Licensed Practical Nurse- night - Lafayette, LA

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Job description

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Licensed Practical Nurse- night

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Job
Summary

Employee is responsible for the care if the residents in a
designated area of the facility. Employee communicates with off going and
arriving shifts of personnel to assure the continuum of quality of care. Makes
rounds, evaluating the physical, emotional and social needs of the residents
making sure these are being met through the staff assigned to work with each
group off residents. Assesses assigned staff's ability to provide for each
residents needs and provides intervention as indicated. Supervises the care
provided by the Nursing Assistants assigned to the unit, providing intervention
and education as indicated. Make adjustments in assignments as indicated.
Prepares and administers medications and treatments according to procedures.
Consults with physicians, receives records and transcribes orders as required.
Makes rounds with physicians when necessary. Reviews resident's care plans and
assures these plans are followed. Documents on records as per policy and
procedures of the facility. Participates in the evaluation of the employees
working under his/her supervision. Participates in staff meetings and
in-services as required.

The Registered Nurse, Licensed Practical Nurse or Licensed
Vocational Nurse is responsible to the Director of Nursing and/or the Assistant
Director of Nursing.

 Education

Employee must be a graduate of an accredited school of
nursing currently registered with the state agency for nursing licensure and
hold a valid nursing license in the state he/she is employed.

Qualifications

1.     
Demonstrates leadership and managerial ability.

2.     
Has the ability to organize, plan and supervise
care and the Nursing Assistants assigned to work at a designated unit and
shift.

3.     
Maintains effective interpersonal relationships.

4.     
Is of good emotional, mental and physical
health, having sound judgement and high professional standards.

5.     
Must be willing and capable of providing
emergency assistance to residents as indicated.

6.     
Is courteous in working with residents, families
and employees.

7.     
Maintains a net, well-groomed and professional
appearance at all times.

8.     
Has a desire to work with the geriatric
residents and their current and prospective needs.

9.     
Must be willing to be in the facility ready to
begin assigned duties on time.

10.  Must
be willing to be in the facility during weekdays as well as weekend hours.

11.  Must
be willing to work preferred shifts as scheduled and assist on other shifts as
needed to assure adequate staffing to meet the needs of each resident.

12.  Must
demonstrate ability to evaluate the geriatric resident's needs and provide
intervention timely to assure each resident's needs are met.

13.  Must
demonstrate ability to evaluate nursing staff needs and provide staff education
timely to provide quality care.

14.  Must
demonstrate ability to function as a cooperative team member with each member
of the Nursing Department and other departments.

15.  Must
demonstrate the ability to follow and supervise assigned staff to assure the
facilities policies and procedures are followed and upheld.

16.  Must
demonstrate the ability to manage and supervise the assigned unit in a
productive, timely manner.

17.  Must
have a pre-employment and an annual Tuberculosis screening examination.

Responsibilities

1.     
Receives report from the off going shift.

2.     
Reviews communication systems to be
knowledgeable of any unusual occurrences during the previous shifts.

3.     
Assigns Nursing Assistants and other designated
personnel assuring each resident's needs will be met during the assigned
shifts.

4.     
Gives report to Nursing Assistants.

5.     
Makes rounds of the assigned unit frequently
during the shift providing intervention as needed. During the entire shift,
will be attune to needs of unit while doing other nursing tasks.

6.     
Prepares and administers medications as ordered.
Reorders medications as needed in preparation for future shifts. Assesses and
documents medication issues as per policy.

7.     
Provides special procedures as ordered.

8.     
Completes the treatment as ordered. Assesses and
documents new and old areas of treatment describing in detail the results of
staff action and the of the treatment. 
Prepares a weekly skin report for the Director of Nursing. Contacts the
physician for any areas not responding positively and timely.

9.     
Supervises the meal service for each resident on
the unit. Works with the staff to sure each resident is provided adequate nutrition
for each meal.

10.  Continually
assesses and reassesses residents for risk of complications as a result of
being in the facility. (i.e., skin breakdown, incontinence, contractures, reduced
mobility, reduced involvement in bathing, dressing, or eating, weight loss,
behaviors due to change in lifestyle, etc.)

11.  Continually
observes progress and quality of work of the Nursing Assistants to assure the
residents are turned, repositioned, toileted, walked, exercised, provided
foods, and fluids, well groomed, involved in their specific restorative
program, provides intervention as indicated, etc. Also observes the resident's
environment to assure a clean and safe environment is provided for each
resident.

12.  Document
on nurse's notes as per policy. Assures there is accurate and timely
documentation of any unusual observation, incident, or happening.

13.  Reviews
information, reassess residents, interviews staff, reviews documentation of
each shift and writes monthly nurse progress notes using the Interdisciplinary
Care Plan documenting progress or lack of progress toward the resident's goals.
Writes suggestions for changes to be made to the plan of care on the "Working
Copy" of the Interdisciplinary Care Plan

14.  Admits
residents as required.

15.  Assists
in the ordering and reviewing of results of laboratory tests as indicated.
Notifies the physician of results.

16.  Notifies
the physician of unusual findings as indicated.

17.  Assists
with auditing charts.

18.  Assists
with answering and correcting consultant reports.

19.  Reviews,
signs and provides intervention as indicated for Nursing Assistants
documentation.

20.  Counts
required medications with oncoming and off going shifts.

21.  Makes
appropriate notes in Communication Books to assure adequate communication is
maintained for nursing.

22.  Assists
in keeping other departments informed of resident's change of condition as
indicated.

23.  Assists
in providing in-services for assigned staff.

24.  Keeps
nurse's station, medication room clean. Assigns Nursing Assistants to keep each
ancillary room clean and orderly. Assigns staff to keep equipment clean and
proper condition for use.

25.  Reviews
and updates Medication Administration Record, Treatment Administration Record,
and Nursing Care Flow Records for the upcoming month.

26.  Makes
rounds toward end of shift to assure area is in order for on coming shift.

27.  Gives
report to oncoming shift.

28.  Review
and assures there is adequate staffing for the oncoming shift. Replaces known
absences in a timely manner.

29.  Performs
any other tasks as assigned by the Director of Nursing or Assistant Director of
Nursing.

Physical
Demands

Use the percentages range as follows:

0% Never

% Occasional

% Frequent

% Continuous

Require full range of body motion including:

1.     
Standing/Walking: Continuously.   Worker will be walking or standing almost
consistently during each tour of duty as they supervise, assist an access care
being provided.

2.     
Bending/Stooping: Continuously.   Worker will be bending and stooping to
assist residents, co-workers, etc. Almost consistently during each tour of
duty.

3.     
Lift/Handling: Continuously.    Worker will be assisting or totally lifting
residents as each resident needs, some residents needing to be totally lifted
or limbs may be lifted. Worker will be lifting various equipment for resident's
needs, etc. Worker would be expected to lift, with assistance, up to 300 pounds
using equipment or other personnel to assist in the lifting.

4.     
Carrying: Continuously.  Worker will be carrying equipment, etc. Range
of weight: pounds.

5.     
Push/Pull: Frequently.   Worker will be pushing or pu1/30/20251/30/2025lling
medication carts, equipment, etc. to provide care. Range of weight: 1-50
pounds.

6.     
Balancing: Frequently.  Worker will be balancing when assisting
residents to transfer or transport, giving medication, doing treatment,
providing care, etc.

7.     
Twisting/Turning:     Frequently.  Worker will be twisting or turning when
providing medication and treatment systems, when assisting residents to
transfer or transport, assisting staff to provide for Activities or Daily
Living.

8.     
Crouching/Stooping: Frequently. Worker
will be crouching and stooping when providing medication and treatment systems,
when assisting staff to provide for A.D.L.s, gather equipment, provide care for
the residents, etc.

9.     
Kneeling: Occasionally. Worker will
be kneeling when providing medication and treatment systems, when assisting
residents to do A.D.L.s, etc.

10.  Reaching:
Worker will be reaching when providing
medication and treatment systems, when assisting residents to do A.D.L.s,
gathering equipment, providing care for the residents, etc.

A.     
Greater than shoulder height: Occasionally

B.     
Equal to shoulder height: Occasionally

C.     
Less than shoulder height:       Frequently

11.  Handling/Manual     Continuously.  Both fine and gross motor skills are needed
for all tasks throughout the working day.

12.  Speaking/Hearing:    Continuously.  Must communicate with residents, co-workers,
families, visitors and physicians continuously throughout tour of duty.

JOB LOCATION  
Must work throughout the nursing areas of the facility, May require
working irregular hours and may be exposed to communicable diseases and/or body
fluids, medical preparations, toxic substances and occasionally ionizing
radiation.

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