LICENSED PRACTICAL NURSE
To deliver nursing care to residents of this facility.
Characteristic Duties And Responsibilities
1. Works under direct supervision using the Nurse Practice Act, Policies and Procedures and nursing judgment.
2. Delivers nursing care to patients/resident.
3. Makes observations and reports pertinent information related to the care of the
4. Implements the resident plan of care and evaluates the resident response.
5. Directs care given by other nursing personnel in selected situations.
6. Maintains knowledge of necessary documentation requirements.
7. Maintains knowledge of equipment set-up, maintenance and use, i.e. monitors, infusion devices, drain devices, etc.
8. Maintains confidentiality and resident rights regarding all patient/personnel information.
9. Provides resident/family/caregiver education as directed.
10. Conducts self in a professional manner in compliance with unit and facility policies.
11. Works rotating shifts, holidays and weekends as scheduled.
12. Initiates emergency support measures (i.e. CPR, protects patients/residents from injury).
1. Participates in the identification of staff educational needs.
2. Serves as a preceptor, as delegated, for new staff.
3. Maintains resident care supplies, equipment and environment.
4. Participates in the development of unit objectives.
The Licensed Practical Nurse is at high risk for exposure to blood and body fluids or other potentially infectious materials.
Receives administrative supervision from the Director of Nursing. May receive functional supervision from registered nurses working on the unit, the Nursing Supervisor or the Assistant Director of Nursing.
1. Graduation from a basic educational program in practical nursing.
2. Current license to practice profession in state.
3. A minimum of one-year medical/surgical experience in an acute care (hospital) setting preferred.
Minimum Performance Standards
1. Admission and routine resident observations/transfer notes are complete and accurately reflect the resident's status.
2. Documentation of observations is complete and reflects knowledge of documentation policies and procedures.
3. Nursing history is present in the medical record for all residents.
4. Changes in resident's physical/psychological condition (i.e., changes in lab data, vital signs, mental status, etc.) are reported appropriately.
Planning Of Care
Contributions to the formulation/review of nursing care plans are made on assigned residents:
1. Pertinent nursing problems are identified.
2. Goals are stated.
3. Appropriate nursing orders are suggested.
Evaluation Of Care
1. Observations related to the effectiveness of nursing interventions, medications, etc. are reported as appropriate and documented in the progress notes.
2. Care Plans:
a. Evaluation of care plan is noted as indicated.
b. Contributions to care plan revision are made as indicated by the patient's/ resident's status.
General Patient/Resident Care
1. Patient/resident is approached in a kind, gentle and friendly manner. Respect for the resident's dignity and privacy is consistently provided.
2. Interventions are performed in a timely manner. Explanations for delays in answers/ responses are provided.
3. Independence by the patient/resident in activities of daily living is encouraged to the fullest extent possible
4. Treatments are completed as indicated.
5. Safety concerns are identified and appropriate actions are taken to maintain a
a. Side rails and height of bed are adjusted.
b. Resident call light and equipment are within reach.
c. Restraints when used are maintained properly.
d. Rooms are neat and orderly.
6. Resident identification bands and allergy bands (if applicable) are present.
7. Functional assignments are completed.
8. Emergency situations are recognized and appropriate action is instituted.
9. All emergency equipment can be readily located and operated (emergency oxygen supply, drug box, fire extinguisher, etc.).
Patient/Resident Education/Discharge Planning
1. Resident/family teaching is conducted according to the nursing care plan.
2. Explanations are given to the resident prior to interventions.
3. Discharge/death summaries are complete and accurate.
4. Active participation in resident care management is evident.
Adherence To Facility Procedures
1. Facility procedure manuals or reference materials are utilized as needed.
2. Procedures are performed according to method outlined in procedure manual.
3. Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions.
4. Safety guidelines established by the facility (i.e., proper needle disposal) are followed.
1. The patient's/resident's full name and room number are present on all chart
forms. Allergies are noted on chart cover.
2. Only approved abbreviations are utilized.
3. TPR graphic is completed properly and timely.
4. I&0 summaries are recorded and added correctly.
5. Blood pressure graphic is completed accurately.
6. Progress notes are timed, dated and signed with full signature and title.
7. Unit flow sheets are completed properly (i.e., wound care records, treatment records).
Medication Administration/Parenteral Therapy Record
1. Dates that medications are started or discontinued are documented.
2. Medications are charted correctly with name, dose, route, site, time and initials of nurse administering.
3. Pulse and BP are obtained and recorded when appropriate.
4. Medications not given are circled, reason noted and physician notified if
5. Appropriate notes are written for medications not given and actions taken.
6. Name and title of nurse administering the medication are documented.
7. Patient's resident's medication record is labeled with full name, room number, date and allergies.
8. The procedure for administration and counting of narcotics is followed.
9. All parenteral fluids including additives are charted with time and date started,
time infusion completed, site of infusion and signature of nurses.
10. AII parenteral fluids are administered according to the ordered infusion rate.
11. Parenteral intake is accurately recorded on flow sheet or 1&0 record.
12. Appropriate actions are taken related to identified IV infusion problems
(infiltration, phlebitis, poor infusion, etc.).
13. IV sites are monitored and catheters changed according to unit policy.
14. I/V bags and tubing changed according to policy.
Coordination Of Care
1. Co-workers are informed of changes in resident conditions or of any other changes occurring on the unit.
2. Information is relayed to other members of the health care team (Le., physicians, respiratory therapy, physical therapy, social services, etc.).
3. Unit activities are coordinated (i.e., preparing residents rooms for admissions, coordinating transfer/discharge forms, etc.).
1. Equitable care assignments that are appropriate to resident needs are made
prior to the beginning of the shift.
2. Staffing needs are communicated to the nursing supervisor.
3. Assistance, direction and education are provided to unit personnel and families.
4. Problems are identified, data are gathered, solutions are suggested and communication regarding the problem is appropriate.
5. Transcript of all orders is checked.
6. All work areas are neat and clean.
1. Change of shift report is complete, accurate and concise.
2. Incident Reports are completed accurately and in a timely manner.
3. Staff meetings are attended.
1. Decisions are made that reflect knowledge and good judgment and demonstrate an awareness of patient/resident/family/physician needs.
2. Awareness of own limitations is evident and assistance is sought when necessary.
3. Dress code is adhered to.
4. Committee meetings (if assigned) are attended. Reports related to the committee are given during staff meetings.
5. Responsibility is taken for own professional growth. All mandatory and other in-services are attended.
6. Organizational ability and time management are demonstrated.
7. Confidentiality of resident is respected at all times (Le., when answering telephone and/or speaking to co-workers).
8. Professional behavior is demonstrated.
1. A positive working relationship with residents, visitors and facility staff is demonstrated.
2. Authority is acknowledged and response to the direction of supervisors is appropriate.
3. Time is spent with residents rather than other personnel.
4. Co-workers are readily assisted as needed.
1. Supplies are used appropriately.
2. Charge system is utilized appropriately.
3. Minimal supplies are stored in the patient's/resident's room.
4. Discharge medications are returned to the pharmacy or destroyed in a timely manner.
5. Floor-stock medications are charged and re-stocked.
1. Works inside the facility through the Nursing Service area, including the medication rooms nurses stations and the resident rooms.
2. Sits, stands, bends, lifts, reaches, walks, and moves intermittently during working hours.
3. Is subject to frequent interruptions.
4. Is subject to a quiet to moderate noise level due to phones, mechanical alarms and occasional construction work.
5. Is involved with residents, personnel, visitors, government agencies/personnel, etc. under all conditions and circumstances.
6. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
7. Communicates with the medical staff, nursing personnel, and other department supervisors.
8. Works beyond normal working hours, and in other positions when necessary.
9. Is subject to hazards in the work area including, bumps from equipment, odors, exposure to sharp instruments, falls, chemical cleansers, etc. throughout the working hours.
10. ls subject to exposure to infectious waste, diseases or conditions.
11. Maintains a liaison with the residents, their families, support departments, etc. to adequately plan for the resident's needs.
12. May be required to wear a facemask, gown, or gloves.
1. Must possess a current, unencumbered license to practice as an LPN in this
2. Must be able to read, write, speak and understand the English language.
3. Must possess the ability to make independent decisions when necessary.
4. Must be able to relate information concerning a resident's condition.
Physical And Sensory Requirements
(With or without the aid of mechanical devices)
1. Must be able to move intermittently throughout the workday.
2. Must be able to speak the English language in an understandable manner.
3. Must be able to cope with the mental and emotional stress of the position.
4. Must be able to see and hear or use prosthetics that will enable the senses to function adequately to assure that the requirements of this position can be fully met (i.e., accurately read measurements on patient/resident related equipment such as thermometers, monitors, gauges).
5. Must be able to function independently, have personal integrity, flexibility, and the ability to work effectively with residents, personnel and support agencies.
6. Must be in good general health and demonstrate emotional stability.
7. Must be able to relate and work with the disabled, ill, elderly, emotionally upset, and at times, hostile people within the facility.
8. Must be able to lift, push, pull, and move a minimum of 50 pounds.
9. Must be able to assist with the evacuation of residents.
To Apply: Qualified candidates can view jobs near them at www.palmgarden.com/careers , or send your resume and cover letter to with the job title listed in the SUBJECT line - mention CFEC.org job posting when applying.
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