Licensed Practical Nurse LPN Night Shift

Are you a night owl? Are you a Licensed Practical Nurse / LPN ? Do you want to feel appreciated at work? Do you want to know you're cared about? Join us at Bluebird Wellness & Rehabilitation! We need a great nurse like you on our night shift! 

Here are the details (there are a lot of them, but they're good. Trust me.)...

Job Type: Full-time

*Benefits Available for Full-Time Employees*

Benefits:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance

Qualification: Licensed Vocation/Practical Nurse
Job Title Variation: Charge Nurse
Reports to: Director of Nursing and/or ADON
Supervises: Nursing Personnel on Unit
Classification: Non-Exempt Hourly

Licensed Practical Nurse / LPN Position Description

A licensed practical nurse / LPN is responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements.

Licensed practical nurse / LPN operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals.

Licensed Practical Nurse / LPN Principal Responsibilities

• Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines.
• Admit, transfer and discharge residents with documentation regarding care and service provided.
• Participate in the orientation of new residents/family members to the facility.
• Participate in facility surveys (inspections) as scheduled.
• Ensure delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift.
• Serve as a resource to all staff within the facility regarding the quality of services provided.
• Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act.
• Effectively manage nursing personnel on shift to limit use of overtime and agency personnel.
• Assess the work performance of nursing staff as it relates to unit standards of care and goals.
• Conducts unit huddles to promote communication programs and provides updates to DON.
• Participate in shift-to-shift communication between incoming and outgoing nursing staff.
• Coordinate shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides.
• Collaborate with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences.
• Assume nursing administrative responsibilities of the center for weekend and holiday coverage as requested.
• Stay and work beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents.
• Ensure timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care.
• Ensure Point Click Care (PCC) is utilized according the company process.
• Ensurs that physician orders are followed as prescribed.
• Effectively carry out medication management to ensure adequate supplies and that all medications are handled in accordance with company policy.
• Ensure that resident's attending physician and family or responsible party are promptly notified of any significant change in the resident's health condition.
• Ensure complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. Ensures that resident's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with company policies and procedures and the Federal/State rules and regulations.
• Investigate resident/family complaints and takes appropriate actions to bring to resolution.
• Demonstrate knowledge and appropriate use of the Company Infection Control Manual.
• Evaluate the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice. 

Licensed Practical Nurse / LPN Direct Care Responsibilities

• Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care.
• Follows established procedure for charting and reporting all reports of incident/accidents (residents & employees).
• Identifies and reports changes in condition to supervisor, physician and family.
• Accurately identifies skin changes and follows the Company skin management protocols.
• Orders and reports diagnostic tests timely.
• Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift.
• Follows Pharmacy policy and procedures for ordering and delivering medications.
• Follows established procedures for restraint reduction.
• Assists with meal service; Identifies residents at risk for nutritional problems and implements preventative measures; Checks items and food that is brought in by family members to assure it complies with resident’s orders, dietary needs, and safety; Monitors residents with significant weight loss and gain and reports this to the physician and dietary.
• Documents in progress notes any exceptions to resident’s condition, including daily charting on ill residents, 24, 48, or 72-hour follow up charting on residents with infections, incidents or new admits.
• Completes documentation to reflect progress or lack of progress of residents participating in Quality of Life programs.
• Accurately completes and is familiar with the forms used throughout the resident’s chart.
• Participates and conducts (as appropriate) investigations related to any alleged abuse.
• Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed.

Special Nursing Care Responsibilities for Licensed Practical Nurse / LPN

• Demonstrates knowledge and ability to work with: NG/tube: insertion, placement, irrigation; Colostomy care: irrigation; Foley catheter care: insertion, Irrigation; Catheter application; Straight catheterization;
• Demonstrates knowledge and ability to work with: Tube feeding: hanging and labeling, operation of pump, calculating intake and output, assuring dietary, recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention, feeding tube placement, residual.
• Demonstrates knowledge and ability to implement: Positioning techniques; Transfer techniques; ROM exercises.
• Demonstrates knowledge and ability to implement: Emergency procedures: properly administer s O2, suctions, performs CPR, and uses the ambu bag; glucometer checks.
• Demonstrates knowledge and ability to work with: IVs: conducts IV site care, applies and monitors a Heparin Lock, mixes, hangs and administers IV solutions to residents, can compute rate of IV fluid administration, operates the infusion pump.
• Demonstrates knowledge and ability to work with: Suctioning: tracheotomy, nasotracheal; Tracheotomy care; Gastrostomy care: irrigation, placement check; Sterile technique.
• Demonstrates knowledge and ability to work with: mechanical ventilation, indication of ventilation; understand the difference between oxygenation and ventilation, identifying initial parameters, settings and special issues associated with ventilator setup, trouble shoot and recognizing alarms; and evaluate patient response to the ventilator; recognize the cause of low pressure and high pressure on ventilation care; basic and advance airway; pulmonary assessment; and maintaining patient airway and devices.
• Demonstrates knowledge and ability to implement: Collection of lab specimens; Isolation techniques.

General Responsibilities of Licensed Practical Nurse / LPN

• Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy.
• Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor.
• Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy.
• Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.
• Adheres to established employee policies.
• Adheres to established dress code.

Customer Service Responsibilities of Licensed Practical Nurse / LPN

• Models customer service principals throughout the center and promotes appreciation of our customer’s needs.
• Treats residents, residents’ family members, visitors and fellow employees with courtesy, respect, and dignity.
• Presents professional image through appearance, behavior and speech.
• Explains procedures to residents before administering services.

Residents Rights

• Understands, upholds and promotes the rights of the residents.
• Ensures residents can exercise rights without interference, coercion, discrimination, or reprisal from the facility.
• Ensures protected health information is kept confidential.
• Ensures resident concerns/complaints are responded to with tact and urgency.
• Reports allegations of resident abuse, neglect and/or misappropriation of resident property.
• Coordinates effective communication with Residents and Companions by assuring all arrangements for providing interpreters and/or other auxiliary aids and services needed by Residents and Responsible Party are made.

Safety and Sanitation

• Follows established safety policies and procedures.
• Identifies and corrects safety hazards; reports safety concerns as required.
• Observes safety needs of residents as indicated in care plan.
• Wears and/or uses safety equipment and supplies when indicated and properly trained to use.
• Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations.

Staff Development 

• Attends and participates in scheduled in-service training, educational classes and meetings to maintain current certification as applicable and as managed by regulatory agencies and company policies.
• Ensures that small group meetings are held per company policy.
• Communicates new Policy & Procedures and regulations to staff to ensure compliance.

Qualifications

• Graduate of an approved Licensed Practial Nursing / LPN program and licensed in the state of practice, required.
• Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred.
• Current BLS/CPR certification (All SNFs; ALFs as required by state).

Travel 

Local travel to attend company trainings and/or workshops.

Principal Contacts

• Works closely with nursing staff, residents, families, physician and department heads.