Registered Nurse (RN) Job Description
RN/ LPN Job Description POSITION: Responsible for day to day resident and nursing care on the unit. Consistently monitors and implements quality improvement efforts. Ensure the unit functions according to accepted facility quality standards. Assumes responsibilities of the Charge Nurse in his/her absence. QUALIFICATIONS: • Current RN or LPN/LVN state license • Knowledge/ experience in gerontological nursing • Excellent verbal and written skills • Ability to sit, stand, walk, bend, and squat for prolonged periods. • Ability to push and pull objects, lift, and carry up to 20 pounds (unassisted), and occasionally up to 50 pounds (unassisted). • Full use of gross and fine motor of the upper and lower extremities (i.e., treatments, dressing changes, medication administration, writing notations, operating bed wheel locks, etc.) • Ability to read thermometers, charts, and testing equipment. RESPONSIBILITIES: • Participate in the day to day resident care activities. • Provide professional nursing care in accordance with state licensure laws (i.e. resident conditions, treatments, tracheotomy care, tube feedings, IV’s, and etc.) • Ensure compliance with federal, state, and facility guidelines that govern the nursing center. • Ensure that resident care policies and procedures are followed by nursing service personnel in compliance with each facility's Quality Standards. • Continually observe and assess residents on assigned units and make appropriate nursing decisions. • Complete and/ or assures completion of required forms (i.e., nursing assessment, medication administration record, treatment record, pressure ulcer and wound/skin care evaluation reports, Medicare documentation, medication orders, physicians’ orders, acuity trends, etc.). • Identify resident care problems and concerns, contributes to short term goal setting, and nursing approaches on the care plan. Informs and includes resident in their plan of care (i.e., medications, treatments, etc.). • Ensure that nursing care approaches are communicated to and implemented by nursing unit staff. Communicates with nursing staff throughout the shift • Recognize resident/health care facility situations, problems-solves, and communicates to the appropriate individual(s). • Administer medications and controlled substances, documents, store, and dispose of in accordance with state regulations and facility policies and procedures. • Communicate significant changes in residents condition to physicians and if appropriate to family. • Ensure effective documentation of residents’ status, including the resident record, shift to shift report, accident/incident report, alert charting, etc. or any other charting mechanism utilized by the health care facility.