Staff Nurse, LPN 6p-6a No Weekends

United Church Homes • Fairborn, OH

1d • Onsite

About The Position

The Staff Nurse (LPN) is responsible for operating within scope of practice to coordinate care delivery interventions for approximately 25 residents in an assigned area, in accordance with current professional practice standards, physician's orders, community policies and procedures, and local, state, and federal regulations. This role involves managing resident treatments, administering medications and treatments, assessing residents under the supervision of an RN, and participating in the planning, implementation, and evaluation of resident care. The Staff Nurse also plays a crucial role in educating families and significant others on coping with and participating in the management of the resident's care. They conduct resident rounds, utilize infection control techniques, monitor vital signs, and manage physician's orders and requisitions for supplies and services. Documentation is a key aspect, including recording resident responses, changes in condition, and unusual incidents. The position also oversees specific procedures like NG tube insertion, colostomy care, Foley catheter care, and tube feeding, while ensuring dietary needs are met and monitoring resident weights. The Staff Nurse administers various assessment skills and techniques, performs emergency procedures, and collects lab specimens. They are responsible for flushing, infusion, monitoring, and site care for IVs, consulting with dining services on dietary needs, and monitoring residents at nutritional risk. The role requires completing medical forms, documenting care, and reporting discrepancies. The Staff Nurse interprets policies, assists in care plan completion, participates in care conferences, and evaluates care interventions. They ensure nursing assistants are aware of and follow care plans. The position oversees the admission and discharge process, including assessments, orders, education, and paperwork, and coordinates patient transfers. They also coordinate and evaluate supportive interventions from other departments and assist physicians during rounds. Monitoring nursing personnel performance to maintain high standards of care and accurate documentation is essential. The Staff Nurse assists with requisitions, plans and teaches in-service programs, and takes positive action to ensure equal opportunity in all business activities. They maintain confidentiality, handle unusual occurrences calmly, follow safety guidelines, and communicate effectively with residents, families, and staff. Special care protocols are followed for residents in the Special Care Unit, and all care is provided with appropriate special care protocols. Participation in relevant educational activities and other assigned duties are also part of the role.

Requirements

• Successful completion of a state-approved pre-licensure nursing education program: Required
• Active LPN license conferred by the State Board of Nursing
• Must obtain and maintain mandatory, state and federal requirements and certifications for practice or occupation
• Must be CPR certified
• Good base knowledge of pharmacology, treatments, issues specifically concerning the elderly, dementia, various diseases, and side effects
• Demonstrated people skills, with special attention to interfacing with patients' family members
• Working knowledge of different cultures and religions
• Must be able to read, write, understand and speak the English language
• Must be able to work with elderly residents, families and other health care staff members
• Must be able to adhere to all terms and conditions set forth in the United Church Homes Employee Handbook.

Nice To Haves

• One (1) year of experience in nursing and/or long-term care, preferred
• Must be able to operate a computer, the Internet and knowledge of basic office equipment preferred
• Must be familiar with/able to use the following equipment: WiFis, pagers, point click care, computer, sit to stand, hoyer, gait belt
• Special care/dementia care employees will have additional training in caring for and treating dementia residents

Responsibilities

• Manages resident treatments
• Distributes and administers prescribed medications and treatments, when required, according to approved nursing protocols, including IVs if certified
• Assesses residents, under RN
• Participates in assessing, planning, implementing and evaluating resident care delivery with actual outcome, also assesses, plans, implements and evaluates services and education to be delivered to the family or significant other in coping with and participating in the management of the resident's care
• Assists in completing the initial and ongoing nursing assessments needed to plan care and interventions
• Makes resident rounds to ensure care delivery meets quality standards and restorative protocols
• Utilizes appropriate infection control techniques to prevent spread of infection
• Observes vital signs and hydration status to detect deviations from normal limits, utilizing resident care equipment and ancillary supplies
• Assists in receiving, transcribing and implementing physician's orders
• Requests and arranges for diagnostic and therapeutic services as ordered by resident's physician, from departments within the institution or from outside the facility
• Orders prescribed medications, requisitions supplies, equipment from appropriate resources, when requested
• Records resident's responses to treatments/medications, response or lack of progress toward care plan or restorative goal
• Assists in documenting and observing changes in condition and unusual incidents and reports findings to supervisor, physician and responsible party, as required
• Oversees the proper execution of the following: NG/tube insertion, placement and irrigation; Colostomy care (including irrigation); Foley catheter care (including insertion and irrigation); Texas catheter application; Straight catheterization; Tube feeding, including hanging and labeling; operating the pump; calculating intake and output
• Ensures dietary recommended feeding allowances are maintained and monitors the weights of residents, assessing for abdominal distention and residual tube placement
• Administers proper assessment skills and techniques as appropriate, including the following: Gastrointestinal, genitourinary, pulmonary, cardiac, circulatory, neurological, musculoskeletal and integumentary assessments
• Administers proper positioning techniques including transfer techniques and ROM exercises
• Administers emergency procedures as necessary, including properly administers oxygen, suctions, performs CPR and uses the ambu bag
• Performs suctioning, as necessary including tracheotomy, nasotracheal and Tracheotomy care
• Applies proper sterile and isolation techniques as necessary
• Collects lab specimens as required
• Performs glucometer checks
• Flushes, infusion, monitoring, piggybacking of lipids, site care, obtaining orders, checking contents of bag and label compared to order
• Consults with dining services regarding resident's special dietary needs and follows through on recommendations
• Monitors residents with significant weight loss/gain and identifies residents at risk for nutritional problems and implements preventative measures, reporting to the physician and dietary
• Checks food brought by family members, ensuring it complies with residents' orders, dietary needs, and safety
• Completes medical forms, reports, evaluations, studies, charting, etc., as necessary
• Documents the following according to policies and procedures: medications, treatments, prn's; daily 24-hour report; residents' intake and output; monthly medication renewal process; any exceptions to residents' condition; daily charting on ill residents; 24-, 48-, or 72-hour follow-up charting on residents with infections; incidents or new admits; new/changed diet orders
• Reports any discrepancies noted concerning physician's orders, diet changes, charting errors, etc., to supervisor and/or the Dining Services department
• Is familiar with and accurately completes forms used throughout the residents chart
• Interprets policies and procedures to personnel, residents, visitors, and government agencies as required
• Assists in completion of the care plans (acute and long term)
• Participates in care conferences as deemed necessary
• Evaluates effectiveness of care interventions, identifies problems/trends and develops alternative interventions
• Understands resident's rights and conducts (as appropriate) investigations related to any alleged abuse
• Ensures progress notes are reflective of care plan and ensures they are properly followed
• Ensures assigned nursing assistants are aware of the resident care plans, and ensures nursing assistant refers to the care plan prior to administering care
• Oversees the admission process through the following: Orients patient to room, facility, policies; Obtains necessary physician orders; Completes nursing admission assessments; Orders necessary medication, supplies and diagnostic test
• Oversees the discharge process through the following: Completes post discharge plan; Educates resident on post discharge needs; Completes discharge paperwork; Informs nursing personnel of planned discharges for their shift; Arrange for discharge transportation
• Oversees the successful transfer of a patient
• Ensures all documentation is accurately completed for any admission, discharge and transfer
• Coordinates and evaluates the supportive interventions provided by nursing to other departments or services to achieve a holistic approach to resident care
• Coordinates and evaluates the efforts of other departments/services in providing education and support to family members in coping with and participating in the management of the residents' care needs
• Assists physicians, when necessary, during rounds and examinations
• Participates in the assessment, planning and implementation of nursing staff in providing resident care
• Participates in planning and implementing the coordination and involvement of nursing staff with other departments/services to teach family the management of the resident's care
• Monitors performance of nursing personnel to establish a high standard of care delivery and accurate documentation which reflects resident needs, progress, and condition
• Assists with sending requisitions to initiate physician orders
• Assists in planning, developing, directing, and teaching programs of in-service and continuing education for all nursing service and other personnel and directs other departments in the same, as necessary
• Takes positive action to ensure equal opportunity in the conduct of all business activities without regard to race, religion, color, age, sex, marital status, national origin, disability, or veteran status
• Maintains confidentiality of necessary information; Handles unusual occurrences calmly and logically to maintain continuity of business and duties
• Follows all appropriate safety and security guidelines, procedures and protocol for residents in the Special Care Unit
• Maintains appropriate, effective communication with residents, and with residents' family or other significant relationships
• Provides all care, treatment and services with appropriate special care protocols
• Participates in relevant educational and training activities as appropriate
• Performs all other duties as assigned or directed

Benefits

• We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual attention, gender identity, national origin, veteran or disability status.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree