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Licensed Practical Nurse (LPN) Full Time Evening Shift - Heisinger Bluffs

Company: Lutheran Senior Services
Location: Jefferson City
Posted on: November 20, 2020

Job Description:

Job Description Summary: Directs, provides nursing care to the residents, and supervises the day-to-day nursing activities performed by nursing staff by performing the following duties. Maintains the Core Values that support the Christian Mission of Lutheran Senior Services, "Older Adults Living Life to the Fullest". Essential Duties and Responsibilities: Administrative : * Assess and manage the functions of the nursing staff in accordance with current rules, regulations and guidelines that govern the long-term facility. * Participate in maintaining our written policies and procedures that govern the day-to-day functions of the Nursing Department. * Ensure that the Nursing Procedures Manual is followed by nursing personnel, and that it reflects the day-to-day nursing care procedure used by the facility. * Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the resident's total regimen of care. * Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. * Participate in the maintenance of the facilities quality assurance program for the Nursing Department. * Participate in survey (inspection) made by authorized agencies. * Make written and oral reports/recommendations to the Director as required concerning the operation of the Nursing Department. * Meet with your assigned nursing staff at beginning of each shift to give a resident report, and give nursing assistants and medical technicians their assignments. * Be familiar with the department's policies and procedures. * Admit, transfer, and discharge residents as required, with paperwork. * Complete accident/incident reports as necessary. * Write resident charge slips and forward to the Business Office. * Ensure that the written policies and procedures that govern the day-to-day functions of the Nursing Department are followed by all nursing personnel. * Ensure all nursing personnel are following their respective job description Recommend to the DON the equipment and supplies you need for the unit. Charting & Documentation : * Chart all accidents/incidents involving the resident or employee. * Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Utilize care plan for documentation of nurse's notes. * Chart nurses notes in an informative and descriptive manner that reflects the care provided to the residents as well as the residents response to the care. * Complete and file required record keeping forms/charts upon the residents admission, transfer, and/or discharge. * Receive telephone orders from physicians and record on the physicians order form. * Record new/changed diet orders. Forward information to the Food Service Department. * Transcribed physician's orders to resident charts, and MAR's treatment/care plans as required. * Assure the appropriate documentation concerning unauthorized discharges is entered in the resident's medical records in accordance with established procedures. * Report all discrepancies noted to the supervisors concerning physician's orders, diet changes, charting errors and fill out appropriate forms. * Perform routine charting duties as required and in accordance with our established Charting and Documentation Policies and Procedures. Drug Administration: * Prepare and administer medications as ordered by the physician and in accordance to our procedures. * Order prescribed medications, supplies and equipment as necessary, and in accordance with our established policies. * Ensure that an adequate supply of floor stock medications, supplies and equipment are on hand to meet the nursing needs of the residents. Reports needs to the Supervisor. * Ensure that narcotic records are accurate for your shift. * Review medications bubble cards for completeness of information, accuracy in transcription of the physician's orders and adherence to stop order policies. Notify Supervisor of all drug and narcotic discrepancies noted on your shift. Nursing Care: * Inform nursing personnel of new admissions, their expected time of arrival, room assignment. * Ensure that rooms are ready for new admissions. * Make rounds with physicians as necessary. * Nursing should cooperate with and coordinate their schedule with social and activity programs and assist in transporting resident in the same. * Make independent decisions concerning nursing care. * Notify the residents attending physician when the resident is involved in and accident or incident. * Make periodic checks to assure that prescribed treatments are being properly administered by nursing assistants and to evaluate the resident's physical emotional status. * Administer professional services such as; cauterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy and drainage bags, initiate and maintain IV therapy with doctor's orders. * Participat

Keywords: Lutheran Senior Services, Jefferson City , Licensed Practical Nurse (LPN) Full Time Evening Shift - Heisinger Bluffs, Other , Jefferson City, Missouri

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