Confer with the Medical Director and the attending physician regarding specific residents assigned to you.
Consult with the physician concerning resident evaluation and assist the Director of Nursing Services in planning and developing the nursing services to be performed for the resident.
Initiate requests for consultation or referral.
Respond to requests from the resident, physician, or nursing staff.
Examine the resident and his/her records and charts to distinguish between normal and abnormal findings in order to recognize early stages of serious physical, emotional or mental problems.
Determine when to refer the resident to a physician for evaluation, supervision, or directions.
Perform administrative duties regarding assigned residents, such as completing medical forms, reports, evaluations, studies, charting, etc.
Implement and maintain established policies, procedures, objectives, quality assurance, safety and environmental and infection control.
Interpret these to the physician, resident, family members, and public, as appropriate.
Make written and oral reports/recommendations to the attending physician, Medical Director, or the Administrator concerning the status and care of the assigned resident.
Participate in the planning and evaluation of the written policies and procedure that govern the day-to-day functions of the nursing service department.
Participate in facility surveys (inspections) made by authorized government agencies.
Resolves complaints and grievances made by nursing department personnel.
Ensures that nursing department employment actions are administered fairly and in compliance with the facility's Policy Against Discrimination, Harassment and Retaliation.
Supervises and assists in management of the infection control program including ensuring that personal protective equipment is used in the handling of infectious materials by nursing personnel.
Assists in the development of preliminary and comprehensive assessments of the nursing needs of each resident are performed in furtherance of the resident care planning policy.
Observes medication passes and treatments to ensure quality.
Administer services within the applicable scope of nursing practice, which may include:
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 appropriate and in accordance with applicable standards.
Prepare and administer medications as ordered by the physician.
Review medication cards for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.
Chart nurses' notes in professional and appropriate manner that timely, accurately and thoroughly reflects the care provided to the resident, as well as the resident's response to the care.
Chart all reports of accidents/incidents involving residents.
Chart all changes in resident condition and the response to those changes.
Chart all communications with the resident's attending physician regarding the resident, the resident's treatment, or the response to that treatment.
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures and applicable state and federal regulations.
Ensures that adequate stock levels of medications, medical supplies and equipment are maintained.
Assist the Quality Assessment and Assurance Committee in developing and implementing appropriate plans of action to correct identified deficiencies.
Performs other duties as may be assigned.
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Associated topics:
license, licensed practical nurse, lpn, lvn lpn, med, mtp, nurses, practical, practical nurse, vocational nurse