing
services to make certain that the resident's total regimen of care
Participates in the development, maintenance, and implementation of
the facility's quality assurance program for the nursing
Periodically reviews the resident's written discharge plan.
Participates in the updating of the resident's written discharge
plan, as required.
Assist in planning the nursing portion of the resident's discharge
plan, as necessary.
Admits, transfers, and discharges residents, as required. Complete
Completes accident/incident reports, as necessary.
Complete and file required forms/charts upon resident's admission,
transfer, and/or discharge.
Encourages attending physicians to review treatment plans, record
and sign their orders, progress notes, etc., in accordance with
Receives telephone orders from physicians and record on the
Physicians' Order Form.
Transcribes physician's orders to resident charts, Kardex,
medication cards, and treatment/care plans, as required.
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 care.
Records new/changed diet orders. Forwards information to Food &
Nutrition Services department.
Reports all discrepancies noted concerning physician's orders, diet
change, charting error, etc., to the RN Supervisor, LPN
Coordinator, or ADHS/DHS.
Fills out and completes transfer forms in accordance with
Enters appropriate documentation concerning unauthorized discharges
in the resident's medical record in accordance with established
Performs routine charting duties as required and in accordance with
established charting and documentation policies and procedures.
Signs and dates all entries made in the resident's medical
Writes nurses' notes to reflect that the care plan is being
followed when administering nursing care or treatment.
Prepares and administers medication as ordered by the
Verifies identity of the resident before administering the
Verifies prescribed medication for one resident is not administered
Verifies adequate supply of floor stock medications, supplies, and
equipment is on hand to meet the nursing needs of the residents.
Reports needs to the nurse supervisor.
Orders prescribed medications, supplies, and equipment as
necessary, and in accordance with established procedures.
Verifies that narcotic records are accurate for your shift.
Notifies the nurse supervisor of all drug and narcotic
discrepancies noted on your shift.
Reviews medication cards for completeness of information, accuracy
in the transcription of the physician's order and adherence to stop
Notifies the attending physician of automatic stop orders prior to
the last dosage being administered.
Immediately notifies the Nurse Supervisor and attending physician
of any medication administration errors.
Delivers and maintains optimum resident care and comfort by
demonstrating knowledge and skills of current nursing
Promptly responds to call lights and assist with other resident
Makes rounds with physicians, as necessary.
Participates in the orientation of new residents/family members to
Consults with the resident's physician in providing the resident's
care, treatment, rehabilitation, etc., as necessary.
Reviews the resident's chart for specific treatments, medication
orders, diets, etc., as necessary.
Makes periodic checks to confirm that prescribed treatments are
being properly administered by CNA's and to evaluate the resident's
physical and emotional status.
Notifies the resident's attending physician when the resident is
involved in an accident or incident.
Notifies the resident's attending physician and responsible party
when there is a change in the resident's condition.
Administers professional services such as: catheterization, tube
feedings, suction, applying and changing dressings/bandages, packs,
colostomy, and drainage bags, taking blood, giving massages and
range of motion exercises, care for the dead/dying, etc., as
Initiates requests for consultation or referral.
Monitors seriously ill residents, as necessary.
Reviews care plans daily to confirm that appropriate care is being
Confirms that CNAs are aware of the resident care plans. Verifies
that the CNA'S refer to the resident's care plan prior to
administering daily care to the resident.
Communicates appropriate information to team members, physicians,
families, and supervisor.
Demonstrates a caring attitude toward facility's patients, family
members, employees, and other company guests as the need arises;
Ensures that subordinates are helpful, caring, and responsive to
Devotes adequate time and attention to personal development and
Receives and responds to patient/family complaints.
Agrees not to disclose assigned user ID code and password for
accessing resident/facility information and promptly report
suspected or known violations of such disclosure to the Executive
Director and/or Compliance Department.
Performs any miscellaneous work assignments as may be required.
Food Service Responsibilities
Assists with meal service.
Monitors patients with significant weight loss and gain and reports
this to the physician and dietary.
Identifies patients at risk for nutritional problems and implements
Checks items and food that is brought in by family members to
assure it complies with patient's orders, dietary needs, and
safety. Ensures such items are dated and labeled according to
Documents medications, treatments, prn's per facility policy.
Completes 24-hour report daily.
Monitors patient intake and output.
Accurately completes and is familiar with the forms used throughout
the patient's chart and the Electronic Health Record (E.H.R.).
Documents in progress notes any exceptions to patient condition,
including daily charting on ill patients, 24, 48, or 72-hour follow
up charting on patients with infections, incidents, new admissions,
or those with a change in condition.
Completes documentation to reflect progress or lack of progress of
patients participating in therapy or restorative nursing
Interprets department policies and procedures to personnel,
patients, visitors, and government agencies as required.
Ensures that all patient admissions, discharges, and transfers are
entered timely in the E.H.R.
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Keywords: North Raleigh Universal Healthcare, Raleigh , LPN Licensed Practical Nurse, Other , Raleigh, North Carolina
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