Company: Embassy of Euclid
Posted on: June 17, 2022
PURPOSE OF YOUR JOB POSITION
The primary purpose of your job position is to provide direct
nursing care to the residents, and to 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
Services or Nurse Supervisor to ensure that the highest degree of
quality care is maintained at all times.
DELEGATION OF AUTHORITY:
As Licensed Practical Nurse you are delegated the administrative
authority, responsibility, and accountability necessary for
carrying out your assigned duties, in accordance with state
ESSENTIAL JOB FUNCTIONS STATEMENT:
Every effort has been made to identify the essential functions of
this position. However, it in no way states or implies that these
are the only duties you will be required to perform. The omission
of specific statements of duties does not exclude them from the
position if the work is similar, related, or is an essential
function of the position.
Risk Potential to Blood/Body Fluids:
Category I: Tasks in this category involve exposure to blood, body
fluids, or tissues, and require the use of personal protective
Category II: Tasks in this category involve no exposure to blood,
body fluids, and/or tissues, but employment may require performing
unplanned category I task.
Category III: These task require no exposure to blood, body fluids,
and /or tissues, and category I tasks are not a condition of
ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES
Administrative Functions Direct the day-to-day functions of the
nursing assistants in accordance with current rules, regulations,
and guidelines that govern the long-term care facility.
Ensure that all nursing personnel assigned to you comply with the
written policies and procedures established by this facility.
Periodically review the department's policies, procedure manuals,
job descriptions, etc. Make recommendations for revisions.
Meet with your assigned nursing staff, as well as support
personnel, in planning the shifts' services, programs, and
Ensure that the Nursing Service Procedures Manual is current and
reflects the day-to-day nursing procedures performed in this
Ensure that all nursing service personnel comply with the
procedures set forth in the Nursing Service 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
Ensure 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 service
Participate in facility surveys (inspections_ made by authorized
government agencies as may be requested.
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 services portion of the resident's
discharge plan as necessary.
Interpret the department's policies and procedures to personnel,
resident's visitors and government agencies as required.
Admit, transfer, and discharge residents as required.
Complete accident/incident reports as necessary.
Write resident charge slips and forward to the Business Office.
Maintain the Daily Census Report and submit to the Business Office
Perform administrative duties such as completing medical forms,
reports, evaluations, studies, charting, etc., as necessary.
Charting and Documentation Complete and file required recordkeeping
forms/charts upon the resident's admission, transfer, and/or
discharge; maintaining compliance with the center's Medical records
system- Electronic or traditional paper medical record
Encourage attending physicians to review treatment plans, record
and sign their orders, progress notes, etc., in accordance with
Receive telephone orders from physicians and record on the
Physicians' Order Form.
Transcribe physician's orders to resident charts, cardex, and
medication cards, 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 the care.
Fill out and complete accident/incident reports. Submit to Director
Chart all reports of accidents/incidents involving residents.
Follow established procedures.
Record new/changed diet orders. Forward information to the Dietary
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
Ensure that appropriate documentation concerning unauthorized
discharges is entered 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.
Drug Administration Functions Prepare and administer medications as
ordered by the physician.
Verify the identity of the resident before administering the
Ensure that prescribed medication for one resident is not
administered to another.
Ensure that an 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 policies.
Ensure 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.
Dispose of drugs and narcotics as required, and in accordance with
established procedures. Personnel Functions Participate in employee
performance evaluations, determining your shift's staffing
requirements, and making recommendations to the Nurse Supervisor
concerning employee dismissals, transfers, etc.
Inform the Nurse Supervisor of staffing needs when assigned
personnel fail to report to work.
Report absentee call-ins to the Nurse Supervisor.
Review and evaluate your department's work force and make
recommendations to the Nurse Supervisor.
Develop work assignments and /or assist in completing and
performing such assignments.
Provide leadership to nursing personnel assigned to your
Make daily rounds of your unit/shift to ensure that nursing service
personnel are performing their work assignments in accordance with
acceptable nursing standards. Report problem areas to the Nurse
Ensure that all nurse aide trainees are under the direct
supervision of a licensed nurse.
Meet with your shift's nursing personnel, on a regularly scheduled
basis, to assist in identifying and correcting problem areas,
and/or to improve services.
Ensure that department personnel, residents, and visitors follow
the department's established policies and procedures at all
Develop and maintain a good working rapport with inter-departmental
personnel, as well as other departments within the facility to
ensure that nursing services and activities can be adequately
maintained to meet the needs of the residents.
Create and maintain an atmosphere of warmth, personal interest and
positive emphasis, as well as a calm environment throughout the
unit and shift.
Review complaints and grievances made or filed by your assigned
personnel. Make appropriate reports to the Nurse Supervisor as
required or as may be necessary. Follow facility's established
Ensure that departmental disciplinary action is administered fairly
and without regard to race, color, creed, national origin, age sex,
religion, handicap, or marital status.
Receive/give the nursing report upon reporting in the ending shift
Report occupational exposures to blood, body fluids, infectious
materials, and hazardous chemicals in accordance with the
facility's policies and procedures governing accidents and
incidents. Nursing Care Functions Inform nursing personnel of new
admissions, their expected time of arrival, room assignment,
Ensure that rooms are ready for new admissions.
Participate in the orientation of new residents/family members to
Make rounds with physicians as necessary.
Requisition and arrange for diagnostic and therapeutic services, as
ordered by the physician, and in accordance with our established
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.
Implement and maintain established nursing objectives and standards
in accordance with the plan of care.
Make periodic checks to ensure that certified nursing assistants
are properly administering prescribed treatments and to evaluate
the resident's physical and emotional status.
Cooperate with the coordinate social and activity programs with
nursing service schedules.
Notify the resident's attending physician and next-of-kin when
there is a change in the resident's condition.
Carry out restorative and rehabilitative programs, to include
self-help and care.
Inspect the nursing service treatment areas daily to ensure that
they are maintained in a clean and safe manner.
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 and authorized within the scope of practice for LPNs as
defined by the Ohio Nurse Practice Act .
Use restraints when necessary and in accordance with established
policies and procedures in accordance with the plan of care.
Obtain sputum, urine and other specimens for lab tests as
Take and record TPRs, blood pressures, etc., as necessary.
Monitor seriously ill residents as necessary.
Check foods brought into the facility by the resident's
family/visitors to ensure that it is within the resident's dietary
allowances. Report problem areas to the Nurse Supervisor and
Ensure that personnel providing direct care to residents are
providing such care in accordance with the resident's care plan and
Ensure that residents who are unable to call for help are checked
Meet with residents, and/or family members, as necessary. Report
problem areas to the Nurse Supervisor.
Admit, transfer and discharge residents as necessary.
Assist in arranging transportation for discharged residents as
Ensure that discharged residents are escorted to the pick-up
Inform family members of the death of the resident.
Call funeral homes when requested by the family. Ensure that
established post-mortem procedures are followed. Staff Development
Participate in developing, planning, conducting, and in-service
training classes that provide instructions on "how to do the job,"
and ensure a well-educated nursing service department.
Implement and maintain an effective orientation program that
orients the new employee to your shift, its policies and
procedures, and to his/her job position and duties.
Assist in standardizing the methods in which work will be
Assist in training department personnel in identifying tasks that
involve potential exposure to blood/body fluids.
Attend and participate in outside training programs.
Attend and participate in annual OSHA and CDC in-service training
programs for hazard communication, TB management, and blood borne
Attend and participate in continuing education programs designed to
keep you abreast of changes in your profession, as well as to
maintain your license on a current status. Safety and Sanitation
Monitor your assigned personnel to ensure that they are following
established safety regulations in the use of equipment and
Ensure that your assigned nursing personnel follow established
departmental policies and procedures, including dress codes.
Assist the Director and/or Infection Control Coordinator in
identifying, evaluating, and classifying routine and job-related
functions to ensure that tasks in which there is potential exposure
to blood/body fluids are properly identified and recorded.
Ensure that all personnel performing tasks that involve potential
exposure to blood/body fluids participate in appropriate in-service
training programs prior to performing such tasks.
Ensure that an adequate supply of personal protective equipment are
on hand and are readily available to personnel who perform
procedures that involve exposure to blood or body fluids.
Ensure that your assigned work areas (i.e., nurses' stations,
medicine preparation rooms, etc.) are maintained in a clean and
Ensure that your unit's resident care rooms, treatment areas, etc.,
are maintained in a clean, safe, and sanitary manner.
Ensure that your assigned personnel follow established hand washing
techniques in the administering of nursing care procedures.
Ensure that your assigned personnel participate in and conduct all
fire safety and disaster preparedness drills in a safe and
Participate in the development, implementation, and maintenance of
the infection control program for monitoring communicable and/or
infectious diseases among the residents and personnel.
Ensure that your assigned personnel follow established infection
control procedures when isolation precautions become necessary.
Ensure that nursing personnel follow established procedures in the
use and disposal of personal protective equipment.
Participate in the development, implementation and maintenance of
the procedures for reporting hazardous conditions or equipment.
Ensure that all personnel wear and/or use safety equipment and
supplies (e.g., back brace, mechanical lifts, etc.) when lifting or
Report missing/illegible labels and MSDSs to the safety officer or
other designated person. Equipment and Supplies Recommend to the
Nurse Supervisor the equipment and supply needs of you
Ensure that an adequate stock level of medications, medical
supplies, equipment, etc., is maintained on your unit/shift at all
times to meet the needs of the residents.
Participate in the development and implementation of the procedures
for the safe operation of all nursing service equipment.
Ensure that all personnel operate nursing service equipment in a
Monitor nursing procedures to ensure that nursing service supplies
are used in an efficient manner to avoid waste. Care Plan Functions
Review care plans to ensure that care in accordance with the plan
of care. Inform the RN Nurse Supervisor of any observations, health
information or data that may indicate that changes need to be made
on the care plan.
Ensure that your nurses' notes reflect that the care plan is being
followed when administering nursing care or treatment.
Ensure that your assigned certified nursing assistants (CNAs) are
aware of the resident care plans.
Assist the Resident Assessment/Care Plan Coordinator in planning,
scheduling, and revising the MDS, including the implementation of
Triggers by providing health information from data collection and
observations. Resident Rights Maintain the confidentiality of all
resident care information.
Monitor nursing care to ensure that all residents are treated
fairly, and with kindness, dignity, and respect.
Ensure that all nursing care is provided in privacy and that
nursing service personnel knock before entering the resident's
Ensure that all nursing service personnel are knowledgeable of the
residents' responsibilities and rights including the right to
Review complaints and grievances made by the resident and make a
written/oral report to the Nurse Supervisor indicating what
action(s) were taken to resolve the complaint or grievance. Follow
the facility's established procedures.
Maintain a written record of the resident's complaints and/or
grievances that indicates the action taken to resolve the complaint
and the current status of the complaint.
Report and investigate all allegations of resident abuse and/or
misappropriation of resident property.
Ensure that nursing staff personnel honor the resident's refusal of
treatment request. Ensure that such requests are in accordance with
the facility's policies governing advance directives. Miscellaneous
Provide data to the Quality Assurance & Assessment Committee as
requested. Working Conditions Works in office area(s) as well as
throughout the nursing service area (i.e., drug rooms, nurses'
stations, resident rooms, etc.).
Moves intermittently during working hours.
Is subject to frequent interruptions.
Is involved with residents, personnel, visitors, government
agencies/personnel, etc., under all conditions and
Is subject to hostile and emotionally upset residents, family
members, personnel, and visitors.
Communicates with the medical staff, nursing personnel, and other
Works beyond normal working hours, and in other positions
temporarily, when necessary.
Is subject to callback during emergency conditions (e.g., severe
weather, evacuation, post disaster, etc.).
Attends and participates in continuing educational programs.
Is subject to injury from falls, burns from equipment, odors, etc.,
throughout the workday, as well as to reactions from dust,
disinfectants, tobacco smoke, and other air contaminants.
Is 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
Maintains a liaison with the residents, their families, support
departments, etc., to adequately plan for the residents' needs.
Education Must possess, as a minimum, be a graduate of an approved
Participation in continuing education classes, workshops and
seminars affiliated with outside nursing organizations desirable.
Experience On-the-job training provided. Specific Requirements Must
possess a current, unencumbered, active license to practice as an
LPN/LVN in this state.
Must be able to read, write, speak, and understand the English
Must possess the ability to make independent decisions when
circumstances warrant such action.
Must possess the ability to deal tactfully with personnel,
residents, family members, visitors, government agencies/personnel,
and the general public.
Must be knowledgeable of nursing and medical practices and
procedures, as well as laws, regulations, and guidelines that
pertain to long-term care.
Must possess the ability to plan, organize, develop, implement, and
interpret the programs, goals, objectives, policies and procedures,
etc., that are necessary for providing quality care.
Must have patience, tact, a cheerful disposition and enthusiasm, as
well as the willingness to handle difficult residents.
Must be willing to seek out new methods and principles and be
willing to incorporate them into existing nursing practices.
Must be able to relate information concerning a resident's
Must not pose a direct threat to the health or safety of other
individuals in the workplace. Physical and Sensory Requireme
Keywords: Embassy of Euclid, Euclid , LPN, Healthcare , Euclid, Ohio
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