RN/LPN Opportunities - All Shifts

CENTURY CARE MANAGEMENT INC•Murphy, NC

About The Position

The Registered Nurse (RN)/Licensed Practical Nurse (LPN) is an essential member of the interdisciplinary care team and provides direct nursing care to residents in a skilled nursing and long-term care setting. The role promotes residents’ dignity, independence, safety, comfort, and quality of life while ensuring care complies with professional standards, physician/provider orders, facility policies and procedures, and applicable state and federal requirements. The RN/LPN is expected to demonstrate compassion, sound clinical judgment, effective communication, teamwork, accountability, and a resident-centered approach. 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 by the applicable scope of practice. The position also includes resident assessment and documentation, collaboration with the interdisciplinary team, participation in clinical programs and transitions of care, and response to emergencies. This is an active, hands-on resident care position. Physical functions may include frequent standing, walking, bending, reaching, kneeling, stooping, pushing, pulling, and assisting with resident mobility, lifting, transfers, repositioning, and transport. Duties must be performed using appropriate assistance, equipment, and safe resident-handling techniques. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

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 accurately document resident care 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 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.
Ability to bend, stoop, stretch, twist, sit, and reach.
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 according to individualized plans of care, physician/provider orders, facility policies, and scope of practice.
Collect and document resident information and participate in ongoing resident observation and assessment as permitted within scope of practice.
Monitor residents for changes in physical, mental, behavioral, and psychosocial condition and promptly communicate significant changes.
Administer medications, injections, treatments, enteral feedings, and other ordered nursing interventions within scope of practice.
Perform wound care and monitor wounds and skin integrity.
Monitor resident pain and 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 further assessment or medical intervention and promptly communicate concerns.
Notify physicians/providers, responsible parties, supervisors, and care-team members of changes in resident condition as required.
Implement new and revised physician/provider orders accurately and promptly.
Monitor residents following falls, incidents, medication changes, new treatments, hospital returns, and other significant clinical events.
Assist with resident admissions, transfers, discharges, and transitions of care.
Assist with implementation and evaluation of individualized plans of care 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 medication safety practices; complete MARs and TARs accurately.
Monitor medication and treatment effectiveness, side effects, adverse reactions, and other responses; report concerns according to facility policy.
Communicate medication or treatment concerns with pharmacy, physicians/providers, and nursing leadership as appropriate.
Ensure medications and treatment supplies are properly stored and secured.
Direct and supervise CNAs and other nursing personnel as permitted by requirements and facility policy.
Delegate appropriate tasks based on resident needs, staff competency, scope of practice, and applicable requirements.
Monitor completion and safety of assigned resident-care tasks; 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 appropriate assistance, equipment, and safe resident-handling techniques when lifting, transferring, repositioning, or transporting residents.