Advantage Living Center Samaritan LPN/RN in Detroit, Michigan
The LPN/RN provides plans, coordinates and manages nursing care, nursing services and health education to nursing home residents. The LPN/RN cares for residents under the direction and supervision of the Director of Nursing. The position requires patience, compassion and a desire to care for the frail elderly in a gentle and empathetic manner.
Must have a current state license to practice as a registered nurse (RN) or licensed practical nurse (LPN). Current CPR certification and additional certification in nursing specialty desired.
Demonstrates knowledge of basic nursing practice with an interest in gerontological nursing. Prefer 2 years’ experience in a long-term care setting.
Basic computer skills and experience with Electronic Medical Records Preferred.
Excellent communication and interpersonal skills.
Ability to read, analyze and interpret, professional journals, technical procedures or governmental regulations. Ability to communicate orally and through written reports and other documents relating to resident, staff and others. Ability to effectively present information and respond to questions from groups of executives, managers, clients, customers, and the public.
Ability to define and solve problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical journals and deal with several abstract and concrete variables.
Supervises nursing care provided by nursing assistants and others for whom they are administratively or professionally responsible.
Reviews PCC dashboard every shift to ensure POC documentation is complete and clinical alerts have been addressed.
Carries out supervisory responsibilities in accordance with the organizational policies and applicable laws.
Supervisory responsibilities include:
Plans, assigns, and directs work of nursing assistant.
Prepares work assignment sheets, taking into consideration resident safety, the educational preparation, experience, knowledge and ability of the persons to whom the assignments are made.
Reports staff shortages to nursing management.
Assists to prepare performance evaluations with the understanding such evaluations impact tenure of probationary employees and wage increases of non-probationary employees.
Participates and communicates employee actions that may result in reward or discipline.
Schedules and adjusts lunch and rest breaks according to resident needs and labor laws.
Receives and helps resolves employee complaints.
Monitors and corrects job performance of employees.
Uses independent judgment and discretion on behalf of the organization in the performance of these duties.
Essential Functions and Responsibilities
Advantage Living Centers expects their employees to promote an atmosphere of teamwork, exemplify the values of CARING (Compassion, Accountability, Respect, Integrity, Nimbleness and Generosity and uphold the pursuit of creating a person-centered culture for Residents and Team Members. To perform this job successfully, an individual must also be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.
Care and services:
Coordinates the nursing care of residents on the unit assuring all residents are assigned a nurse aide capable of providing care to the resident.
Provides safe and accurate Medication Related interventions to residents.
Administers and documents medications and treatments according to each resident’s medication schedule using current standards of medication pass technique.
Knows the rational for the effect of medications and treatments and correctly administers same.
Provides treatments per the physician order including wound care, urinary catheterization, oxygen care, tracheostomy care, etc.
Orders and receives medications from the pharmacy.
Conducts an accurate accounting of all narcotics, signing for count and exchange of keys to medication carts and medication room.
Promptly responds to resident requests for pain intervention and documents such in the resident record.
Accurately transcribes and coordinates the implementation of physician orders Performs nursing assessments regarding the health status of residents. Notifies the physician of changes in status and promptly implements and documents new orders. Conducts ongoing and consistent assessments of residents to avoid unplanned hospital discharges by actively utilizing the INTERACT program. Develops a plan of care based on assessment, implementing nursing care. Selects and institutes appropriate nursing interventions that might be required to stabilize a resident’s condition and /or prevent complications. Contributes to the resident’s assessment (MDS/RAPs) and the development of a plan of care. Consults with physician or licensed independent practitioner regarding general resident care needs. Accurately reports and documents the resident’s symptoms, responses and status. Designs, promotes and organizes resident education and counseling based on health needs. Informs the resident and/or legal representative of incidents or changes in condition and documents same in chart.
- Collaborates with the resident, members of the healthcare team and, when appropriate, the resident’s legal representative/significant other in the interest of the resident’s health care.
Consults with, utilizes and initiates referrals to appropriate community agencies and healthcare resources to provide continuity of care. Makes resident rounds throughout the shift to assess physical and emotional status and to initiate any required nursing interventions. Responds to resident and family concerns promptly; ensures that each concern is documented, and a resolution is initiated. Coordinates admission, discharge and transfer of residents. Obtains report from nurse working off going shift, provides report to nurse coming on duty ad keeps the Director of Nursing or others as appropriate informed about the status of resident and related matters
- Maintains an accurate 24-hour report and documents changes in resident conditions and significant issues needed for continuity of care and safety of residents.
Monitors and assists with the serving and documentation of prescribed diets and fluid intake. Checks emergency equipment (oxygen and suction) and emergency medication kit (if application). Uses nursing equipment and supplies according to manufacturer’s guidelines. Accepts only those nursing assignments that are commensurate with one’s own education preparation, experience, knowledge and ability; obtains instruction and supervision as necessary when implementing nursing procedures or practices. Follows the policies and procedures of the facility. Performs other duties or functions as directed by the Administrator or Director of Nursing.
Resident Rights: Promotes and protects resident’s rights; supports the resident in the exercise of his or her rights. assists residents to make informed decisions; treats residents with dignity and respect; protects resident’s personal belongings; reports suspected abuse neglect, exploitation or misappropriation of property; avoids the need for physical restraints in accordance with current professional standards; supports independent expression, choice and decision-making consistent with applicable law and regulation.
Leadership: Demonstrates willingness to try new tasks; generates new ideas for change; evaluates and recognizes priorities; challenges others to learn; keeps current and integrates new information; communicates and models organization values; fosters high performance.
Process Improvement: Applies process improvement methods and techniques and identifies processes for improvement in daily work.
Environment of Care and Safety: Assures resident environment is safe and takes necessary steps to intervene if an unsafe situation is identified; demonstrates understanding of fire and emergency procedures; participates in fire and disaster drills; demonstrates understanding of safety and security procedures; applies safety and security precautions; demonstrates understanding of hazardous materials plan; demonstrates proper use of equipment.
Infection Control: Applies hand washing principles during daily work; demonstrates understanding of isolation precautions; recognizes signs and symptoms of infection and complies with the employee health program; demonstrates understanding of the process for identifying and handling infectious waste; maintains personal hygiene; complies with OSHA standards in the work place; and demonstrates understanding of cross contamination.
Information Management: Enters or records data timely and accurately; protects confidentiality of resident information (in accordance with HIPAA policies); protects data against loss or destruction; reports suspected violation of security/confidentiality issues; logs onto the system using own password; logs off the system when leaving the work station; reviews data and identifies trends; deletes passwords of employees no longer needing access to software programs.
Continuing Education: Attends inservice training programs; attends continuing education required for maintenance of certification.
Physical Demands: The physical demands described here represent those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, use hands or fingers, reach with hands and arms, talk or hear. The employee must be able to assist to lift and/or transfer residents weighing between 100 to 250 pounds. Specific vision abilities required by this job include close vision, distance vision and peripheral vision.