RN/LPN Opportunities – All Shifts

Qualifications

The RN/LPN administers medications and treatments, monitors residents for changes in condition, communicates clinical concerns, assists with implementation of individualized plans of care, and provides direction to Certified Nursing Assistants (CNAs) and other nursing personnel as permitted within the RN's/LPN’s scope of practice.

The RN/LPN promotes each resident’s dignity, independence, safety, comfort, and quality of life while ensuring nursing care is delivered in accordance with professional standards, physician/provider orders, facility policies and procedures, and applicable state and federal requirements.

The RN/LPN is expected to demonstrate compassion, sound clinical judgment, effective communication, teamwork, accountability, and a resident-centered approach to care.

Essential Duties and Responsibilities

Resident Care and Clinical Responsibilities

• Provide direct nursing care to residents in accordance with individualized plans of care, physician/provider orders, facility policies, and the RN's/LPN’s permitted scope of practice.
• Collect and document resident information and participate in ongoing observation and assessment of residents as permitted within the RN's/LPN’s scope of practice.
• Monitor residents for changes in physical, mental, behavioral, and psychosocial condition and promptly report significant changes to physician/provider as appropriate.
• Administer medications, injections, treatments, enteral feedings, and other nursing interventions as ordered and within the RN's/LPN’s scope of practice.
• Perform wound care and monitor residents for changes in wounds or skin integrity.
• Monitor resident pain and response to medications, treatments, and nursing interventions.
• Obtain and monitor vital signs, blood glucose results, weights, intake and output, and other clinical information.
• Recognize signs and symptoms requiring additional nursing assessment or medical intervention and promptly communicate concerns to the appropriate individual.
• Notify physicians/providers, responsible parties, supervisors, and other members of the care team regarding changes in resident condition as required.
• Implement new and revised physician/provider orders accurately and timely.
• Monitor residents following falls, incidents, medication changes, new treatments, hospital returns, or other significant clinical events.
• Assist with resident admissions, transfers, discharges, and transitions of care.
• Assist with implementation and evaluation of individualized plans of care in collaboration with the RN and interdisciplinary team.
• Participate in fall prevention, skin integrity, infection prevention, pain management, restorative nursing, and other clinical programs designed to promote positive resident outcomes.
• Respond appropriately during resident emergencies and initiate emergency procedures within training and scope of practice.

Medication and Treatment Administration

• Administer medications and treatments accurately and in accordance with physician/provider orders and facility policies.
• Follow established medication administration procedures and medication safety practices.
• Accurately complete medication administration records (MARs) and treatment administration records (TARs).
• Monitor residents for effectiveness, side effects, adverse reactions, and other responses to medications and treatments.
• Promptly report medication errors, adverse reactions, changes in condition, and other medication-related concerns according to facility policy.
• Communicate with pharmacy, physicians/providers, and nursing leadership regarding medication or treatment concerns as appropriate.
• Ensure medications and treatment supplies are properly stored and secured in accordance with facility procedures.

Supervision and Leadership

• Provide direction and supervision to CNAs and other nursing personnel as permitted by applicable requirements and facility policy.
• Delegate appropriate tasks based on resident needs, staff competency, scope of practice, and applicable requirements.
• Monitor resident care to ensure assigned tasks are completed safely, timely, and appropriately.
• Serve as a resource to CNAs and assist staff in responding to resident care needs.
• Promote teamwork, accountability, and respectful communication among nursing staff.
• Assist with orientation, education, and support of newly hired nursing personnel as assigned.
• Communicate staffing, resident care, and operational concerns to nursing leadership.
• Serve as a charge nurse when assigned and when consistent with scope of practice and facility policy.

Required Qualifications

Education

• Graduate of an accredited program

Experience

• Previous experience in a skilled nursing facility, long-term care, rehabilitation, assisted living facility is preferred, experience is not required

Licensure and Certification

• Must have a valid North Carolina State Board for Nursing license
• Completion of Category II intravenous protocol
• CPR/BLS certification

Knowledge, Skills, and Abilities

• Ability to access, plan carry out, and evaluate patient care plans
• Proficiency in medication administration, vital sign monitoring, and assisting doctors during treatment
• Ability to accurately document resident care using electronic and/or paper documentation systems.
• Ability to communicate effectively and professionally with residents, families, coworkers, supervisors, and other members of the interdisciplinary team.
• Ability to maintain resident confidentiality, privacy, dignity, and rights.
• Ability to work effectively as part of a team and assist coworkers when resident care needs require it.
• Ability to manage multiple responsibilities while maintaining attention to resident safety and quality of care.
• Ability to remain calm and respond appropriately in emergencies or stressful situations.

Physical Requirements

This is an active, hands-on resident care position. The employee must be able to perform the physical functions necessary to safely provide resident care, with or without reasonable accommodation.

The position may require frequent standing, walking, bending, reaching, kneeling, stooping, pushing, pulling, and assisting with resident mobility throughout the workday. The employee must be able to assist with lifting, transferring, repositioning, and transporting residents using appropriate assistance, equipment, and safe resident-handling techniques.

Pre-employment physical capability testing may be required when consistent with facility policy and applicable law.

Essential Physical Demands

• Ability to lift fifty (50) pounds. Moving, lifting or transferring of patients may involve lifting of up to 100 pounds 

• Ability to exert maximum muscle force to lift, push, pull or carry patients 

• Ability to use abdominal and lower back muscles over time without fatigue 

• Ability to stand for extended periods 

• Ability to bend, stoop, stretch, twist, sit, and reach 

• Fine Motor Skills 

• Visual acuity 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.