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LPN Fulltime (3p-11p, 11p-7a)

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SUBJECT: MEDICATION NURSE

Revised 11.28.2017: F – 839 [F- 499]

REFERENCE # 02 - 216

PAGE: 1 OF: 4

SECTION: Human Resources: Job Description and Evaluation EFFECTIVE: 01.17.2015

APPROVED BY: Advanced Healthcare Management

Policy and Procedure Committee

REVISED: 11.28.2017

Long Term Care Facility Policy and Procedure Manual © Advanced Healthcare Management 2019

JOB DESCRIPTION:

To provide nursing care to the residents as prescribed by the physician and in accordance with

established facility protocol, local, state and federal regulations. To lead and/or direct C.N.A. in

the delivery of direct resident care.

ACCOUNTABILITY: R.N. Supervisor

Assistant Director of Nursing

Director of Nursing

DUTIES AND RESPONSIBILITIES:

1. Assess the overall status of the resident, documenting all identified medical needs in

the medical record with a plan for treatment and/or resolution.

2. Monitor the residents’ activity and provide nursing care in accordance with physician

orders, care plans, local, state and federal regulations as well as established facility

protocol.

3. Coordinate, prepare for and assist with new admissions, transfers and discharges.

4. Communicate with residents, family members, other disciplines and health care

professionals regarding the status of the resident.

5. Take and record vital signs.

6. Administer medications and treatments and document accordingly.

7. Schedule job assignments and duties for C.N.A., ensuring adequate supervision by

providing guidance, education and performance accountability.

8. Take report at the beginning of the shift in order to receive an update on the residents

under your care and ensure that report is completed in a timely and appropriate

manner on each resident, with documentation reflecting as such. This process shall

be a primary focus at the start of each shift to ensure that resident needs are

addressed promptly and accurately.

9. Be observant for changes in a resident’s condition and notify the Supervisor (if

applicable), physician, administrative on-call staff and family.

10. Visit all residents at various times during your shift.

11. Supervise and assist with the feeding of residents and administer the tube feedings.

SUBJECT: MEDICATION NURSE

Revised 11.28.2017: F – 839 [F- 499]

REFERENCE # 02 - 216

PAGE: 2 OF: 4

SECTION: Human Resources: Job Description and Evaluation EFFECTIVE: 01.17.2015

APPROVED BY: Advanced Healthcare Management

Policy and Procedure Committee

REVISED: 11.28.2017

Long Term Care Facility Policy and Procedure Manual © Advanced Healthcare Management 2019

12. Order medications from the pharmacy, as indicated, in a timely and accurate manner.

Administrative staff shall be notified of any barrier that causes a delay in appropriately

processing orders timely and accurately.

13. Carry out all physician orders, including making out lab slips, x-ray requests and

M.A.R.

14. Provide routine nursing documentation as per established facility protocol.

15. Prepare residents for going on pass.

16. Answer the telephone properly, and in a timely manner, using respectful tones and

professional responses.

17. Complete Incident/Accident Reports on all residents, employees and visitors as the

need arises.

18. Leave the nurses’ station and medication cart clean and well stocked for the oncoming

shift.

19. Count controlled drugs at the beginning and end of the shift.

20. Report occupational exposure in accordance with established facility protocol for

processing Workers Compensations claims accurately and timely. During off hours,

ensure that Administrative staff are notified immediately of all Workers

Compensation incidents that occur.

21. Be knowledgeable about and promote resident rights.

22. Prevents abuse, neglect and exploitation of the elderly.

23. Promote a safe, clean environment in which the residents may live.

24. Check the 24-Hour Report daily in order to be aware of changes in the residents’

conditions and/or plans of treatment and accurately complete daily required chart

checks, as prescribed by the Director of Nursing.

25. Assist with M.D.S.+ and Total Care Plan meetings, as indicated.

26. Any other duties and responsibilities, as requested by the Director of Nursing.

27. Become a participating facility team member with the residents as first priority.



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