Floor RN/LPN

Indiana Fitness Works•Winchester, IN

About The Position

The Floor RN/LPN is responsible for the total care of assigned residents and supervision of direct care staff on the assigned unit or hall. The role supports residents’ dignity, safety, health, and independence; coordinates nursing services with other departments; communicates with nursing management and medical providers; and ensures that care, treatments, medications, and documentation follow orders and facility policies. The position includes resident assessments, care planning, emergency response, staff guidance, and communication with residents and their families or representatives. The role requires movement throughout the facility for most of the day and may involve moderate to heavy lifting. Shifts are 6 a.m.–2 p.m., 2 p.m.–10 p.m., or 10 p.m.–6 a.m., and the employee must work every other weekend.

Requirements

  • Graduate of a School of Nursing and hold a current Indiana nursing license in good standing.
  • Knowledge of nursing skills and practices.
  • Possess a health certificate or examination as required by State agencies.
  • Ability to move throughout the facility for most of the day and perform moderate to heavy lifting at times.
  • Maintain a professional attitude, including confidentiality, concern for others, cooperation, and conscientious use of time.
  • Ability to communicate verbally and in writing; read and write in English; and communicate with residents, families, personnel, and support agencies.
  • 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 in dealing with residents, their 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 remain calm under stress.
  • Ability to perform bending, lifting, walking, grasping, and fine hand coordination; distinguish smells, tastes, temperatures, and colors; and hear and respond to pages.
  • Availability to work every other weekend.

Responsibilities

  • Provide total care for assigned residents and supervise direct care staff to ensure residents’ needs are met.
  • Ensure restorative nursing measures and all ordered treatments are performed as directed.
  • Promote residents’ self-respect, personal dignity, physical safety, hygiene, hydration, normal elimination and sleep patterns, range of motion, infection control, socialization, and self-esteem; encourage residents to function at their maximum level and support psychosocial acceptance of limitations.
  • Communicate with nursing management about unit conditions and concerns involving staff, residents, and visitors.
  • Explain treatment goals and expectations to residents and families or representatives, obtain feedback and cooperation, and assist with discharge planning and related instruction.
  • Supervise and manage personnel on assigned unit(s), review assignments for consistency with staff ability, training, and scope of practice, instruct staff on special treatments and nursing care, evaluate supervised nursing staff, and assist with new employee orientation.
  • Maintain and update medical records; complete charting according to facility schedules and document unusual events, changes in condition, and treatments.
  • Assess residents upon admission and when concerns 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 assigned.
  • Ensure laboratory work and X-rays are completed according to physician orders and results are reported promptly; make rounds with physicians and assist with examinations as indicated.
  • Secure narcotics and controlled substances, count narcotics at the beginning and end of each shift, and maintain accurate narcotic records.
  • Keep unit supplies stocked and assist staff with direct resident nursing care.
  • Receive report from the off-going charge nurse and provide a thorough report to the on-coming nurse at shift change.
  • Make rounds on all residents, giving careful attention to those needing increased monitoring; administer and document medications at appropriate times.
  • Notify medical providers as necessary about orders and visits, and report signs and symptoms of early disease or complications.
  • Collect information from staff about resident care problems and needs, including turning and positioning and intake and output.
  • Draw blood for laboratory work as ordered, if applicable under facility policy.
  • 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.
  • Maintain a clean and safe environment; follow facility safety and infection control policies and procedures; maintain confidentiality of resident information.
  • Review new admissions, new orders, incident reports, and memos to promote timely care and implementation of necessary interventions.
  • Supervise meal service and observe residents while eating, offer substitutes when a resident does not accept a meal, and monitor compliance with prescribed diets.
  • Monitor utility, linen, and shower rooms for order and cleanliness.
  • Perform other duties as assigned.
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