Staff Nurse, LPN

United Church Homes•Beavercreek, 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, ensuring quality care standards are met, utilizing infection control techniques, and documenting resident responses and changes in condition. Responsibilities extend to overseeing specific procedures like tube insertions, feeding, and various assessments, as well as monitoring resident nutrition and dietary needs. The position requires meticulous documentation, adherence to policies, and effective communication with residents, families, physicians, and other healthcare staff. The Staff Nurse also assists with admissions, discharges, and transfers, ensuring all necessary documentation and care coordination are completed. They participate in care conferences, evaluate care interventions, and ensure resident rights are upheld. A key aspect of the role is overseeing the performance of nursing personnel to maintain high standards of care and accurate documentation. The Staff Nurse also assists in planning and teaching in-service and continuing education programs for nursing staff and other personnel. The role emphasizes a commitment to equal opportunity and maintaining confidentiality, safety, and effective communication.

Requirements

Successful completion of a state-approved pre-licensure nursing education program
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 use the following equipment: WiFis, pagers, point click care, computer, sit to stand, hoyer, gait belt
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
Must be able to operate a computer, the Internet and knowledge of basic office equipment
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