Licensed Practical Nurse 11pm-7am

The LPN provides direct primary nursing care to residents and supervises the care provided by certified nursing assistants.

ESSENTIAL FUNCTIONS:

• Keeps administrative nursing staff informed on personnel development.
• Provides feedback to Nurse Managers regarding performance of nursing assistance.
• Participates in committees as assigned.
• Demonstrates ability to address service concerns and follow up timely for resolution.
• Supports all efforts through the facility’s Service Excellence Initiative.
• Effectively supervises and directs licensed and non-licensed nursing personnel.
• Responsible for developing CNA’s resident care assignment and other duties as needed, prior to the beginning of each shift.
• Promotes and maintains positive and collaborative working relationship with physicians, physician-extenders (NPs or PAs), lab, diagnostic personnel, and pharmacy to ensure proper and safe care of residents.
• Promotes and maintains positive and collaborative working relationship with nursing personnel, other departments, residents, families, and visitors.
• Observes residents daily. Reports any significant change of resident's condition to the physician. Completes routine nursing documentation for assigned resident.
• Monitors to ensure that nursing care documentation is accurate, concise, and timely.
• Administers and documents medications using the five rights of medication administration, while adhering to the principles of infection prevention and control practices.
• Provides and/or receives shift report specific to changes or concerns regarding residents to oncoming and off going shift.
• Implements pharmacy processes regarding ordering/reordering of medications, utilizing STAT/Emergency medication inventory when indicated, receiving, and returning medications.
• Performs physical assessment for residents, recognizes normal and abnormal physiological findings and based on the resident’s baseline. Reports findings as indicated.
• Performs wound care in accordance with physician/physician-extender orders. Documents treatments completed.
• Assists in the development of the residents’ plan of care. Resident care is provided in accordance with the plan of care.
• Assists with updating the resident’s plan of care as indicated.
• Keeps administrative nursing staff informed regarding evaluations of resident care.
• May participate in rounds with physicians, physician-extenders, other healthcare personnel to provide pertinent information regarding the resident’s care/condition and follows through with the physicians/physician-extender orders.
• Reviews physician’s/physician-extender orders, lab/diagnostic reports, and contacts pharmacy regarding any change in medication.
• Effectively communicates with family members regarding resident's care and/or condition.
• Completes accident/incident report and do follow up. Will report all accidents/incidents to administrative nursing staff. Notifies physician and family.
• Performs routine nursing skills competently and professionally to include but it not limited to:
  • Phlebotomy
  • Initiation of peripheral intravenous (IV) therapy/Care of Central lines
  • Wound care.
  • Medication administration
  • Insertion of urinary catheters
  • Administration and management of tube feeding formula.
  • Oxygen administration
  • Tracheostomy care
  • Airway management
  • Physical assessment
  • Skin assessments
• Communicates staffing problems and needs to unit manager/supervisor.
• Reports service and unit concerns to the unit manager/supervisor.
• Receives and provides end of shift reports.
• Assists in admission, transfer, and discharge of residents.
• Reports maintenance and housekeeping needs accordingly.
• Maintains narcotic records accurately. Validates narcotic/scheduled medications before shift starts and before leaving for the day/shift. Notifies unit manager of discrepancies in medication inventories.
• Performs other duties, as assigned.

• Current LPN license in good standing with the Virginia Department of Health Professions.
• Two years of experience as a LPN, preferred.
• Demonstrates excellent clinical, customer service and leadership skills.
• Current CPR Healthcare Provider certification.

PHYSICAL REQUIREMENTS:

• Prolonged periods standing, walking, working and frequently pulling, pushing, and bending.
• Must be able to lift 25 pounds at a time.
• Must be able to move 150 pounds with assistance.