Description
Position Summary
Under the direction of an RN, the LPN provides individual and family-centered nursing care and treatment to elderly, acutely ill, or injured residents. Integrates technical skills and theoretical knowledge to meet the individual needs of residents and families. Assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort.
Essential Functions Provides direct care and/or assists with care as directed and consistent with their scope of practice and competency.
Initiates the SBAR process and collaborate with the RN for assessment and recommendations.
Makes rounds with physicians and other team members, as needed.
Participates in resident evaluations and care planning activities, reviews and revises residents’ assessments and care plans as needed to the extent permitted by state nurse practice act.
Coordinates residents’ care activities and communicates changes to other team members and resident family/significant other.
Oversees Medication Aide/Tech in medication/treatment administration.
Administers treatments.
Reviews, transcribes, communicates and implements physician orders, obtaining RN signature as required by state regulations.
Communicates with resident’s physician.
Assists with emergencies; administers cardiopulmonary resuscitation.
Documents care performed and observations of resident status in the clinical record promptly by utilizing standard clinical documentation guidelines as required by the company, and local, state and federal rules and regulations.
Participates in medication management to promote optimal safety and effectiveness for residents by administering medications as ordered, including next scheduled dose following admission/readmission.
Notifying Charge Nurse of medications not available; Preparing, administering and documenting medications as prescribed; Observing and reporting resident responses to medication; Identifying and promptly communicating adverse drug reactions; Maintaining narcotic records accurately within scope of practice; Completing medication interchange and insurance prior to authorization as assigned; Ordering or arranging for ordering of pharmaceuticals; Notifying physicians of automatic stop orders; Completing recapitulated physician orders review, as assigned; and/or, Cleaning, organizing and replenishing supplies on medication/treatment carts after each use and prior to shift change.
Completes clinical admission paperwork for new admissions.
Initiates and assists consultants while providing services.
Reviews documentation from consultant visit and follows up on recommendation.
Assist with follow up on results of qualitative and quantitative medical record audits.
Communicates and implements pharmacy review/drug regime review recommendations, as assigned.
Assists with clinical discharge process.
Other Functions Performs other tasks as assigned. Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, applicable federal and state laws, and applicable professional standards.
Knowledge/Skills/Abilities Ability to react decisively and quickly in emergency situations. Ability to communicate effectively with residents and their family members, and facility staff.
Requirements
Education Graduate of accredited LPN School of Nursing.
Licenses/Certification Current valid LPN license in the state employed. Valid CPR certification.
Experience Six months experience in a long-term care environment preferred.
Note
All employees of Cascadia Healthcare are required to submit and be cleared to work in the facility per each state’s specific background check requirements prior to contact with patients/residents.
