LPN/RN Evening Shift Nurse 2:30PM-10:30PM

General Description

Under the direction of the Unit Manager, Assistant Director of Nursing or Director of Nursing Services, responsible for supervision of assigned staff and providing quality nursing care to residents to maintain or attain the highest practical level of functioning. Coordinates nursing care in accordance with Facility policies and procedures, state requirements, Department of Health regulations, and Federal Health Care Administration regulations.

Essential Duties

1. Contributes to Facility quality assessment and improvement initiatives.

2. Develops and updates instant and comprehensive Care Plans as needed.

3. Transcribes, clarifies, and implements physician’s orders.

4. Administers and monitors resident medications and treatments per physician’s orders. Maintains accurate medication administration records and treatment administration records. Verifies medication cart is secure and clean. Secures narcotics per Facility policy and state regulations.

5. Communicates status of residents to incoming licensed personnel according to established procedures at shift change. Performs medication inventory at the beginning and end of the shift with another licensed nurse and immediately notifies supervisor of discrepancies.

6. Documents residents change in condition; develops, documents, and implements appropriate nursing interventions; and notifies physician and appropriate persons as needed.

7. Updates and maintains accurate resident clinical files.

8. Conducts personal physical examination of residents for skin breakdown upon admission and as assigned.

9. Supervises, trains, and delegates job tasks to certified nursing assistants and unit clerks.

10. Communicates status of residents, new admissions, scheduled appointments, assigned baths, restorative instructions, changes in specialized diets, and other individualized patient instructions to certified nursing assistant staff at shift change.