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Licensed Practical Nurse - Part Time
Presbyterian Retirement Communities Northwest (PRCN)
Seattle, Washington, United States
Date Posted: 03/12/2008
Categories: Health Care
Job Type: Full-Time
SUMMARY: Under the supervision of the Director of Nursing Services, oversees the delivery of medication and nursing services for the residents, ensuring that staffing, supplies, and services are provided at the highest level and meet all requirements. Located in Assisted Living, oversees the daily operations of the nursing services.
ESSENTIAL JOB DUTIES:
1. Reviews staff schedule and makes arrangements to cover for any absent staff. Coordinates Companion services.
2. Reviews routines, calendar of events, and resident needs, delegates and assigns staff to work accordingly. Conducts shift change report meetings.
3. Coordinates arrangements for resident appointments, treatments, or procedures, including transportation. Ensures that 'vitals, histories, and physicals are done as scheduled.
4. Processes physician orders.
5. Makes daily rounds to observe and evaluate physical and emotional status of residents.
6. Coordinates admission and discharge of residents.
7. Supervises and observes staff in the performance and their duties; provides them with feedback and any needed guidance.
8. Assists in training new staff and documents performance of all nursing staff. Meets with staff to ascertain their needs and suggestions.
9. Reviews and updates resident care plans for problems, needs, appropriate goals, and approaches.
10. Reviews medication profiles for completeness of information, accuracy in physician order transcription, and adheres to stop condition changes. Assists in ensuring that medication is provided in accordance with State law.
11. Ensures that medications and supplies are ordered and in stock. Ensures that scheduled drugs are counted at shift change.
12. Keeps the Director of Nursing informed of residents status and related matters.
13. Communicates with Administration, Social Services, and Chaplain as necessary.
14. Provides direct resident care, treatment, and medication as ordered. Charts on residents as necessary and required. Assures that all charting and record keeping is completed.
15. Updates families as to resident condition - in accordance with policies and procedures.
16. Follows up on dietary requirements and recommendations.
17. Participates in Quarterly Service Plan reviews.
18. Updates the medical and NAC Flow Sheets and order sheets at end of month.
19. Communicates with physicians as required. Keeps medication sheets current and updates Phys. Orders.
20. Participates in investigating, documenting, and resolving complaints by residents and family members.
21. Performs administrative duties such as telephone work, faxes, filing, records management, scheduling, charting, and paperwork.
22. Attends meetings, in-services, and participates in fire and disaster drills.
23. Assists DNS as required.
24. Coordinates and communicates with residents physician, family, other professionals, and caregivers the ordered care for each resident.
25. Monitors residents for mental, physical and/or emotional changes. Reports any changes to appropriate staff.
26. Performs nursing functions in a professional manner to the extent and within the limits of the scope of licensure with the State of Washington.
27. Administers medications and provides limited nursing services to assisted living and independent living residents as directed.
28. Institutes alert charting as needed per procedure.
29. In concert with other registered nurse, disposes of discontinued or outdated medications according to pharmacy policy and procedure in a timely manner. Records disposition on appropriate form and places form in resident chart.
30. Prepares appropriate documents in relationship to sending residents to another facility, hospital or when ordering lab and x-ray.
31. Directs NACs nursing care according to basic standard of care and nursing directives/service plans. Gives report and returns report with NACs on each shift.
32. Makes walking rounds with NACs while doing report, checking rooms and residents care each shift.
33. Reinforces to NACs importance of Knock-Name-Wait-Wash and Explain when going into a residents room.
34. Participates in performance evaluations of nursing assistants. Communicates concerns about NAC performance to Director of Nursing.
35. Confers regularly with the DON on resident conditions, unusual circumstances, admissions, and incidents.
36. Completes incident reports as needed and conducts the initial investigation. Summarizes and reaches a conclusion to the investigation as possible.
37. Helps ensure assisted living and clinic are clean and odor free.
38. Demonstrates a compassionate and caring relationship with residents, families and co-workers.
39. Enforces universal precautions, wearing gloves, gown, mask and goggles as needed.
40. Confers regularly with physician and reports changes of condition.
41. Cleans and disinfects cart surface as needed. Cleans medication storage area.
42. Remains aware of infection control issues and implements necessary changes.
43. Discusses with related professionals on current resident conditions and changes via formal and informal reporting to ensure appropriate and consistent care.
44. Attends routine nursing meetings & scheduled in-service trainings.
45. Responds to emergencies in independent living & assisted living as needed. Performs first aid as needed to IL & AL residents. Provides assessment & advice to independent living residents in emergencies.
46. Performs other duties as assigned.
Directly supervises two to four employees in the Assisted Living department at Exeter House. Can be responsible for supervising more than two and seldom over 10 people. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Part-time immediate supervision of or direction of one or more employees, performing the same or directly related work most of the time as those supervised. No responsibility for costs, methods or personnel. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
EDUCATION/EXPERIENCE/KNOWLEDGE/SPECIALIZED TRAINING REQUIRED:
Equivalent to high school plus additional broad specialized training equal to two years of college. Must be a Licensed Practical Nurse in state of Washington with a minimum of five years related experience, with experience in Geriatrics preferred. Must be able to provide leadership and supervision over other staff. Must be accurate, detail-oriented, and able to keep thorough records and charts. Must have knowledge of DSHS Regulations, with good communication skills in speaking and writing.
MATERIAL/EQUIPMENT DIRECTLY USED:
Nursing equipment such as blood pressure cuffs, syringes, thermometers and stethoscope. It will also include office equipment such as computer, copier, telephone, fax machine.
The location for this position is in Assisted Living. Time may also be spent in the Health Center and in independent living resident apartments. It also includes the nurses station, resident rooms, administrative offices and common areas. Potential for exposure to bloodborne pathogens. May be subject to hostile and emotionally upset residents, family members, etc. Must be able to assist residents and staff in case of a disaster.
JOB STATUS: Part-time, Sat/Sun every other weekend (6:30am-3pm)