LPN

A.Role Responsibilities – Administrative Duties:

1.Directs the day-to-day functions of the nursing assistants in accordance with current rules, regulations,and guidelines that govern the long-term care facility

2.Ensures that all nursing personnel assigned to you comply with the written policies and proceduresestablished by this facility

3.Reviews the department's policies, procedure manuals, job descriptions, etc. periodically and makesrecommendations for revisions

4.Meets with assigned nursing staff, as well as support personnel, in planning the shifts' services,programs, and activities

5.Ensures that the Nursing Service Procedures Manual is current and reflects the day-to-day nursingprocedures performed in this facility

6.Ensures that all nursing service personnel comply with the procedures set forth in the Nursing ServiceProcedures Manual

7.Makes written and oral reports/recommendations concerning the activities of your shift as required

8.Cooperates with other resident services when coordinating nursing services to ensure that theresident's total regimen of care is maintained

9.Ensures that all nursing service personnel are in compliance with their respective job descriptions

10.Participates in the development, maintenance, and implementation of the facility's quality assuranceprogram for the nursing service department

11.Provides data to the Quality Assurance & Assessment Committee as requested

12.Participates in facility surveys (inspections) made by authorized government agencies as may berequested

13.Reviews the resident's written discharge plan periodically and participates in the updating of theresident's written discharge plan as required

14.Assists in planning the nursing services portion of the resident's discharge plan as necessary

15.Interprets the department's policies and procedures to personnel, residents, visitors, and governmentagencies as required

16.Completes accident/incident reports as necessary

LPN 2

• Writes resident charge slips and forward to the Business Office
• Maintains the Daily Census Report and submit to the Business Office as required
• Performs administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary

B. Role Responsibilities – Charting and Documentation

• Completes and files required record keeping forms/charts upon the resident's admission, transfer, and/or discharge
• Encourages attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies
• Receives telephone orders from physicians and record on the Physicians' Order Form
• Transcribes physician's orders to resident charts, cardex, and medication cards, treatment/care plans, as required
• Charts 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
• Charts all reports of accidents/incidents involving residents. Follow established procedures
• Records new/changed diet orders and forwards information to the Dietary Department
• Reports all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor
• Fills out and completes transfer forms in accordance with established procedures
• Ensures that appropriate documentation concerning unauthorized discharges is entered in the resident's medical record in accordance with established procedures
• Performs routine charting duties as required and in accordance with established charting and documentation policies and procedures
• Signs and dates all entries made in the resident's medical record

C. Role Responsibilities – Drug Administration

• Prepares and administers medications as ordered by the physician
• Verifies the identity of the resident before administering the medication/treatment
• Ensures that prescribed medication for one resident is not administered to another
• Ensures that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents and reports needs to the Nurse Supervisor
• Orders prescribed medications, supplies, and equipment as necessary, and in accordance with established policies
• Ensures that narcotic records are accurate for your shift
• Notifies the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift
• Reviews medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies
• Notifies the attending physician of automatic stop orders prior to the last dosage being administered
• Disposes of drugs and narcotics as required, and in accordance with established procedures

D. Role Responsibilities – Personnel Duties

• Participates in employee performance evaluations, determining your shift's staffing requirements, and making recommendations to the Nurse Supervisor concerning employee dismissals, transfers, etc.
• Informs the Nurse Supervisor of staffing needs when assigned personnel fail to report to work and reports absentee call-ins
• Reviews and evaluates your department's work force and make recommendations to the Nurse Supervisor
• Develops work assignments and/or assist in completing and performing such assignments
• Provides leadership to nursing personnel assigned to your unit/shift

LPN 3

• Makes 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 Supervisor
• Ensures that all nurse aide trainees are under the direct supervision of a licensed nurse
• Meets with your shift's nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services
• Ensures that department personnel, residents, and visitors follow the department's established policies and procedures at all times
• Reviews complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Nurse Supervisor as required or as may be necessary
• Ensures that departmental disciplinary action is administered fairly and without regard to any protected class under federal or state law
• Receives/gives the nursing report upon reporting in and ending shift duty hours

E. Role Responsibilities – Nursing Care

• Informs nursing personnel of new admissions, their expected time of arrival, room assignment, etc.
• Ensures that rooms are ready for new admissions
• Participates in the orientation of new residents/family members to the facility
• Makes rounds with physicians as necessary
• Requests and arranges for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures
• Consults with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary
• Reviews the resident's chart for specific treatments, medication orders, diets, etc., as necessary
• Implements and maintains established nursing objectives and standards
• Makes periodic checks to ensure that certified nursing assistants are properly administering prescribed treatments and to evaluate the resident's physical and emotional status
• Cooperates with and coordinates social and activity programs with nursing service schedules
• Notifies the resident's attending physician when the resident is involved in an accident or incident
• Notifies the resident's attending physician and next-of-kin when there is a change in the resident's condition
• Carries out restorative and rehabilitative programs, to include self-help and care
• Inspects the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner
• Administers 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
• Uses restraints when necessary and in accordance with established policies and procedures
• Obtains sputum, urine and other specimens for lab tests as ordered
• Takes and records TPRs, blood pressures, etc., as necessary
• Monitors seriously ill residents as necessary
• Checks foods brought into the facility by the resident's family/visitors to ensure that it is within the resident's dietary allowances and reports problem areas to the Nurse Supervisor and Dietary Supervisor
• Ensures that personnel providing direct care to residents are providing such care in accordance with the resident's care plan and wishes
• Ensures that residents who are unable to call for help are checked frequently
• Meets with residents, and/or family members, as necessary and reports problem areas to the Nurse Supervisor
• Admits, transfers and discharges residents as necessary
• Assists in arranging transportation for discharged residents as necessary

LPN 4

• Ensures that discharged residents are escorted to the pick-up area
• Informs family members of the death of the resident
• Calls funeral homes when requested by the family and ensures that established post-mortem procedures are followed.

F. Role Responsibilities – Staff Development

• Participates in developing, planning, conducting, and in-service training classes that provide instructions on "how to do the job," and ensures a well-educated nursing service department
• Implements and maintains an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties
• Assists in standardizing the methods in which work will be accomplished
• Assists in training department personnel in identifying tasks that involve potential exposure to blood/body fluids
• Attends and participates in outside training programs
• Attends and participates in annual OSHA and CDC in-service training programs for hazard communication, TB management, and bloodborne pathogens standard
• Attends and participates 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

G. Role Responsibilities - Interpersonal Skills

• Must function independently and have flexibility, personal integrity, and the ability to work effectively with the residents, personnel, and support agencies
• Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances
• Cooperates with inter-departmental personnel, as well as other facility personnel to ensure that nursing services can be adequately maintained to meet the needs of the residents
• Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a clam environment throughout the unit and shift
• Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents’ needs
• Communicates with the medical staff, nursing personnel, and other department supervisors

H. Role Responsibilities - Safety

• Monitors assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies
• Ensures that established departmental policies and procedures, including dress codes, are followed by assigned nursing personnel
• Ensures that assigned personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner
• Participates in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment
• Ensures that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents
• Reports missing/illegible labels and MSDSs to the safety officer or other designated person
• Reports all accidents/incidents, safety violations, hazardous conditions, or defective equipment to supervisor
• Reports occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility's policies and procedures governing accidents and incidents