LVN/LPN-H
Company: La Mesa Healthcare Center
Location: La Mesa
Posted on: May 8, 2024
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Job Description:
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. 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 activities. --- Ensure that the
Nursing Service Procedures Manual is current and reflects the
day-to-day nursing procedures performed in this facility. ---
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 maintained. --- 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 department. --- 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, residents, 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 as required. --- Perform administrative duties such as
completing medical forms, reports, evaluations, studies, charting,
etc., as necessary. --- Agree not to disclose assigned user ID code
and password for accessing resident/facility information and
promptly report suspected or known violations of such disclosure to
the Administrator. --- Agree not to disclose resident's protected
health information and promptly report suspected or known
violations of such disclosure to the Administrator. --- Report any
known or suspected unauthorized attempt to access facility's
information system. Charting and Documentation --- Complete and
file required recordkeeping forms/charts upon the resident's
admission, transfer, and/or discharge. --- Encourage attending
physicians to review treatment plans, record and sign their orders,
progress notes, etc., in accordance with established policies. ---
Receive telephone orders from physicians and record on the
Physicians' Order Form. --- Transcribe physician's orders to
resident charts, cardex, 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 as required. ---
Chart all reports of accidents/incidents involving residents.
Follow established procedures. --- Record new/changed diet orders.
Forward information to the Food Services Department. --- 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 procedures.
--- 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 medication/treatment. --- 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 unit/shift. --- 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 Supervisor. --- Ensure
that all nursing assistants are enrolled in or have graduated from
an approved nursing assistant training program. --- 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 times. --- 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
procedures. --- 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 and ending
shift duty hours. --- 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. --- Report known or suspected incidents of fraud to the
Administrator. --- Ensure that departmental computer workstations
left unattended are properly logged off or the password protected
automatic screen-saver activates within established facility policy
guidelines. Nursing Care Functions --- Inform nursing personnel of
new admissions, their expected time of arrival, room assignment,
etc. --- Ensure that rooms are ready for new admissions. --- Greet
newly admitted residents upon admission. Escort them to their rooms
as necessary. --- Participate in the orientation of new
residents/family members to the facility. --- 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 procedures. --- 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. --- Make periodic checks to ensure that
prescribed treatments are being properly administered by certified
nursing assistants and to evaluate the resident's physical and
emotional status. --- Ensure that direct nursing care be provided
by a licensed nurse, a certified nursing assistant, and/or a nurse
aide trainee qualified to perform the procedure. --- Cooperate with
and coordinate social and activity programs with nursing service
schedules. --- Notify the resident's attending physician when the
resident is involved in an accident or incident. --- 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. --- Use restraints when
necessary and in accordance with established policies and
procedures. --- Obtain sputum, urine and other specimens for lab
tests as ordered --- 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
Dietary Supervisor. --- Ensure that personnel providing direct care
to residents are providing such care in accordance with the
resident's care plan and wishes. --- Ensure that residents who are
unable to call for help are checked frequently. --- 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 necessary. --- Ensure that discharged
residents are escorted to the pick-up area. --- 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 scheduling 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 accomplished. ---
Assist in training department personnel in identifying tasks that
involve potential exposure to blood/body fluids. --- Assist the
Director in planning clinical supervision for nurse aide trainees.
--- Attend and participate in outside training programs. --- Attend
and participate in annual facility in-service training programs as
scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety,
Infection Control, etc.). --- Attend and participate in advance
directive in-service training programs for the staff and community.
--- 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 supplies. --- Ensure that established departmental
policies and procedures, including dress codes, are followed by
your assigned nursing personnel. --- 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 sanitary manner. --- 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 handwashing and hand hygiene
technique 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
professional manner. --- 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 moving residents. ---
Report missing/illegible labels and MSDSs to the safety officer or
other designated person. Equipment and Supply Functions ---
Recommend to the Nurse Supervisor the equipment and supply needs of
your unit/shift. --- 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 only trained and authorized personnel operate your
unit/shift's equipment. --- Ensure that all personnel operate
nursing service equipment in a safe manner. --- Monitor nursing
procedures to ensure that nursing service supplies are used in an
efficient manner to avoid waste. --- Ensure that appropriate MSDSs
are on file for hazardous chemicals used in the nursing service
department. Care Plan and Assessment Functions --- Review care
plans daily to ensure that appropriate care is being rendered. ---
Inform the Nurse Supervisor of any changes that 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. --- Review resident care plans for appropriate resident
goals, problems, approaches, and revisions based on nursing needs.
--- Ensure that your assigned certified nursing assistants (CNAs)
are aware of the resident care plans. Ensure that the CNAs refer to
the resident's care plan prior to administering daily care to the
resident. --- Assist the Resident Assessment/Care Plan Coordinator
in planning, scheduling, and revising the MDS, including the
implementation of RAPs and Triggers. Budget and Planning Functions
--- Report suspected or known incidence of fraud relative to false
billings, cost reports, kickbacks, etc. Miscellaneous --- Provide
data to the Quality Assurance & Assessment Committee as requested.
Supervisory Requirements As LPN / LVN you are delegated the
administrative authority, responsibility, and accountability
necessary for carrying out your assigned duties. Qualification
Education and/or Experience Must possess, as a minimum, a Nursing
Degree from an accredited college or university, or be a graduate
of an approved LPN/LVN program. Must possess a current,
unencumbered, active license to practice as an LPN/LVN in this
state. Language Skills Must be able to read, write, speak, and
understand the English language. Ability to read technical
procedures. Ability to read and comprehend policy and procedure
manuals. Ability to effectively present information and respond to
questions from managers and employees. Must be able to relate
information concerning a resident's condition. Mathematical Skills
Ability to apply concepts such as fractions, percentages, ratios
and proportions to practical situations. Reasoning Ability Must
demonstrate knowledge and skills necessary to provide care
appropriate to the agerelated needs of the residents served. Must
be a supportive team member, contribute to and be an example of
team work and team concept. 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 nursing care facilities. Must possess
leadership and supervisory ability and the willingness to work
harmoniously with and supervise other personnel. 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 not pose a direct threat to the
health or safety of other individuals in the workplace.
Certificates, Licenses, Registrations Must posess a current,
unencumbered, active license to practice as an LPN/LVN in this
state. Current CPR certification. Knowledge and experience with PCC
preferred. Must maintain all required continuing
education/licensing. Must remain in good standing with the State
Board of Nursing at all times. Physical Demands Must be able to
move intermittently throughout the workday. Must be able to speak
and write the English language in an understandable manner. Must be
able to cope with the mental and emotional stress of the position.
Must be able to see and hear or use prosthetics that will enable
these senses to function adequately to ensure that the requirements
of this position can be fully met. Must function independently and
have flexibility, personal integrity, and the ability to work
effectively with residents, personnel, and support agencies. Must
meet the general health requirements set forth by the policies of
this facility, which include a medical and physical examination.
Must be able to relate to and work with the ill, disabled, elderly,
emotionally upset, and, at times, hostile people within the
facility. Must be able to push, pull, move, and/or lift a minimum
of 25 pounds to a minimum height of 5 feet and be able to push,
pull, move, and/or carry such weight a minimum distance of 50 feet.
May be necessary to assist in the evacuation of residents during
emergency situations. Work Environment The work environment
characteristics described here are representative of those an
employee encounters while performing the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
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
circumstances. Is subject to hostile and emotionally upset
residents, family members, personnel, and visitors. Communicates
with the medical staff, nursing personnel, and other department
directors. Works beyond normal working hours, and in other
positions temporarily, when necessary. Is subject to call back
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 chemicals. Maintains a liaison with the residents, their
families, support departments, etc., to adequately plan for the
residents' needs. Additional Information Note: Nothing in this job
specification restricts management's right to assign or reassign
duties and responsibilities to this job at any time. Critical
features of this job are described under various headings above.
They may be subject to change at any time due to reasonable
accommodation or other reasons. The above statements are strictly
intended to describe the general nature and level of the work being
performed. They are not intended to be construed as a complete list
of all responsibilities, duties, and skills required of employees
in this position.
Keywords: La Mesa Healthcare Center, Anaheim , LVN/LPN-H, Healthcare , La Mesa, California
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