PURPOSE OF YOUR JOB POSITION

The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all times.

DELEGATION OF AUTHORITY:

As Licensed Practical Nurse you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties, in accordance with the LPN scope of practice defined by the Ohio Nurse Practice Act/ ORC Chapter 4723.

ESSENTIAL JOB FUNCTIONS STATEMENT:

Every effort has been made to identify the essential functions of this position. 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 an essential function of the position.

SAFETY FACTORS:

Risk Potential to Blood/Body Fluids:

Category I: Tasks in this category involve exposure to blood, body fluids, or

tissues, and require the use of personal protective equipment, Category I: Tasks in this category involve no exposure to blood, body fluids, and/or tissues, but employment may require performing unplanned category I task.

Category III: These task require no exposure to blood, body fluids, and /or tissues, and category I tasks are not a condition of employment.

ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES

Administrative Functions

Direct the day-to-day functions of the nursing assistants in accordance with . current rules, regulations, and guidelines that govern the long-term care facility.

• Ensure that all nursing personnel assigned to you comply with the written

policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in

planning the shifts' services, programs, and activities.

• Ensure that the Nursing Service Procedures Manual is current and reflects the

day-to-day nursing procedures performed in this facility. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your shift as required. Cooperate with other resident services when coordinating nursing services to

ensure that the resident's total regimen of care is maintained.

• Ensure that all nursing service personnel are in compliance with their

respective job descriptions. Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department. Participate in facility surveys (inspections made by authorized government agencies as may be requested. Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan as required. Assist in planning the nursing services portion of the resident's discharge plan

as necessary.

• Interpret the department's policies and procedures to personnel, resident's

visitors and government agencies as required.

Admit, transfer, and discharge residents as required.

• Complete accident/incident reports as necessary.

Write resident charge slips and forward to the Business Office.

• Maintain the Daily Census Report and submit to the Business Office as required. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Charting and Documentation

Complete and file required recordkeeping forms/charts upon the resident's admission, transfer, and/or discharge; maintaining compliance with the center's Medical records system- Electronic or traditional paper medical record Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Receive telephone orders from physicians and record on the Physicians' Order Form. Transcribe physician's orders to resident charts, cardex, and medication cards, treatment/care plans, as required. Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care. Fill out and complete accident incident reports. Submit to Director as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Record new/changed diet orders. Forward information to the Dietary Department. Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident's medical record.

Drug Administration Function

Prepare and administer medications as ordered by the physician. Verify the identity of the resident before administering the medication/treatment. Ensure that prescribed medication for one resident is not administered to another. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for your shift.

Nursing Care Functions

Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc.

• Ensure that rooms are ready for new admissions.

• Participate in the orientation of new residents/family members to the facility.

Make rounds with physicians as necessary. Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident's physician in providing the resident's care,

treatment, rehabilitation, etc., as necessary. .. Review the resident's chart for specific treatments, medication orders, diets,

etc., as necessary. Implement and maintain established nursing objectives and standards in accordance with the plan of care. Make periodic checks to ensure that certified nursing assistants are properly administering prescribed treatments and to evaluate the resident's physical and emotional status. Cooperate with the coordinate social and activity programs with nursing service schedules. Notify the resident's attending physician and Dext-of-kin when there is a change in the resident's condition. Carry out restorative and rehabilitative programs, to include self-help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. . Administer 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 required and authorized within the scope of practice for LPNs as defined by the Ohio Nurse Practice Act. Use restraints when necessary and in accordance with established policies and procedures in accordance with the plan of care.

Obtain sputum, urine and other specimens for lab tests as ordered.

• Take and record TPRs, blood pressures, etc., as necessary.

• Monitor seriously ill residents as necessary.

Check foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances. Report problem areas to the Nurse Supervisor and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such

care in accordance with the resident's care plan and wishes.