The Licensed Practical Nurse (LPN) provides resident care in accordance with the Nurse Practice Act and is responsible for the delivery of safe and therapeutic resident care from admission through discharge in collaboration with the physician, family, and other members of the multi-disciplinary health care team. The LPN is responsible for utilizing principles of the nursing process in carrying out delegated aspects of care for both residents and families. The goal of resident care shall be toward restoring and maintaining each resident’s identified capabilities at their maximum mental and physical level.
Essential Job Specific Duties/Responsibilities
- Maintains effective communication with residents, families, staff, and physicians.
- Completes daily shift documentation, including head to toe review of skilled residents.
- Functions in a calm and positive manner in an emergency or crisis situation.
- Communicates consistently with the Nurse Manager, reporting pertinent concerns/issues.
- Places necessary calls for families and physicians. Demonstrates appropriateness of faxing vs. phone calls to physicians.
- Communicates appropriately with physicians; makes rounds with physicians in absence of Nurse Manager or as delegated by Nurse Manager. Utilizes physician file appropriately.
- Reviews and teaches resident and family about pain management, including pain-rating scales and goal setting; importance of aggressive, preventive pain treatment; analgesic misconceptions; and plan for pain management.
- Assists in developing, implementing, and evaluating teaching plan to meet learning needs of residents and families.
- Participates in resident/family teaching and initiates discharge planning in a timely manner.
- Documents in accordance with nursing policies and procedures.
- Monitors and documents accurately all nursing actions implemented as well as effectiveness of implementation in Nursing Notes. Documents resident/family teaching in Nursing Notes and Resident Plan of Care.
- Accurately records review of physiological and mental dimensions of residents, including pain review.
- Ensures documentation is accurate, legible, and timely.
- Completes resident assessments accurately and timely while ensuring they are updated monthly and as necessary.
- Completes monthly summary accurately and timely utilizing Resident Plan of Care. Updates Plan of Care and Resident Care Card monthly and as necessary.
- Completes skin integrity reviews accurately to reflect resident status.
- Documents resident response to non-pharmacological strategies to promote pain relief and resident response to analgesics.
- Documents, at time of service, all medications and treatments administered.
- Documents in EMR accurately and timely.
- Responds to resident needs with appropriate interventions with the licensure of an LPN.
- Provides nursing interventions according to the written plan of care.
- Gives and receives a thorough report to/from oncoming nurse.
- Monitors work performance of nursing assistants. Makes frequent rounds throughout shift.
- Suggests appropriate ways to solve problems and make improvements on the unit(s).
- Provides hands-on direct care, including ADLs and treatments as necessary. Identifies aspects of resident care that require the judgment and skill of an LPN and those that can be performed by other staff. Delegates specific nursing tasks appropriately to STNAs, excluding anything that requires nursing judgments.
- Performs activities related to medications and treatments in accordance with facility policies and procedures.
- Safely administers medications and treatments ordered by the physician.
- Maintains control of scheduled drugs and all drugs in medicine cart. Monitors for discrepancies and reports promptly to Nursing Manager.
- Keeps medication cart key-locked when not within eye view of nurse.
- Records and orders medications from the pharmacy.
- Monitors for and reports Adverse Drug Reactions appropriately.
- Satisfies all educational in-service requirements mandated by CHI Living Communities, the department, external accrediting, and regulatory agencies.
- Attends all mandatory in-service programs.
- Adheres to facility policies and procedures.
- Completes yearly online education program by deadline.
- Attends employee meetings on a regular basis.