About The Position

The Long Term Care RN is responsible for directing and supervising resident care in accordance with the Iowa Nursing Practice Code, applicable federal and state requirements, and Sioux Center Health standards of care. The role promotes each resident’s highest practicable physical, mental, and psychosocial well-being. The posting also describes LPN responsibilities, including participating in the nursing process under the direction or supervision of a registered nurse or physician and practicing within the LPN’s authorized scope. The position involves rotating 8- and 12-hour shifts, including nights, weekends, and call involvement. The RN uses the nursing process to assess residents, develop and implement care plans, and evaluate outcomes; administers and documents medications and treatments; supervises resident care and unlicensed assistant personnel; and reports and documents changes in resident condition. LPN duties include carrying out assigned care and medical regimens, reporting resident responses, performing permitted intravenous therapy procedures when appropriately certified, and supervising unlicensed assistant personnel under applicable requirements. Both roles may assist with employee management responsibilities and perform other duties as assigned.

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.
  • For the LPN role, hold the applicable Licensed Practical Nurse credentials; the posting describes LPN practice subject to Iowa scope-of-practice requirements and RN supervision where specified.

Nice To Haves

  • At least one year of Long Term Care experience is preferred.

Responsibilities

  • Direct and supervise resident care consistent with the Iowa Nursing Practice Code, applicable federal and state standards, and Sioux Center Health standards of care.
  • Promote each resident’s highest practicable physical, mental, and psychosocial well-being.
  • For the RN role, use the nursing process to assess residents, formulate nursing diagnoses, plan care, develop interventions, and evaluate residents’ status against established goals and plans of care.
  • For the RN role, supervise and delegate work to unlicensed assistant personnel using professional judgment while retaining accountability for care.
  • Carry out prescribed medical regimens using professional or prudent judgment, and notify the prescribing physician and document reasons when an order is not executed.
  • Read and write shift reports and communicate pertinent resident-care information to CNAs.
  • Supervise meals and nourishment, ensure appropriate diets and nutrition and hydration needs, and assist residents as necessary.
  • Make rounds and assess unstable residents as needed.
  • Prepare and administer medications, nutrition, fluids, and ordered treatments; document medications, IV fluids, and treatments administered.
  • Supervise restraint application and removal and ensure prompt response to residents’ call lights.
  • Order medications as needed, notify the pharmacy of medication regimen changes, and receive, check, and document medication deliveries.
  • Supervise resident care, assist with direct care, and observe, evaluate, report, and document changes in residents’ conditions every two hours or as needed.
  • For the LPN role, participate in the nursing process under the direction or supervision of an RN or physician, including monitoring, observing, and reporting reactions to interventions.
  • For the LPN role, perform only authorized intravenous therapy activities under RN supervision, and complete a board-approved IV therapy certification course before performing procedures that require it.
  • For the LPN role, accept responsibility for assigned and delegated functions and inform the RN when those functions are not carried out.
  • Supervise unlicensed assistant personnel as permitted under the Iowa Code; an LPN may serve as charge nurse under RN supervision.
  • Assist with 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.
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