Licensed Practical
Nurse

DEPARTMENT: Nursing

REPORTS TO: Director of Nursing

WAGE: Non-Exempt

General
Purpose:

Provide direct
nursing care to the residents and supervise the day-to-day nursing activities
performed by nursing assistants. Such supervision must be in accordance with
current Federal, State, and Local standards, guidelines, and regulations that
govern our facility, and as may be required by the Director of Nursing to
maintain the highest degree of quality care at all times.

Essential Job Functions

This facility
expects their employees to promote an atmosphere of teamwork with other employees
and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:

Administrative Functions

• Direct the day-to-day functions of
  the nursing assistants in accordance with rules, regulations, and
  guidelines that govern the long-term care industry.
• Confirm that all nursing personnel
  assigned to you comply with the written policies and procedures
  established by this facility.
• Meet with your assigned nursing
  staff, as well as support personnel, in planning the shift’s services,
  programs and activities.
• Verify that all nursing personnel
  comply with the procedures set forth the in the Nursing Policies and
  Procedures Manual.
• Make written and oral
  reports/recommendations concerning the activities of your shift, as
  required.
• Cooperate with other resident
  services when coordinating nursing services to ensure that the resident’s
  total regimen of care is maintained.
• Verify that all nursing service
  personnel are in compliance with their respective job descriptions.
• Participate in the development,
  maintenance, and implementation of the facility’s quality assurance
  program for the nursing department.
• Participate in surveys (inspections)
  made by authorized government agencies.
• Periodically review the resident’s
  written discharge plan. Participate
  in the updating of the resident’s written discharge plan, as required.
• Assist in planning the nursing
  portion of the resident’s discharge plan, as necessary.
• Admit, transfer, and discharge
  residents, as required.
• Complete accident/incident reports,
  as necessary.

Charting
and Documentation

• Complete and file required
  forms/charts upon resident’s admission, transfer, and/or discharge.
• Encourage attending physicians to
  review treatment plans, record and sign their orders, progress notes,
  etc., in accordance with established policies.
• Receive telephone orders from
  physicians and record on the Physicians’ Order Form.
• Transcribe physician’s orders to
  resident charts, cardex, medication cards, and treatment/care plans, as
  required.
• Chart nurses’ notes in an
  informative and descriptive manner that reflects the care provided to the
  resident, as well as the resident’s response to care.
• Record new/changed diet
  orders. Forward information to the
  Dietary Department.
• Report all discrepancies noted
  concerning physician’s orders, diet change, charting error, etc., to the
  Nurse Supervisor.
• Fill out and complete transfer
  forms in accordance with established procedures.
• Enter appropriate documentation
  concerning unauthorized discharges in the resident’s medical record in
  accordance with established procedures.
• Perform routine charting duties as
  required and in accordance with established charting and documentation
  policies and procedures.
• Sign and date all entries made in
  the resident’s medical record.
• Write nurses’ notes to reflect that
  the care plan is being followed when administering nursing care or
  treatment.

Medication Administrative
Functions

• Prepare and administer medication
  as ordered by the physician.
• Verify the identity of the resident
  before administering the medication/treatment.
• Verify that prescribed medication
  for one resident is not administered to another.
• Verify that adequate supply of floor
  stock medications, supplies, and equipment is on hand to meet the nursing
  needs of the residents. Report
  needs to the Nurse Supervisor.
• Order prescribed medications,
  supplies, and equipment as necessary, and in accordance with established
  procedures.
• Verify that narcotic records are
  accurate for your shift.
• Notify the Nurse Supervisor of all
  drug and narcotic discrepancies noted on your shift.
• Review medication cards for
  completeness of information, accuracy in the transcription of the
  physician’s order and adherence to stop order policies.
• Notify the attending physician of
  automatic stop orders prior to the last dosage being administered.
• Immediately notify the Nurse
  Supervisor and attending physician of any medication administration
  errors.

Nursing Care Functions

• Deliver and maintain optimum
  resident care and comfort by demonstrating knowledge and skills of current
  nursing practices.
• Promptly respond to call lights and
  other resident needs.
• Make rounds with physicians, as
  necessary.
• Consult with the resident’s
  physician in providing the resident’s care, treatment, rehabilitation,
  etc., as necessary.
• Review the resident’s chart for
  specific treatments, medication orders, diets, etc., as necessary.
• Make periodic checks to confirm
  that prescribed treatments are being properly administered by CNAs and to
  evaluate the resident’s physical and emotional status.
• Notify the resident’s attending
  physician when the resident is involved in an accident or incident.
• Notify the resident’s attending
  physician and responsible party when there is a change in the resident’s
  condition.
• Administer professional services
  such as: catheterization, tube
  feedings, suction, applying and changing dressings/bandages, packs,
  colostomy, and drainage bags, taking blood, giving massages and range of
  motion exercises, care for the dead/dying, etc., as required.
• Monitor seriously ill residents, as
  necessary.
• Review care plans daily to confirm
  that appropriate care is being rendered.
• Confirm that CNAs are aware of the
  resident care plans. Verify that
  the CNAs refer to the resident’s care plan prior to administering daily
  care to the resident.

Other Duties

• Attend in-service education
  programs in order to meet facility educational requirements.
• Be familiar with Standard Precautions,
  Exposure Control Plan, Fire Drill & Evacuation Procedures and know how
  to use the information.
• Maintain confidentiality of
  resident and facility records/information.
• Protect residents from neglect,
  mistreatment, and abuse.
• Protect the personal property of
  the residents of the facility.
• Others as directed by the
  supervisor or administrator.

Minimum Qualifications

• Licensed Practical Nurse with
  current state license.
• Excellent technical, assessment and
  documentation skills.
• Good Leadership qualities.
• Organized and detailed in work
  performance.
• Good communication skills with
  excellent self-discipline and patience.
• Genuine caring for and interest in
  elderly and disabled people in a nursing facility.
• Comply with the Residents Rights
  and Facility Policies and Procedures.
• Perform work tasks within the
  physical demand requirements as outlined below.
• Perform Essential Duties as
  outlined above.

Working
Conditions

• Subject to frustrations in meeting
  work demands due to frequent interruptions.
• Fast paced, required to make
  decisions quickly
• Involved with residents, personnel,
  visitors, government agencies/personnel, etc., under all conditions and
  circumstances.
• May work beyond normal duty hours,
  on weekends, and in other positions temporarily, when necessary.
• Subject to call-back during
  emergency conditions (e.g., severe weather, evacuation, post-disaster,
  etc.).
• Subject to exposure to infectious
  waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis
  B viruses.
• May be subject to the handling of
  and exposure to hazardous chemicals

Physical and Sensory
Requirements

• Assist in the evacuation of
  residents during emergency situations
• Meet general health requirements
  set forth by the policies of this facility, which may include a medical
  and physical examination.

Sitting

1-2 hours per 8 hour work shift. Alternates frequently to walking.

Walking

5-7 hours per 8 hour work shift. Alternates frequently to standing and
occasionally to sitting.

Standing

1-3 hours per 8 hour work shift. Alternating frequently to walking and
occasionally to sitting.

Key: Rarely
= 5% Occasionally = 0% - 33%; Frequently = 33% - 66%; Constantly = 66% - 100%

• (Rarely – would most likely

occur in emergency situations only)

Lifting:

WEIGHT

FREQUENCY

OBJECTS

1-10 lbs

Constantly

Resident charts,
books, supplies and equipment

11-20 lbs

Frequently

Supplies and
equipment

21-35 lbs

Frequently

Equipment,
boxes of supplies

36-50 lbs

Occasionally

Transfer of
resident, ambulation of residents, and equipment

51-75 lbs

Rarely*

Transferring
of residents

Carrying:

WEIGHT

FREQUENCY

OBJECTS

1-10 lbs

Constantly

Resident
charts, books, supplies and equipment

11-20 lbs

Frequently

Supplies and
equipment

21-35 lbs

Occasionally

Equipment,
boxes of supplies

Bending: Occasionally

Squatting: Rarely

Kneeling: Rarely

Climbing: Rarely

Reaching: Occasionally

Grasping: Occasionally

Pushing: Frequently

Pulling: Frequently

Fine
Manipulation: Continuously

Driving: Rarely

Exposure
Determination Information:

Numbers 1
through 3 indicate the risk potential of your exposure to blood or body fluids.
Established procedures identify the appropriate personal protective equipment
that you should use when performing tasks. The following numbers indicate your
risk potential:

The position of
Licensed Practical Nurse has an
exposure determination of

EMPLOYMENT
AT WILL: It is the express policy and
intent of this facility that the employment relationship is one created and
governed by the continuing will of both parties. I understand and agree that my employment is
for no definite period and may, regardless of the date of payment of my wages
and salary, be terminated at any time without prior notice and without cause by
either party, unless provided otherwise by a written agreement signed by the
President of this company.

NONDISCRIMINATORY
STATEMENT: This facility does not
discriminate on the basis of race, religion, national origin, color, creed,
sex, age, disability, marital or veteran status with regard to employment.

Job Description Review

I understand
this job description and its requirements; and that I am expected to complete
all duties as assigned. I understand the
job functions may be altered from time to time. Management reserves the right to modify this job description at any
time.

I further
understand that the purpose of this job description is to identify the major
duties and responsibilities of the job and that it is not intended to contain
each and every duty inherent in this job.

I have noted
below any accommodations that are required to enable me to perform these
duties. I have also noted below any job
responsibilities, which I am unable to perform, with or without accommodation.

Employee’s
Signature Date

Supervisor or
Orientation Leader Signature Date