Registered Nurse (RN) or Licensed Practical Nurse (LPN) - Care Center

Avera•Sioux Center, IA

About The Position

The Long Term Care RN is responsible for directing and supervising resident care consistent with the Iowa Nursing Practice Code and Federal, State, and Sioux Center Health standards of care, while promoting each resident’s highest practicable physical, mental, and psychosocial well-being. The posting also describes essential functions for an LPN, who participates in the nursing process under the supervision of a registered nurse or physician and performs duties within the LPN’s authorized scope of practice. The role includes providing and overseeing resident care, administering medications and treatments as authorized, monitoring residents and documenting care, communicating with physicians and pharmacy, and supervising unlicensed assistant personnel. It may also involve assisting with employee management responsibilities. The position is PRN, with as-needed work on rotating 8- and 12-hour shifts, including nights, weekends, and call involvement.

Requirements

Graduate of an accredited school of nursing for the registered nurse role.
Current Registered Nurse license in the State of Iowa.
Obtain CPR certification within three months of hire.
The LPN must perform within the LPN scope of practice and seek assistance when duties exceed their preparation or authorization.
The LPN must not perform activities requiring RN-level knowledge or skill, including specified assessment and IV or medication activities.
The LPN must notify the registered nurse when assigned or delegated functions are not executed.

Nice To Haves

Minimum of one year of experience in Long Term Care preferred.

Responsibilities

For the RN role, use the nursing process to assess residents, formulate nursing diagnoses, plan and implement care, and evaluate resident status against goals and care plans.
For the RN role, exercise professional judgment and accountability when supervising, assigning, and delegating activities to unlicensed assistant personnel, and ensure that nursing care is adequate and appropriately delivered.
Execute physician-prescribed regimens within the applicable scope of practice; when an order is not carried out based on professional or prudent judgment, notify the prescribing physician promptly and document the notification and reason.
Read reports from the previous shift and prepare reports for the following shift.
Communicate pertinent resident-care information to CNAs.
Supervise meals and nourishment, ensuring appropriate diets and that nutrition, hydration, and assistance needs are met.
Make rounds as necessary and assess unstable residents.
Prepare and administer authorized medications, nutrition, fluids, and treatments as ordered, and document medications, IV fluids, and treatments administered.
Supervise restraint application and removal and ensure prompt responses to resident call lights.
Order medications as necessary, notify the pharmacy about medication-regimen changes or additions, and receive, check, and document medication deliveries.
Supervise resident care and assist with direct care as needed.
Observe, evaluate, report, and document changes in residents’ conditions every two hours or as needed.
For the LPN role, participate in the nursing process by assisting an RN or physician, including monitoring, observing, and reporting reactions to interventions.
For the LPN role, perform permitted IV therapy procedures under RN supervision and within the stated scope and certification requirements.
For the LPN role, supervise unlicensed assistant personnel as permitted by Iowa law and accept responsibility for assigned and delegated functions.
Assist with managerial responsibilities, including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; and addressing complaints and resolving problems.
Perform other duties and responsibilities as assigned.