RN/LPN Opportunities - All Shifts

CENTURY CARE MANAGEMENT INC•Morehead City, NC

About The Position

The Registered Nurse (RN)/Licensed Practical Nurse (LPN) is an essential member of the interdisciplinary care team, providing direct nursing care to residents in a skilled nursing and long-term care setting. The RN/LPN administers medications and treatments, monitors residents for changes in condition, communicates clinical concerns, assists with individualized plans of care, and directs CNAs and other nursing personnel as permitted within the applicable scope of practice. Care must support residents’ dignity, independence, safety, comfort, and quality of life and comply with professional standards, provider orders, facility policies, and state and federal requirements. The role requires compassion, clinical judgment, effective communication, teamwork, accountability, and a resident-centered approach. Responsibilities include resident observation and care, medication and treatment administration, documentation, communication with residents’ care teams, and supervision or support of nursing personnel. This is an active, hands-on resident care position involving physical tasks throughout the workday. The posting lists the position as full time, with any shift, in Morehead City, North Carolina.

Requirements

  • Graduate of an accredited program.
  • Valid North Carolina State Board for Nursing license.
  • Completion of Category II intravenous protocol.
  • CPR/BLS certification.
  • Ability to access, plan, carry out, and evaluate patient care plans.
  • Proficiency in medication administration, vital sign monitoring, and assisting doctors during treatment.
  • Ability to document resident care accurately using electronic and/or paper documentation systems.
  • Ability to communicate effectively and professionally with residents, families, coworkers, supervisors, and interdisciplinary team members.
  • Ability to maintain resident confidentiality, privacy, dignity, and rights.
  • Ability to work effectively as part of a team and assist coworkers when resident care needs require it.
  • Ability to manage multiple responsibilities while maintaining attention to resident safety and quality of care.
  • Ability to remain calm and respond appropriately in emergencies or stressful situations.
  • Ability to perform the physical functions necessary to provide resident care, with or without reasonable accommodation.
  • Ability to lift 50 pounds; moving, lifting, or transferring patients may involve lifting up to 100 pounds.
  • Ability to exert maximum muscle force to lift, push, pull, or carry patients.
  • Ability to use abdominal and lower back muscles over time without fatigue.
  • Ability to stand for extended periods and perform tasks involving standing, walking, bending, reaching, kneeling, stooping, pushing, pulling, stretching, twisting, sitting, and reaching.
  • Fine motor skills and visual acuity.

Nice To Haves

  • Previous experience in a skilled nursing facility, long-term care, rehabilitation, or assisted living facility is preferred; experience is not required.

Responsibilities

  • Provide direct nursing care in accordance with individualized care plans, provider orders, facility policies, and scope of practice.
  • Collect and document resident information and participate in ongoing observation and assessment as permitted within scope of practice.
  • Monitor residents for physical, mental, behavioral, and psychosocial changes and promptly report significant changes.
  • Administer medications, injections, treatments, enteral feedings, and other ordered nursing interventions within scope of practice.
  • Perform wound care and monitor skin integrity and changes in wounds.
  • Monitor pain and residents’ responses to medications, treatments, and nursing interventions.
  • Obtain and monitor vital signs, blood glucose results, weights, intake and output, and other clinical information.
  • Recognize signs and symptoms requiring additional assessment or medical intervention and communicate concerns promptly.
  • Notify providers, responsible parties, supervisors, and care team members of changes in resident condition as required.
  • Implement new and revised provider orders accurately and promptly.
  • Monitor residents after falls, incidents, medication changes, new treatments, hospital returns, and other significant clinical events.
  • Assist with admissions, transfers, discharges, and transitions of care.
  • Assist with implementation and evaluation of individualized care plans in collaboration with the RN and interdisciplinary team.
  • Participate in fall prevention, skin integrity, infection prevention, pain management, restorative nursing, and other clinical programs.
  • Respond to resident emergencies and initiate emergency procedures within training and scope of practice.
  • Follow medication administration procedures and safety practices, and complete MARs and TARs accurately.
  • Monitor medication and treatment effectiveness, side effects, adverse reactions, and other responses; report concerns according to facility policy.
  • Communicate with pharmacies, providers, and nursing leadership regarding medication or treatment concerns as appropriate.
  • Ensure medications and treatment supplies are stored and secured according to facility procedures.
  • Direct and supervise CNAs and other nursing personnel as permitted by requirements and facility policy.
  • Delegate tasks based on resident needs, staff competency, scope of practice, and applicable requirements.
  • Monitor assigned care tasks for safe, timely, and appropriate completion; serve as a resource to CNAs and assist staff with resident care needs.
  • Promote teamwork, accountability, and respectful communication among nursing staff.
  • Assist with orientation, education, and support of newly hired nursing personnel as assigned.
  • Communicate staffing, resident care, and operational concerns to nursing leadership.
  • Serve as charge nurse when assigned and consistent with scope of practice and facility policy.
  • Use safe resident-handling techniques and appropriate assistance and equipment when lifting, transferring, repositioning, or transporting residents.
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