Floor RN/LPN

Indiana Fitness Works•Portland, IN

About The Position

The Floor RN/LPN provides total nursing care to assigned residents and supervises direct-care staff on an assigned unit or hall to ensure residents' needs are met. The role includes assessing residents, developing and updating care plans, administering and documenting medications, carrying out ordered treatments, maintaining accurate medical and narcotic records, and responding to changes in residents' conditions and emergencies. The nurse coordinates care with physicians and other facility services, communicates with residents and families, supports discharge planning, and helps maintain residents' dignity, safety, and well-being. The position also involves reviewing staff assignments, instructing and assisting nursing staff, supporting employee orientation and evaluation, maintaining a clean and safe unit, and following facility policies, safety requirements, and infection-control procedures. The role requires movement throughout the facility for much of the day and may involve moderate to heavy lifting. Shifts are 6 a.m.–2 p.m., 2 p.m.–10 p.m., and 10 p.m.–6 a.m.; every-other-weekend availability is required.

Requirements

  • Graduate of a School of Nursing.
  • Current nursing license in good standing from the State of Indiana.
  • Knowledge of nursing skills and practices.
  • Health certificate or examination as required by State agencies.
  • Ability to move throughout the facility most of the day and, at times, perform moderate to heavy lifting.
  • Ability to maintain a professional attitude, including confidentiality, concern for others, cooperativeness, and conscientious use of time.
  • Ability to communicate verbally and in writing.
  • Ability to organize, communicate with, and lead people with varying levels of experience and training.
  • Integrity, leadership qualities, interest in working with people, and enthusiasm for nursing.
  • Understanding, patience, and tact when dealing with residents, families, visitors, and employees.
  • Ability to maintain good working relationships with employees, physicians, and other medically related staff.
  • Alertness and skill in recognizing and identifying resident symptoms, and resourcefulness in emergencies.
  • Ability to read and write in English and communicate with residents, families, personnel, and support agencies.
  • Ability to remain calm under stress.
  • Physical and sensory abilities including bending, lifting, walking, grasping, fine hand coordination, distinguishing smells, tastes, and temperatures, discerning colors, and hearing and responding to pages.
  • Ability to work every other weekend.

Responsibilities

  • Provide total care to assigned residents and supervise direct-care staff to ensure residents' needs are met.
  • Ensure restorative nursing measures and ordered treatments are performed.
  • Protect residents' self-respect, personal dignity, and physical safety.
  • Communicate with nursing management about unit conditions and concerns involving staff, residents, and visitors.
  • Explain treatment goals and expectations to residents and their families or representatives and seek their feedback and cooperation.
  • Manage personnel on assigned unit(s) and review staff assignments to ensure duties match staff ability, training, and scope of practice.
  • Verify medical records are maintained and updated.
  • Assist and instruct nursing staff with special treatments and nursing care.
  • Ensure laboratory work and X-rays are completed as ordered and results are reported to the physician in a timely manner.
  • Make rounds with physicians and assist with examinations as indicated.
  • Assess residents on admission and when concerns, problems, or changes in condition arise; take necessary action, including emergency measures.
  • Initiate and update nursing care plans and participate in interdisciplinary care-plan conferences as requested or assigned.
  • Secure narcotic and controlled substances; count narcotics at the beginning and end of each shift and maintain accurate records.
  • Ensure unit supplies are stocked and assist staff with direct resident care.
  • Assist with resident discharge planning and instruct residents and/or family representatives, assessing their understanding.
  • Receive and give thorough reports at shift changes.
  • Make rounds on residents, with close attention to those needing increased monitoring.
  • Administer and document medications at appropriate times.
  • Notify medical providers as necessary regarding orders, visits, and signs or symptoms of disease or complications.
  • Collect information from staff about resident-care problems and needs, including turning and positioning and intake and output.
  • Complete charting and documentation according to the facility schedule, including unusual events, changes in condition, and treatments.
  • Promote resident hygiene, hydration, normal elimination and sleep patterns, range of motion, infection control, safety, socialization, self-esteem, dignity, and maximum functional ability.
  • Assist residents with psychosocial acceptance of their limitations.
  • Assist in evaluating nursing staff supervised on the unit.
  • Coordinate nursing services with dietary, social services, activities, physical therapy, and other services.
  • Participate in mandatory in-service training and inform nursing staff of facility policies and procedures as indicated.
  • Draw blood for laboratory work when ordered and applicable under facility policy.
  • Assist with orientation of new employees on the unit or hall as necessary.
  • Maintain a clean, safe environment and follow facility safety and infection-control policies and procedures.
  • Maintain confidentiality of resident information.
  • Review new admission orders, new orders, incident reports, and memos to support timely care and implementation of interventions.
  • Supervise meal service, observe residents while eating, offer substitutes when a resident does not accept a meal, and monitor compliance with ordered diets.
  • Monitor utility, linen, and shower rooms for order and cleanliness.
  • Perform other duties as assigned.
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