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Wolf Creek Care Center

LVN On Call

Wolf Creek Care Center, Grass Valley, California, United States, 95949

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LVN On Call

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Wolf Creek Care Center .

General Purpose The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day‑to‑day nursing activities performed by nursing assistants, in accordance with federal, state, and local standards, guidelines, and regulations that govern our facility.

Such supervision must be in accordance with the Director of Nursing Services or Nurse Supervisor to ensure the highest degree of quality care.

Hourly Range starting at $40/HR

Essential Duties Every effort has been made to identify the essential functions of this position.

However, it is in no way limited to these duties; the omission of specific statements does not exclude them if the work is similar, related, or essential.

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 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., and make recommendations for revisions.

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

Ensure the Nursing Service Procedures Manual is current and reflects the day‑to‑day nursing procedures performed in this facility.

Ensure 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 maintain the resident's total regimen of care.

Ensure all nursing service personnel comply 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 and participate in its update 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 report violations to the Administrator.

Agree not to disclose resident's protected health information and report violations to the Administrator.

Report any known or suspected unauthorized attempt to access the 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 and the resident's response.

Fill out and complete accident/incident reports and submit to Director as required.

Chart all reports of accidents/incidents involving residents and follow established procedures.

Record new/changed diet orders and forward information to the Food Services Department.

Report all discrepancies regarding physician's orders, diet changes, charting errors, 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 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 and 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 and 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 and determine your shift's staffing requirements.

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 workforce and make recommendations to the Nurse Supervisor.

Develop work assignments and/or assist in completing assignments.

Provide leadership to nursing personnel assigned to your unit/shift.

Make daily rounds to ensure that nursing service personnel perform their assignments in accordance with acceptable nursing standards; report problem areas to the Nurse Supervisor.

Ensure all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program.

Ensure 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 identify and correct problem areas.

Ensure that department personnel, residents, and visitors follow established policies and procedures at all times.

Develop and maintain positive working relationships with inter‑departmental personnel and other departments.

Create and maintain an atmosphere of warmth, personal interest, and positive emphasis throughout the unit and shift.

Review complaints and grievances, report to Nurse Supervisor as required, and follow procedures.

Ensure that disciplinary action is administered fairly and without regard to protected characteristics.

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 per policies and procedures.

Report known or suspected incidents of fraud to the Administrator.

Ensure that departmental computer workstations are properly logged off or the password‑protected automatic screen saver activates per policy.

Nursing Care Functions

Inform nursing personnel of new admissions, expected time, room assignment, etc.

Ensure rooms are ready for new admissions.

Greet newly admitted residents and 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.

Consult with the resident's physician in providing care, treatment, and rehabilitation.

Review the resident's chart for specific treatments, medication orders, diets, etc.

Implement and maintain established nursing objectives and standards.

Make periodic checks to ensure that prescribed treatments are properly administered by certified nursing assistants.

Ensure direct nursing care is 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, including self‑help and care.

Inspect the nursing service treatment areas daily to ensure clean and safe conditions.

Administer professional services such as catheterization, tube feedings, suction, dressing changes, colostomy, drainage bags, blood draws, massage, range of motion exercises, care for the 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 vital signs, blood pressure, etc., as necessary.

Monitor seriously ill residents as necessary.

Check foods brought into the facility by family/visitors to ensure compliance with dietary allowances and report problems to the Nurse Supervisor and Dietary Supervisor.

Ensure that personnel providing direct care to residents are following the resident's care plan and wishes.

Ensure 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 a resident.

Call funeral homes when requested by the family and 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".

Implement and maintain an effective orientation program that orients the new employee to the shift, policies, procedures, 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 (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control).

Attend and participate in advance directive in‑service training programs for staff and community.

Attend and participate in continuing education programs to keep you abreast of changes in your profession and maintain your license.

Safety and Sanitation

Monitor personnel to ensure compliance with safety regulations in the use of equipment and supplies.

Ensure that established departmental policies, including dress codes, are followed by assigned personnel.

Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job‑related functions to ensure proper exposure identification.

Ensure all personnel performing tasks that involve exposure to blood/body fluids participate in appropriate in‑service training before performing such tasks.

Ensure adequate supply of personal protective equipment is on hand and readily available.

Ensure your unit's work areas (nurses' stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner.

Ensure resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.

Ensure all nursing assistants follow handwashing and hand hygiene technique in administering care.

Ensure personnel participate in and conduct all fire safety and disaster preparedness drills.

Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable diseases among residents and personnel.

Ensure personnel follow established infection control procedures when isolation precautions become necessary.

Ensure nursing personnel follow 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 personnel wear or use safety equipment and supplies (e.g., back brace, mechanical lifts) when lifting or moving residents.

Report missing or ill‑legible labels and MSDSs to the safety officer or other designated person.

Equipment and Supply Functions

Recommend equipment and supply needs to the Nurse Supervisor.

Ensure an adequate stock level of medications, medical supplies, equipment, etc., is maintained at all times to meet the needs of residents.

Participate in the development and implementation of procedures for the safe operation of all nursing service equipment.

Ensure that only trained and authorized personnel operate your unit/shift's equipment.

Ensure all personnel operate nursing service equipment safely.

Monitor nursing procedures to ensure supplies are used efficiently and avoid waste.

Ensure 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 appropriate care is rendered.

Inform the Nurse Supervisor of any changes that need to be made on the care plan.

Ensure 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 CNAs are aware of the resident's care plan and refer to it before administering daily care.

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 English; read technical procedures; read and comprehend policy and procedure manuals; effectively present information and respond to questions from managers and employees; 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 age‑related needs of the residents served; must be a supportive team member; contribute to and be an example of teamwork.

Leadership and Supervisory Ability

– Must possess leadership ability and willingness to work harmoniously with and supervise other personnel; maintain ability to plan, organize, develop, implement, and interpret programs, goals, policies, and procedures necessary for providing quality care.

Must have patience, tact, a cheerful disposition and enthusiasm, and willingness to handle difficult residents; willing to seek out new methods and principles and incorporate them into existing practices.

Must not pose a direct threat to health or safety of others in the workplace.

Certificates, Licenses, Registrations

– Must possess a current, unencumbered, active license to practice as an LPN/LVN; Current CPR certification.

Knowledge And Experience With PCC Preferred

– Must maintain all required continuing education/licensing and 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 allow senses to function adequately to meet the position's requirements.

Must function independently and have flexibility, personal integrity, and ability to work effectively with residents, personnel, and support agencies.

Must meet the general health requirements set forth by the facility's policies, including 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 includes office area(s) and throughout the nursing service area (drug rooms, nurses' stations, resident rooms, etc.). It is intermittent with frequent interruptions, involves interaction with residents, personnel, visitors, and government agencies, includes hostile and emotionally upset residents and families. Work may exceed normal hours and include call‑back during emergencies. Exposure to falls, burns, odors, dust, disinfectants, tobacco smoke, airborne contaminants, infectious waste, diseases, TB, AIDS, Hepatitis B, and hazardous chemicals may occur.

Additional Information Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities at any time. Critical features of this job are described under various headings above and may be subject to change at any time due to reasonable accommodation or other reasons. These statements describe the general nature and level of the work performed and are not intended to be a complete list of all responsibilities, duties, and skills required of employees in this position.

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