LPN/LVN (License Practical Nurse)

Unit Notes

PA MSL/Compact Exception Approved

NO DUOS

CAN NOT SWITCH SHIFT UNTIL EXTENSION

24 hours to accept offer.

Health Items need to be collected within 48 hours.

Must use COTA and facility timeclock. If their badge is lost, clinician will have to pay *** to get it replaced. Forget your badge the first time you will get a verbal warning, second time written warning, 3rd time written warning, 4th time terminated.

Unit/Department: Floor Nurse (RN/LPN)

• Type of Facility: LTC/SNF
• # of Beds/Residents: 300 total beds divided into 6 total units
• Units:
  
  

A - 47 beds

C - 50 beds (Covid unit, currently closed unit)

G - 59 needs

H - 40 bed secure dementia unit

J - 59 beds

K - 45 beds

• EMR: PCC
• Ratios: Majority of floor nurses are LPN's
  
  

Days: 3 Nurse Managers assigned to 2 units Monday through Friday. Weekends there will be 1 Nurse Manager assigned to oversee all units.

In addition to Nurse Manger there will be 2 additional nurses on each unit (1 Charge nurse and 1 Med/Treatment nurse). If staffing allows there may be a 3rd nurse on each unit (1 Charge Nurse, 1 Med Nurse & 1 Treatment Nurse). Nurses will consist of both RN's and LPN's.

Evenings: RN Supervisor and Floor nurses (LPN or RN)

In addition to RN Supervisor there will be 2 additional nurses on each unit (1 Charge nurse and 1 Med/Treatment nurse). Nurses will consist of both RN's and LPN's.

Nights: RN Supervisor as staffing allows and 1 floor nurse (RN or LPN) per unit. At this time using 5/6 units so if 6 nurses assigned 1 floor nurse will split between the two largest units (J & K).

• Required Certifications: BLS
• Common diagnosis / Types of patients: Accept LTC, skilled, rehab and dementia residents 18 years or older. Hospice Care accepted in house - have 2 dedicated hospice rooms.
• Job Duties: Floor RN and LPN roles are very similar and include: Med and treatment administration, blood glucose monitoring, insulin administration, IV meds (mostly IV antibiotics, Lasix and bumex), TPN, tube feedings, wound care (including wound measurement), lab draws and specimen collection, foley/cath care, trach care, ADL assistance, assessment charting, incident reports, monitoring vitals, oxygen administration/management, etc. RN ONLY to perform central line cares, chest tube care/management, IV starts, admission orders, fall assessments.
• Experience or 'Must have' skills: Prior PCC experience (minimal training given), Experience measuring wounds (measuring only, nurses will not stage wound - NP will assess/stage wounds weekly).
• Are there IV's or titratable drips?: Lasix, bumex and antibiotics.
• Area there Tele monitors? If so do you have monitor techs on this unit? Do RN's read strips?: No .
• Are RN's required to attend team conferences for acute inpatient rehab?: May participate in care plan meetings (most common for Short Term Stay residents).
• DON/Charge Nurse/House Supervisor: DON & RN Supervisors.
• Physician availability after hours: House MD and NP available by phone. Request to contact will go through DON, Manager or RN supervisor.
• Interdisciplinary Team- PT/OT/SLP, Pulmonary or Cardiac Rehab, Case Managers, Social Workers, Dieticians?- PT, OT, SLP, Case Managers, Social Workers, Dieticians.
• Is RT on-site 24/7? Oxygen Therapy /Equipment (ie Cpap, Bipap, High Flow): No RT staff. Will see CPAP, BiPap, O2, Nebs, INH, trach with or without humidifier mister, No vents accepted.
• Pharmacy on-site? Medication dispensing system?: Pharmacy on site Monday through Friday during normal business hours, Medications are administered from pill bottles, no current med dispensing system, RN Supervisor has access to emergency drug closet when pharmacy not available.
• Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?): 8.25 HR shifts for licensed nurses including 30 min unpaid lunch break.
• Weekend Requirements: Every other but able to work more if desired.
• Holiday Requirements: YES but No set rotation, schedule is made out 2 weeks in advance and will work holiday if it falls on your scheduled day within the current schedule.
• Call or Standby Requirement: NO - will work scheduled shifts, don’t send home early.
• Floating Requirements: Try to keep nurses in consistent areas but may be assigned to any area as needed.
• Scrub Color/Dress Code: Any color clean, professional scrubs except camo.
• Unit/Department Specific Orientation: 3 days.
• LOCAL RATES -***
  
  

1 year experience in LTC within the last 3 years