TRC - LPN - 2nd Shift

The Resource Center•Lakewood, NY
•Onsite

About The Position

The Licensed Practical Nurse provides on-site nursing services and health-related support to people at assigned sites. The LPN promotes the health, safety, and well-being of people supported by delivering nursing care, monitoring medical conditions, and implementing physician-ordered treatments and services. Working under the direction of a Registered Nurse and in collaboration with the interdisciplinary team, the LPN ensures health-related services comply with applicable regulations, professional standards, and agency policies and procedures. The role includes supporting staff training, maintaining health and medical records, coordinating appointments, referrals, diagnostic testing and follow-up, communicating with providers and interdisciplinary team members, and providing direct care within the scope of licensure. The LPN also helps maintain medication and medical documentation processes, responds to incidents, and supports compliance and quality assurance activities.

Requirements

  • Valid New York State Practical Nurse license or graduation from a Practical Nursing program.
  • Valid driver’s license and an acceptable driving record as established by the agency’s insurance carrier.
  • Knowledge of nursing principles and practices within the scope of Licensed Practical Nursing, including medication administration, infection control, and basic health assessment.
  • Working knowledge of New York State Office for People With Developmental Disabilities regulations and standards, and applicable Department of Health and Medicaid requirements.
  • Understanding of common medical, physical, and behavioral health conditions affecting people with developmental disabilities.
  • Knowledge of person-centered planning and implementation of Individualized Plans of Protections, Plans of Nursing Services, and Care Plans.
  • Familiarity with incident reporting requirements, including reportable events and immediate protective actions.
  • Knowledge of documentation standards and electronic health record systems.
  • Basic understanding of interdisciplinary team roles and care coordination in a certified site-based setting.
  • Effective communication skills, including the ability to convey medical information clearly to non-clinical staff, people supported, and family members.
  • Ability to train Direct Support Professionals in health-related tasks, including medication administration and infection control practices.
  • Ability to provide direct support to people as needed and requested.

Responsibilities

  • Provide on-site nursing services and health-related support to people at assigned sites.
  • Promote the health, safety, and well-being of people supported through nursing care, monitoring of medical conditions, and implementation of physician-ordered treatments and services.
  • Work under a Registered Nurse’s direction and collaborate with the interdisciplinary team to ensure services follow regulations, professional standards, and agency policies and procedures.
  • Assist the Registered Nurse with staff training, including the Agency Medication Administration Course.
  • Ensure immunizations are current and documented in the electronic health record.
  • Contact providers as needed and ensure follow-up is received and documented promptly.
  • Ensure ordered laboratory work and diagnostic testing are completed, review results, and ensure timely follow-up.
  • Schedule referrals, including OT, PT, speech, and provider referrals, and follow up on referrals and adaptive equipment needs.
  • Document each encounter and ensure documentation complies with policies and procedures.
  • Review medical and health notes and provide staff feedback on entries.
  • Communicate with physicians about medical issues and document conversations and follow-up.
  • Visit people in the hospital, communicate with the hospital medical team, document visits, and report updates to the interdisciplinary team.
  • Support preparation of requested medical documentation, such as Surrogate Decision Making Committee documentation, psychiatric consults, and medication reviews.
  • Monitor bowel tracking, vital signs, weights, and other pertinent medical documentation and follow up as necessary.
  • Carry out orders as directed or approved by the Registered Nurse; deliver or collect orders and obtain medical records paperwork as needed.
  • Ensure MOLST appointments are scheduled every 90 days.
  • Support people at medical appointments when necessary or assigned, using least restrictive support techniques to help them check in and communicate their needs and concerns.
  • Keep the medication room clean and organized and conduct Medication Administration Record reviews.
  • Maintain prescriptions, follow up with the pharmacy or physician on expired or incorrect prescriptions, and order medications as needed.
  • Ensure site management is informed of upcoming appointments and their purpose; complete appointment consultation forms and related paperwork before appointments.
  • Coordinate with necessary interdisciplinary team members for psychiatric appointments.
  • Upload consults, provider orders, laboratory information, appointment paperwork, and monthly paperwork into the electronic health record.
  • Keep “ED to Go” content updated every six months or more often as needed.
  • Attend interdisciplinary team and staff meetings as scheduled.
  • Act as a responsible custodian for the agency as representative payee; safeguard assigned funds and personal property and obtain itemized receipts for expenditures.
  • Use person-centered language, maintain professional boundaries, and promote cooperation and teamwork focused on quality care.
  • Intervene and report incidents or unusual occurrences according to policy and ensure immediate protective action is taken.
  • Provide direct care as needed within the scope of licensure.
  • Maintain compliance with state and federal regulations and agency and program policies and procedures.
  • Participate in quality assurance and site or agency recertification processes.
  • Perform other related duties as needed or assigned.
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