PRINCIPAL DUTIES AND RESPONSIBILITIES:
- 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 the written policies and procedures that govern the day to day functions of the nursing service department are followed by all nursing personnel assigned to you. Coach staff as needed and notify DON of any concerns.
- 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 following their respective job descriptions.
- Participate in and report all reportable incidents in compliance with the facility’s State mandated Risk Management Plan.
- Participate in State and Federal survey inspections made by authorized government agencies.
- Make written or oral reports and/or recommendations concerning the activities of your shift as required. Use the communication book to communicate with other shifts.
- Periodically review the department’s policies, procedure manuals, job descriptions, etc., and make recommendations for revisions.
- Meet with your assigned nursing staff and support personnel in planning the shifts services, programs, and activities.
- 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 and/or incident reports as necessary.
CHARTING AND DOCUMENTATION:
- Chart all accidents and/or incidents involving the resident. Follow established procedures.
- Have the attending physician review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
- Chart progress notes in an informative and descriptive manner that reflects the care provided to the resident as well as the resident’s response to that care.
- Complete and file required recordkeeping forms/charts, Matrix “observations and events” upon the resident’s admission, transfer, and/or discharge.
- Receive and record telephone orders from physicians in Matrix. All orders must include a diagnosis, date, and time.
- Record new and/or changed diet orders and notify the Dietary Department of the change. Take them a printed copy of the change.
- Print a new MAR/TAR for new orders and discontinue the old orders on the MAR/TAR.
- Report all discrepancies noted concerning physicians orders, diet change, charting errors, etc., to the Director of Nursing.
- Make sure the date and time are correct for all entries made in the resident’s electronic medical record (MATRIX).
- Fill out and complete resident transfer forms in accordance with established procedure.
DRUG ADMINISTRATION FUNCTIONS:
- Prepare and administer medications as ordered by the physician.
- Verify the identity of the resident before administering the medication and/or treatment.
- Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies.
- Ensure that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the nursing needs of the residents. Order as necessary or report the needs to the Director of Nursing.
- Ensure that narcotic records are accurate for your shift.
- Dispose of drugs and narcotics in accordance with established procedures.
- Review the MAR for completeness of information and accuracy in the transcription of the physician’s order.
- Notify the Director of Nursing of all drug and narcotic discrepancies noted on your shift.
- Find alternate staff to substitute when assigned personnel fail to report to work.
- Develop work assignments and/or assist in completing and performing such tasks.
- Make frequent rounds of the unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas to the Director of Nursing.
- Log all absentee call-ins, and provide the information to the Director of Nursing and Nursing Staff Coordinator.
- Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Director of Nursing as required or as necessary.
- Develop and maintain a good working rapport with interdepartmental personnel, as well as other departments within the facility to assure that nursing services and activities can be adequately maintained to meet the needs of the residents.
- Assure that department personnel, residents, and visitors follow the departments established policies and procedures at all times. Reprimand staff when they are not following policies, and complete a “Staff Performance Grievance” and turn it in to the DON.
- Create and maintain an atmosphere of personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.
- Meet with your shift’s nursing personnel on a regularly scheduled basis to assist in identifying and correcting problem areas and/or the improvement of services.
- Review and evaluate your department’s work force and make recommendations to the Director of Nursing.
- Give and/or receive the nursing report upon reporting in and ending shift duty hours.
- Review the notes in the communication book at the beginning of your shift and ensure your staff are reviewing the notes as well. This should be done before reporting to your assigned unit.
- Provide leadership to nursing personnel assigned to your shift.
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.
- Provide direct, hands-on nursing care as necessary.
- Make rounds with physicians as necessary.
- Implement and maintain established nursing objectives and standards.
- Cooperate with and coordinate Rehabilitation, Social, and Activity programs with nursing service schedules.
- Make independent decisions concerning nursing care.
- Notify the resident’s physician and family when the resident is involved in an accident or incident.
- Make periodic checks to assure that prescribed treatments are being properly administered by nursing assistants and to evaluate the resident’s physical and emotions status.
- Administer professional services such as: injections, catheterization, tube feedings, administering medications, suction, oxygen administration, blood sugar tests, breathing treatments, applying and changing dressings/bandages, packs, colostomy, drainage bags, care of the dead/dying, etc., as required.
- Participate in the orientation of new residents/family members to the facility.
- Requisition and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with established procedures.
- Meet with the residents, and/or family members, as necessary. Report problem areas to the Director of Nursing.
- Admit, transfer, and discharge residents as necessary.
- Review the resident’s clinical record for specific treatments, medications orders, diets, etc., as necessary.
- Ensure that nursing service personnel participate in helping carry out restorative and rehabilitative programs to encourage the resident to self-help and self care.
- Inspect the nursing service areas daily to ensure that they are maintained in a clean and safe manner.
- Consult with the resident’s physician in providing the resident’s care, treatment, and rehabilitation as necessary.
- Notify the resident’s physician and next of kin when there is a change in the resident’s condition.
- Work with the facility’s consultants and implement those changes recommended by them.
- Use restraints only when ordered in accordance with our facility’s policies and procedures.
- Print off physician order for lab and/or radiology and take to Patient Registration so they can be registered.
- Take and record TPR’S, blood pressures, and neurological checks as necessary.
- Assure residents’ rights are respected; protect residents from abuse and neglect.
- Inform family members of the death of resident.
- Ensure established post-mortem procedures are followed.
- Participate in the development, planning, conducting, and scheduling of in-service training classes that provides instructions on “how to do the job”, and ensures a well educated/trained nursing services department.
- Assist in the implementation of an effective orientation program that orients the new employee to your shift and to his/her job position and duties.
- Assist in standardizing the methods in which work will be accomplished.
- Attend and participate in continuing educational 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, and coach as needed.
- Monitor your assigned personnel to ensure that they are following established policies and procedures in the lifting, moving, and transferring of residents by means of mechanical lifts and/or gait belts and coach as needed. Notify DON of anyone who is not following policy and procedure.
- Ensure that your assigned work areas are maintained in a clean and sanitary manner.
- Ensure that resident rooms are maintained in a clean, safe, and sanitary manner.
- Ensure that your assigned nursing personnel follow established departmental policies and procedures, including dress codes. Coach as needed and notify the DON.
- 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.
- Participate in the development and implementation of the procedures for reporting hazardous conditions and equipment.
- Ensue that your assigned personnel follow established hand washing techniques in the administering of nursing care procedures.
EQUIPMENT AND SUPPLY FUNCTIONS:
- Recommend to the Director of Nursing the equipment and supply needs of the unit.
- Ensure that a stock level of medications, medical supplies, and equipment is maintained on the unit at all times to meet the needs of the residents.
- Ensure that only trained and authorized personnel operate the unit’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.
CARE PLAN AND ASSESSMENT FUNCTIONS:
- Review care plans to ensure that appropriate care is being rendered.
- Make any changes needed to the care plan and notify nursing staff including the DON and MDS coordinator of the changes.
- Ensure that your progress notes reflect the care plan is being followed.
- Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs.
- Ensure that your assigned nursing assistants are aware of the resident care plans and that they are used in administering daily care to the resident.
RESIDENTS’ RIGHTS FUNCTIONS:
- Maintain the confidentiality of all resident care information.
- Monitor nursing care to assure that all residents are treated fairly, and with kindness, dignity, and respect.
- Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room.
- Review complaints and grievances made by the resident and make a written/oral report to the Director of Nursing indicating what action(s) was taken to resolve the complaint or grievance.
- Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.
- Promote a positive image of long term care nursing.
- Meet with current and prospective residents and their families.
- Promote positive customer service.
- Assure problems and complaints involving nursing services are managed and resolved in a timely, appropriate manner.
- Protect the privacy of residents and employees.
- Represent the home and nursing services in professional and community activities as requested.
- Maintain positive working relationships between nursing staff and other departments.
These lists are not exhaustive and may be supplemented as necessary.
HOSPITAL POLICIES AND PROCEDURES:
- Attend facility and department meetings.
- Participate in fire and disaster drills.
- Follow the department dress code.
- Wear name badge so visible at all times while working.
- Be to work on time and when scheduled.
- Follow the time clock procedures (clock in and out properly).
- Follow facility safety policies.
- Follow infection control policies.
- Follow facility confidentiality policy.
- Follow facility HIPAA and Corporate Compliance policy.
- Through approved workshops and in-services, improve skills and job knowledge.
- Follow personnel policies as stated in the Employee Handbook
- Be aware of and cooperate with the mission of Gove County Medical Center.
- Maintain good interpersonal relationships with personnel of other departments, public, physicians, patients/residents, and promote positive guest relations.
- Demonstrate the ability and willingness to provide support to Department Managers, Supervisors, and coworkers in a team oriented manner.
- Demonstrate a respectful and caring attitude through verbal and non-verbal behavior.
- Demonstrate flexibility and willingness to contribute an effort to cross department boundaries to ensure quality and efficient service.
LPN Long Term Care
520 W. 5th Street; PO Box 129. Quinter, KS 67752
Job Title: LPN – LTC
Responsible to: Director of Nursing
Every effort has been made to make your job description as complete as possible. 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 a logical assignment to the position.
- None. On the job training provided.
- Must be a graduate of an approved LPN/LVN program and passes an LPN license from the State of Kansas.
- KNOWLEDGE AND CRITICAL SKILLS/EXPERTISE:
- Must possess a current, unencumbered license to practice as a LPN/LVN in Kansas.
- Must be able to write the English language in a legible and understandable manner,
- 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 agency 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 long-term care.
- Must possess leadership and supervisory ability and the willingness to work harmoniously with professional and non-professional personnel.
- Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, and policies and procedures 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 wiling to incorporate them into existing nursing practices.
- Must be able to move intermittently throughout the workday.
- Must be able to speak the English language in an understandable manner.
- Must be able to cope with the emotional and mental 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, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
- Must be in good general health and demonstrate emotional stability.
- Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.
- The ability to exert 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly.
- Works in a well-lighted and ventilated office area as well as throughout the nursing service area.
- Sits, stands, bends, lifts, and moves intermittently during working hours.
- Is subject to frequent interruptions.
- Is involved with residents, personnel, visitors, and government agencies personnel.
- Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.
- Communicates with the medical staff, nursing personnel, and other department personnel.
- Is willing to work beyond normal working hours, on weekends and holidays, and in other positions temporarily when necessary.
- Is subject to falls, burns from equipment, and odors throughout the shift.
- Is subject to exposure to infectious waste and diseases, including exposure to the AIDS and HEPATITIS B viruses conditions.
Gove County Medical Center is committed to providing exceptional healthcare services delivered in a spirit of compassionate care.
Gove County Medical Center will be a prominent healthcare provider in northwest Kansas, offering services which encompass the complete life cycle of our patients, residents, and their loved ones.
THE 4 AGREEMENTS
- Be impeccable with your words.
- Don’t take anything personally.
- Don’t make assumptions.
- Always do your best.
- Demonstrate RESPECT for patients, residents, fellow employees, and teamwork.
- Exhibit COMPASSION to patients, residents, other departments, the public, physicians, and fellow employees to promote teamwork and positive community relations.
- Promote QUALITY HEALTHCARE for all who utilize Gove County Medical Center’s services.
- Support COMMUNITY pride and education through verbal and non-verbal behavior.
- Exhibit ACCOUNTABILITY for situations and financial issues resulting from one’s own actions.
Job duties and work hours may change at any time at the discretion of Gove County Medical Center.
How to Apply:
To Apply complete an application at https://secure.fasthealth.com/web_gcmc_ks/jobapps/job_app1.php?id=
Application Closing Date: March 30, 2019