About The Position

The LPN II provides direct service and daily nursing care in a medically intensive program for individuals with brain injuries, developmental delays, or intellectual disabilities and complex medical needs. The LPN II leads the program during the designated shift and ensures respectful, dignified, high-quality care that promotes individual choices. The role implements person-centered care plans and provides activities of daily living and skilled nursing care, including wound, GT/JT, tracheostomy, and nutritional support. The LPN monitors individuals for changes in status, completes assessments and interventions as indicated, and clinically supervises CNAs during the shift. The position also coordinates with healthcare providers, families, guardians, colleagues, and community agencies; maintains accurate nursing and medication documentation; and helps ensure a safe, clean, welcoming environment that meets regulatory requirements and supports individuals' participation and preferences.

Requirements

  • A high school diploma or equivalent is required.
  • A Licensed Practical Nurse credential in Massachusetts is required.
  • CPR certification is required within two weeks of hire.
  • Safety Care training is required within two weeks of hire.
  • A valid driver's license must be presented at employment; applicants must be at least 21 years old, have held a valid U.S. driver's license for at least six months, and pass a driver's screening background check.
  • For use of a personal vehicle, maintain adequate insurance and a safe driving record, subject to annual checks.
  • Ability to stand, walk, bend, kneel, stoop, crouch, crawl, and climb.
  • Ability to lift at least 25 pounds using proper lifting techniques or a two-person lift.
  • Ability to use a computer and office equipment such as a calculator, copier, and printer.
  • Ability to sit, reach, climb stairs, maneuver through narrow spaces or hallways, and assist clients with activities of daily living.
  • Ability to speak, hear, and communicate with clients, staff, and external representatives.
  • Required vision abilities include close, distance, color, peripheral, and depth perception, and the ability to adjust focus.

Nice To Haves

  • One to two years of supervised practical experience, including internships, in a clinical or rehabilitation setting.
  • Experience working with individuals with developmental, intellectual, or psychiatric disabilities, brain injuries, medical illnesses, or co-occurring disorders.
  • An associate's degree.
  • Experience with individuals who have complex health issues and a strong commitment to their rights and abilities.
  • Knowledge of LPN practice standards and intervention techniques.
  • Sensitivity to cultural, religious, ethnic, age, gender, and disability issues.
  • Ability to develop supportive, trusting relationships with clients.
  • Knowledge of teaching and learning modalities.
  • Ability to supervise and mentor CNAs.
  • Knowledge of evidence-based practices and commitment to following them.
  • Knowledge of communication and learning styles, supervisory techniques, organizational and strategic skills, participatory and collaborative skills, and formal and informal assessment practices.
  • Bilingual or bicultural applicants and applicants with lived experience are encouraged to apply.
  • May be asked to obtain CBIS (Certified Brain Injury Specialist) certification.

Responsibilities

  • Implement person-centered treatment and care plans in accordance with medical orders.
  • Assist individuals with activities of daily living, including showering, dressing, shaving, mouth care, foot care, and diabetes care.
  • Complete skilled nursing care, including wound care, GT/JT care, tracheostomy care, and nutritional support.
  • Monitor individuals for changes in status and report issues promptly to the PD, SPD as needed, and Program Nurse.
  • Provide care using best practices while respecting each person's dignity and choices.
  • Ensure ADLs are completed and assistive devices are available, ready for use, and in working order.
  • Perform individualized assessments when an individual's status changes and provide skilled nursing interventions as indicated.
  • Clinically supervise CNAs during designated shifts and provide in-the-moment training when needed.
  • Ensure care is completed accurately and on time, meets ISP goals, addresses the whole person, and satisfies quality-control monitoring.
  • Communicate and meet with the RN Manager as needed.
  • Maintain communication with primary care providers, family members, guardians, significant relationships, Vinfen employees, outside and community agencies, and neighbors.
  • Document nursing care and treatments as ordered and in accordance with Vinfen policies and procedures.
  • Document medication administration in accordance with Vinfen policies and procedures and MAP standards.
  • Ensure documentation is complete and accurate, including shift notes, daily communication, treatment protocol data, medication administration sign-offs, and controlled-substance records; review CNA and direct-care staff medical documentation.
  • Maintain an environment that is safe, clean, comfortable, welcoming, compliant with regulatory requirements, and conducive to individuals' participation.
  • Respect clients' preferences and choices.

Benefits

  • Fully funded 401(a) employer-sponsored retirement plan requiring no employee contribution and an employee-funded 403(b) plan.
  • Medical, dental, and vision plans for employees scheduled to work at least 30 hours per week, with an employer contribution toward medical insurance.
  • Employer-paid life, accidental death and dismemberment, and long-term disability insurance.
  • Employer-paid short-term disability insurance for employees who qualify.
  • Flexible Spending Reimbursement Accounts for health and dependent care.
  • Voluntary term life, whole life, accident, critical illness, and hospital indemnity insurance.
  • Paid time off for employees scheduled to work at least 20 hours per week.
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