Licensed Practical Nurse

COMMONWEALTH CARE OF ROANOKE•Abingdon, VA

27d•$26 - $34•Onsite

About The Position

The LPN provides direct primary nursing care to residents and supervises the care provided by certified nursing assistants. This role involves keeping administrative nursing staff informed on personnel development, providing feedback to Nurse Managers regarding the performance of nursing assistants, and participating in committees. The LPN demonstrates the ability to address service concerns and follow up timely for resolution, supporting the facility’s Service Excellence Initiative. This position effectively supervises and directs licensed and non-licensed nursing personnel, and is responsible for developing CNA resident care assignments and other duties as needed prior to the beginning of each shift. The LPN promotes and maintains positive and collaborative working relationships with physicians, physician-extenders, lab, diagnostic personnel, pharmacy, nursing personnel, other departments, residents, families, and visitors. Key responsibilities include observing residents daily, reporting significant changes in condition to the physician, completing routine nursing documentation accurately and timely, and administering medications using the five rights of medication administration while adhering to infection prevention and control practices. The LPN also provides and receives shift reports, implements pharmacy processes, performs physical assessments, and recognizes normal and abnormal physiological findings. Wound care is performed in accordance with physician orders, and the LPN assists in the development and updating of the resident’s plan of care. Communication with family members regarding resident care and/or condition is essential. The LPN completes accident/incident reports, notifies the physician and family of incidents, and performs various nursing skills such as phlebotomy, IV therapy, wound care, medication administration, catheter insertion, tube feeding management, oxygen administration, tracheostomy care, airway management, and physical/skin assessments. The LPN communicates staffing problems and needs, reports service and unit concerns, and receives/provides end-of-shift reports. Responsibilities also include assisting with resident admissions, transfers, and discharges, reporting maintenance and housekeeping needs, and accurately maintaining narcotic records, including validation before and after shifts and notifying management of discrepancies.

Requirements

Current LPN license in good standing with the Virginia Department of Health Professions.
Current CPR Healthcare Provider certification.

Nice To Haves

Two years of experience as a LPN, preferred.
Demonstrates excellent clinical, customer service and leadership skills.

Responsibilities

Keeps administrative nursing staff informed on personnel development.
Provides feedback to Nurse Managers regarding performance of nursing assistance.
Participates in committees as assigned.
Demonstrates ability to address service concerns and follow up timely for resolution.
Supports all efforts through the facility’s Service Excellence Initiative.
Effectively supervises and directs licensed and non-licensed nursing personnel.
Responsible for developing CNA’s resident care assignment and other duties as needed, prior to the beginning of each shift.
Promotes and maintains positive and collaborative working relationship with physicians, physician-extenders (NPs or PAs), lab, diagnostic personnel, and pharmacy to ensure proper and safe care of residents.
Promotes and maintains positive and collaborative working relationship with nursing personnel, other departments, residents, families, and visitors.
Observes residents daily.
Reports any significant change of resident's condition to the physician.
Completes routine nursing documentation for assigned resident.
Monitors to ensure that nursing care documentation is accurate, concise, and timely.
Administers and documents medications using the five rights of medication administration, while adhering to the principles of infection prevention and control practices.
Provides and/or receives shift report specific to changes or concerns regarding residents to oncoming and off going shift.
Implements pharmacy processes regarding ordering/reordering of medications, utilizing STAT/Emergency medication inventory when indicated, receiving, and returning medications.
Performs physical assessment for residents, recognizes normal and abnormal physiological findings and based on the resident’s baseline.
Reports findings as indicated.
Performs wound care in accordance with physician/physician-extender orders.
Documents treatments completed.
Assists in the development of the residents’ plan of care.
Resident care is provided in accordance with the plan of care.
Assists with updating the resident’s plan of care as indicated.
Keeps administrative nursing staff informed regarding evaluations of resident care.
May participate in rounds with physicians, physician-extenders, other healthcare personnel to provide pertinent information regarding the resident’s care/condition and follows through with the physicians/physician-extender orders.
Reviews physician’s/physician-extender orders, lab/diagnostic reports, and contacts pharmacy regarding any change in medication.
Effectively communicates with family members regarding resident's care and/or condition.
Completes accident/incident report and do follow up.
Will report all accidents/incidents to administrative nursing staff.
Notifies physician and family.
Performs routine nursing skills competently and professionally to include but it not limited to: Phlebotomy Initiation of peripheral intravenous (IV) therapy/Care of Central lines Wound care. Medication administration Insertion of urinary catheters Administration and management of tube feeding formula. Oxygen administration Tracheostomy care Airway management Physical assessment Skin assessments
Communicates staffing problems and needs to unit manager/supervisor.
Reports service and unit concerns to the unit manager/supervisor.
Receives and provides end of shift reports.
Assists in admission, transfer, and discharge of residents.
Reports maintenance and housekeeping needs accordingly.
Maintains narcotic records accurately.
Validates narcotic/scheduled medications before shift starts and before leaving for the day/shift.
Notifies unit manager of discrepancies in medication inventories.
Performs other duties, as assigned.