LVN/LPN-H
Company: Costa Del Sol Healthcare
Location: Los Angeles
Posted on: October 25, 2024
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Job Description:
Every effort has been made to identify the essential functions
of this position. However, it in no way states or implies that
these are the only duties you will be required to perform. The
omission of specific statements of duties does not exclude them
from the position if the work is similar, related, or is an
essential function of the position. 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 that 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. Make recommendations for
revisions. Meet with your assigned nursing staff, as well as
support personnel, in planning the shifts' services, programs, and
activities. Ensure that the Nursing Service Procedures Manual is
current and reflects the day to day nursing procedures performed in
this facility. Ensure that 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 ensure that
the resident's total regimen of care is maintained. Ensure that all
nursing service personnel are in compliance 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. Participate in the updating of the resident's written
discharge plan 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 promptly
report suspected or known violations of such disclosure to the
Administrator.--- Agree not to disclose resident's protected health
information and promptly report suspected or known violations of
such disclosure to the Administrator. Report any known or suspected
unauthorized attempt to access 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
to the resident, as well as the resident's response to the care.
Fill out and complete accident/incident reports. Submit to Director
as required. Chart all reports of accidents/incidents involving
residents. Follow established procedures. Record new/changed diet
orders. Forward information to the Food Services Department. Report
all discrepancies noted concerning physician's orders, diet change,
charting error, 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 as required and 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 to meet the nursing needs of the residents. 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 of
information, 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, determining your
shift's staffing requirements, and making recommendations to the
Nurse Supervisor concerning employee dismissals, transfers, etc.
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 work force
and make recommendations to the Nurse Supervisor. Develop work
assignments and/or assist in completing and performing such
assignments. Provide leadership to nursing personnel assigned to
your unit/shift. Make daily rounds of your unit/shift to ensure
that nursing service personnel are performing their work
assignments in accordance with acceptable nursing standards. Report
problem areas to the Nurse Supervisor. Ensure that all nursing
assistants are enrolled in or have graduated from an approved
nursing assistant training program. Ensure that 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 assist in identifying and correcting problem areas,
and/or to improve services. Ensure that department personnel,
residents, and visitors follow the department's established
policies and procedures at all times. Develop and maintain a good
working rapport with inter departmental personnel, as well as other
departments within the facility to ensure that nursing services and
activities can be adequately maintained to meet the needs of the
residents. Create and maintain an atmosphere of warmth, personal
interest and positive emphasis, as well as a calm environment
throughout the unit and shift. Review complaints and grievances
made or filed by your assigned personnel. Make appropriate reports
to the Nurse Supervisor as required or as may be necessary. Follow
facility's established procedures. Ensure that departmental
disciplinary action is administered fairly and without regard to
race, color, creed, national origin, age, sex, religion, handicap,
or marital status. 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
in accordance with the facility's policies and procedures governing
accidents and incidents. Report known or suspected incidents of
fraud to the Administrator. Ensure that departmental computer
workstations left unattended are properly logged off or the
password protected automatic screen saver activates within
established facility policy guidelines. Nursing Care Functions
Inform nursing personnel of new admissions, their expected time of
arrival, room assignment, etc. Ensure that rooms are ready for new
admissions. Greet newly admitted residents upon admission. 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, and in
accordance with our established procedures. Consult with the
resident's physician in providing the resident's care, treatment,
rehabilitation, etc., as necessary. Review the resident's chart for
specific treatments, medication orders, diets, etc., as necessary.
Implement and maintain established nursing objectives and
standards. Make periodic checks to ensure that prescribed
treatments are being properly administered by certified nursing
assistants and to evaluate the resident's physical and emotional
status. Ensure that direct nursing care be 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, to include self
help and care. Inspect the nursing service treatment areas daily to
ensure that they are maintained in a clean and safe manner.
Administer professional services such as; catheterization, tube
feedings, suction, applying and changing dressings/bandages, packs,
colostomy, and drainage bags, taking blood, giving massages and
range of motion exercises, care for the dead/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 TPRs, blood
pressures, etc., as necessary. Monitor seriously ill residents as
necessary. Check foods brought into the facility by the resident's
family/visitors to ensure that it is within the resident's dietary
allowances. Report problem areas to the Nurse Supervisor and
Dietary Supervisor. Ensure that personnel providing direct care to
residents are providing such care in accordance with the resident's
care plan and wishes. Ensure that 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 the resident. Call funeral
homes when requested by the family. 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,
and ensure a well educated nursing service department. Implement
and maintain an effective orientation program that orients the new
employee to your shift, its policies and procedures, and to his/her
job position 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 as scheduled (e.g., OSHA, TB,
HIPAA, Abuse Prevention, Safety, Infection Control, etc.). Attend
and participate in advance directive in service training programs
for the staff and community. Attend and participate in continuing
education programs designed to keep you abreast of changes in your
profession, as well as to maintain your license on a current
status. Safety and Sanitation Monitor your assigned personnel to
ensure that they are following established safety regulations in
the use of equipment and supplies. Ensure that established
departmental policies and procedures, including dress codes, are
followed by your assigned nursing personnel. Assist the Director
and/or Infection Control Coordinator in identifying, evaluating,
and classifying routine and job related functions to ensure that
tasks in which there is potential exposure to blood/body fluids are
properly identified and recorded. Ensure that all personnel
performing tasks that involve potential exposure to blood/body
fluids participate in appropriate in service training programs
prior to performing such tasks. Ensure that an adequate supply of
personal protective equipment are on hand and are readily available
to personnel who perform procedures that involve exposure to blood
or body fluids. Ensure that your assigned work areas (i.e., nurses'
stations, medicine preparation rooms, etc.) are maintained in a
clean and sanitary manner. Ensure that your unit's resident care
rooms, treatment areas, etc., are maintained in a clean, safe, and
sanitary manner. Ensure that your assigned personnel follow
established handwashing and hand hygiene technique in the
administering of nursing care procedures. Ensure that your assigned
personnel participate in and conduct all fire safety and disaster
preparedness drills in a safe and professional manner. Participate
in the development, implementation, and maintenance of the
infection control program for monitoring communicable and/or
infectious diseases among the residents and personnel. Ensure that
your assigned personnel follow established infection control
procedures when isolation precautions become necessary. Ensure that
nursing personnel follow established 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 all
personnel wear and/or use safety equipment and supplies (e.g., back
brace, mechanical lifts, etc.) when lifting or moving residents.
Report missing/illegible labels and MSDSs to the safety officer or
other designated person. Equipment and Supply Functions Recommend
to the Nurse Supervisor the equipment and supply needs of your
unit/shift. Ensure that an adequate stock level of medications,
medical supplies, equipment, etc., is maintained on your unit/shift
at all times to meet the needs of the residents. Participate in the
development and implementation of the procedures for the safe
operation of all nursing service equipment. Ensure that only
trained and authorized personnel operate your unit/shift's
equipment. Ensure that all personnel operate nursing service
equipment in a safe manner. Monitor nursing procedures to ensure
that nursing service supplies are used in an efficient manner to
avoid waste. Ensure that 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
that appropriate care is being rendered. Inform the Nurse
Supervisor of any changes that need to be made on the care plan.
Ensure that 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 that your
assigned certified nursing assistants (CNAs) are aware of the
resident care plans. Ensure that the CNAs refer to the resident's
care plan prior to administering daily care to the resident. 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 the English
language. Ability to read technical procedures. Ability to read and
comprehend policy and procedure manuals. Ability to effectively
present information and respond to questions from managers and
employees. Must be able to 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 agerelated needs of
the residents served. Must be a supportive team member, contribute
to and be an example of team work and team concept. Must possess
the ability to make independent decisions when circumstances
warrant such action. Must possess the ability to deal tactfully
with personnel, residents, family members, visitors, government
agencies/personnel, and the general public. Must be knowledgeable
of nursing and medical practices and procedures, as well as laws,
regulations, and guidelines that pertain to nursing care
facilities. Must possess leadership and supervisory ability and the
willingness to work harmoniously with and supervise other
personnel. Must possess the ability to plan, organize, develop,
implement, and interpret the programs, goals, objectives, policies
and procedures, etc., that are necessary for providing quality
care. Must have patience, tact, a cheerful disposition and
enthusiasm, as well as the willingness to handle difficult
residents. Must be willing to seek out new methods and principles
and be willing to incorporate them into existing nursing practices.
Must not pose a direct threat to the health or safety of other
individuals in the workplace. Certificates, Licenses, Registrations
Must posess a current, unencumbered, active license to practice as
an LPN/LVN in this state. Current CPR certification. Knowledge and
experience with PCC preferred. Must maintain all required
continuing education/licensing. Must 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
enable these senses to function adequately to ensure that the
requirements of this position can be fully met. Must function
independently and have flexibility, personal integrity, and the
ability to work effectively with residents, personnel, and support
agencies. Must meet the general health requirements set forth by
the policies of this facility, which include 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
characteristics described here are representative of those an
employee encounters while performing the essential functions of
this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
Works in office area(s) as well as throughout the nursing service
area (i.e., drug rooms, nurses' stations, resident rooms, etc.).
Moves intermittently during working hours. Is subject to frequent
interruptions. Is involved with residents, personnel, visitors,
government agencies/personnel, etc., under all conditions and
circumstances. Is subject to hostile and emotionally upset
residents, family members, personnel, and visitors. Communicates
with the medical staff, nursing personnel, and other department
directors. Works beyond normal working hours, and in other
positions temporarily, when necessary. Is subject to call back
during emergency conditions (e.g., severe weather, evacuation, post
disaster, etc.). Attends and participates in continuing educational
programs. Is subject to injury from falls, burns from equipment,
odors, etc., throughout the workday, as well as to reactions from
dust, disinfectants, tobacco smoke, and other air contaminants. Is
subject to exposure to infectious waste, diseases, conditions,
etc., including TB and the AIDS and Hepatitis B viruses. May be
subject to the handling of and exposure to hazardous chemicals.
Maintains a liaison with the residents, their families, support
departments, etc., to adequately plan for the residents' needs.
Additional Information Note: Nothing in this job specification
restricts management's right to assign or reassign duties and
responsibilities to this job at any time. Critical features of this
job are described under various headings above. They may be subject
to change at any time due to reasonable accommodation or other
reasons. The above statements are strictly intended to describe the
general nature and level of the work being performed. They are not
intended to be construed as a complete list of all
responsibilities, duties, and skills required of employees in this
position.
Keywords: Costa Del Sol Healthcare, Palmdale , LVN/LPN-H, Healthcare , Los Angeles, California
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