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LVN’s

JOB TITLE: Licensed Vocational Nurse

IMMEDIATE SUPERVISOR: Director of Nursing

PURPOSE OF JOB: To work with aging residents of a skilled care nursing home with varying degrees of chronic illness, physical disability and emotional conditions. Provide an environment structured to promote the mental and physical well-being of the resident.

RESPONSIBILITIES AND DUTIES:

A. Essential Tasks:

1. Administer medications for all or an assigned group of residents adhering to facility policies and procedures and directives issued by the Texas Department of Health.

2. Administer prescribed treatments for all or an assigned group of residents

adhering to facility policies and procedures.

3. Implement restorative nursing measures, correct aseptic techniques and other infection control measures when providing nursing care.

4. Perform the following supervisory duties as directed:

a. Observe direct care administered by nurse assistant/orderly.

b. Give and receive report and make daily assignments.

5. Pours and passes medications, gives insulin and gives injections, monitor

oxygen delivery rate and equipment of residents with oxygen therapy.

6. Perform clerical duties to include:

a. Accurate charting of resident’s condition, vital signs, medications,

treatments, etc.

b. (11:00 p.m. to 0700 a.m. shift) Answer telephone, relay messages, take physician’s orders, in a professional and competent manner.

7. Make frequent rounds on all residents and be able to identify/interpret changes in resident condition or other signs/symptoms of illness to supervisor and/or physician.

8. Monitor any restrained resident.

9. Appropriately communicate with family members regarding resident’s care plan, condition, change in condition and handle any complaints in a tactful and professional manner.

10. Attend in-services and continue professional growth.

11. Practice good body mechanics and monitor practices of assigned staff,

encouraging use of available lifting equipment, devices and labor saving

practices.

12. Participate in required fire drills and monitor staff performance.

13. Maintain a safe environment for the resident.

14. Comply with and monitor adherence to infection control and medication

policies and procedures.

15. Appropriately and accurately complete accident and incident reports;

infection control reports following facility policies.

16. Maintain current knowledge regarding scope of practice for self and others

and recognize legal implications when making nursing judgement.

17. Be familiar with facility manuals; keep manuals in a visible and accessible location for ready use.

18. Use, interpret and convey information related to resident care policies and

procedures.

19. Practice effective personal health and hygiene habits.

20. In accordance with established policies and procedures, keep uniform and

shoes clean and neat in appearance and in good repair. Keep jewelry to a

minimum. Keep fingernails short to prevent injury to residents.

21. Conduct self so as to promote a favorable public relations for the facility.

22. Respond to independent living resident medical emergencies; accurately

assess medical situation; provide necessary treatment; request necessary

assistance in accordance with established policies and procedures.

B. Marginal:

1. Perform the following supervisory duties as directed:

a. Supervise total patient care for assigned residents.

b. Supervise Nurse Assistants/Orderlies and Medication Aide.

c. Participate in the evaluation process of the Nurse Assistant/

Orderly and Medication Aide with the Director of Nurses and

Assistant Director of Nurses, recognizing superior performance.

d. Participate in the evaluation process of the Nurse Assistant/

Orderly and Medication Aide with the Director of Nurses and

Assistant Director of Nurses, recognizing conduct not in keeping

with the philosophy or standards to assure retention of competent,

qualified staff.

2. Assist in making physician appointments, therapy appointments and arrange for transportation to appointments as necessary.

3. Accompany physician during rounds; assist with examinations and

completion of physician visit on appropriate facility documents.

4. (7:00 a.m. to 3:00 p.m. and 3:00 p.m. to 11:00 p.m. shift)

Perform clerical duties to include:

Answering telephone, relay messages, take physician orders, in a

Professional and competent manner.

5. Keep work areas clean, neat and well organized.

6. Monitor environmental factors for potential safety hazards.

7. Monitor performance of private duty personnel.

8. Ensure that safety precautions are incorporated in the care plan and are

communicated to staff.

9. Conduct routine nursing assistant/orderly duties as necessary: (List is not

inclusive):

a. Answer residents calls/signals.

b. Assist with the admission of new residents.

c. Feed residents who are unable to feed themselves.

d. Bathe residents.

e. Make beds.

f. Take and record temperature, pulse and respiration.

g. Take and record blood pressure.

h. Collect specimens, label and properly dispose.

i. Dress wounds.

j. Administer procedures such as enemas, douches, massage, as directed.

k. Assemble equipment (catheters, oxygen supplies, etc.)

l. Help residents in/out of bed.

m. Assist residents in ambulation.

n. Record fluid and food intake and output.

o. Sterilize equipment and supplies.

p. Assist in care of deceased residents.

C. Shift Specific Tasks: (Nurse Assistant/ Orderly):

1. 7:00 a.m. to 3:00 p.m.

1. Check assignment at Nurses Station.

2. A Nurse Assistant/Orderly from each hall must complete vital signs and have them recorded on assignment sheet no later than 8:00 a.m.

3. Load clean linen carts and obtain soiled linen barrel for each hall.

4. Begin getting resident up, toilet them, wash their hands and face, dress and

groom for the day. No pj’s unless Nurse makes an exception.

5. When breakfast trays arrive, serve trays, making sure resident is sitting up in bed and eyeglasses are on, dentures are in place, silverware is on the tray; open everything on the tray. Make sure the call bell is within residents reach.

6. After trays are passed, all aides feed residents who cannot feed themselves. The floater continues to answer lights and assist with feeding.

7. Pick up all breakfast trays, mark diet sheet appropriately.

8. Proceed with resident care.

a. bather follows bath schedule

b. on non-bath days, resident receives peri-care before being dressed and groomed for the day

c. all residents receive mouth care or are assisted as needed

d. male residents are shaved on bath days or daily as necessary

e. fingernails and toenails should be kept neatly trimmed. If the toenails are a problem, notify the Nurse.

f. apply makeup to female residents as desired.

9. On bath days, resident’s bed receives a complete linen change, however,

change any sheet that is soiled as needed.

10. Make beds and straighten rooms.

11. Take residents to appropriate activities.

LUNCH BREAK 1stand 2nd- 10:45 – 11:15 11:15 – 11:45

12. Make rounds of incontinent residents before lunch changing diapers, taking residents to the bathrooms as needed.

13. Take all residents to the Dining Room by 12 noon. Check with nurse for

exceptions.

14. Put bibs on appropriate residents, serve lunch trays, setting up tray for each resident. Mark diet sheet after meal.

15. Return residents to their rooms, toilet them, change diapers and put to bed for a nap. Leave call bell within residents reach. Side rails up if necessary.

16. Any repeat V.S. or B.P.’s foley out puts, BM’s are to be recorded on

assignment sheet by 2:00 p.m.

AFTERNOON BREAK 2:00 – 2:15 2:15 – 2:30

17. Sort dirty linen barrels.

18. Make sure, kitchen, dining room and break room are clean.

BATHER

1. Bathe 1 -3 residents before breakfast – total baths number from 11 – 13.

2. Clean gurney and tub between baths.

3. Bather does not have to dress resident but may assist with some of the more difficult residents to dress.

4. After each bath, disinfect tub and gurney (lock disinfectant in cabinet in

bathing room), restock supplies in bathing room.

5. Prepares breakfast carts:

Styrofoam cups, trash bag at the end of the cart

Make coffee (decaff – 4 – 5 pots)

Make sure all residents get a tray.

6. Assist with feeding breakfast and lunch; pick up bibs, put in soiled linen

barrel.

7. Assist with putting residents to bed for a nap.

8. Refill soap containers for all bathrooms, break room, utility and exam room.

FLOATER

1. Answer lights as soon as shift begins, assist with breakfast and feeding

residents.

2. Assist with resident care.

3. Floater is responsible for getting residents to appointments with in-house.

Dentist, Podiatrist and Beauty Shop. These will be indicated on the

assignment sheet.

4. During the lunch hour:

pass trays

answer lights

refill water pitchers with ice

observe residents eating in their rooms

` put clean set of towels for each resident in bathrooms

5. Assist with last rounds, usually help on the men’s hall.

* There is a list of residents who need to be restrained at the Nurse’s desk. Please refer to this or check with the Nurse if there is a question. Make sure all side rails are up (check with Nurse for exceptions) and call bell is within residents reach when you leave.

2. 3:00 p.m. to 11:00 p.m.

1. Check assignment.

2. If no floater is scheduled, each hall must complete vital signs by 5:00 p.m. or earlier.

3. Load clean linen carts and bring one soiled linen barrel for each hall.

4. Check hall for whereabouts of residents.

5. Answer lights and begin getting up residents. Dress properly for dinner. No pajamas. Be sure that faces are washed, perineal area clean, dentures in place, hair combed and glasses on. Tidy up each room before leaving. Take resident to dining room by 4:40 p.m.

6. If time permits, empty linen carts, distribute resident’s clothing to rooms and/or pass towels.

7. DINING ROOM:

Pass all trays before feeding. Whatever tray you pick you pass. Take turns feeding different residents. After feeding, take the residents back to their rooms, and pick up trays from dining room and halls (bibs too). Employees are not permitted to eat food from the resident’s trays.

8. When putting to bed, check restraint list. Do good p.m. care when putting

residents to bed. Brush teeth, clean and soak dentures. Wash their face, pericare and turn residents on their side. Prop with pillow and be sure pads and diapers are under their bottoms and not their backs. Place call light within reach. Raise bed rails.

9. After residents are in bed answer lights, pass any clothes, towels and water

that has not been passed. Check residents every two hours.

10. Empty foleys at 9:30 p.m. Chart BM’s.

11. Last rounds should be done between 10:00 – 10:15.

12. Sort all soiled barrels before leaving.

13. Make sure kitchen, dining room, and break room are clean.

BATHER

1. Check bath list.

2. Make sure bathroom is stocked with all necessary equipment. (Towels, soap shampoo, lotion, razors, shaving cream, soiled linen barrel, etc.)

3. After bath, return resident to room and re-dress. Put call light on if you need assistance.

4. Clean gurney and tub between baths.

5. After all baths are finished, clean bathroom thoroughly. Put towels away,

refill soap bottles. disinfect tub and gurney with spray (lock disinfectant in cabinet in bathing room). Return bath gurney to tub.

6. If there is no floater, pass towels and water.

7. Help answer lights on both halls.

8. Do last rounds on men’s hall.

9. Check to make sure the kitchen, dining room and break room are clean.

FLOATER

1. Take all vital signs. (Daily and weekly) Vitals must be completed no later than 5:00 p.m.

2. Help answer lights on all halls.

3. After dinner, help put 2 -3 residents to bed on the “men’s hall” and then go to the “ladies hall” and put 2 -3 residents to bed. Still help answer lights.

4. Pass ice water and towels.

5. Do Last rounds on “ladies hall”. Make sure kitchen, dining room, and break room are clean.

3. 11:00 p.m. to 7:00 a.m.

1. Listen to Report, check assignments.

2. Put hanging clothes in closets.

3. Take vital signs as indicated on assignment.

4. Obtain soiled linen barrel, make 12:00 midnight rounds of all residents.

5. Perform assigned duties that are appropriated for the day:

MONDAY — Clean wheelchairs, bed pans and water pitchers.

Room 1 – 6

TUESDAY — Clean wheelchairs, bed pans and water pitchers.

Room 7 – 12

WEDNESDAY – Clean wheelchairs, bed pans and water pitchers.

Room 13 -18

THURSDAY — Clean wheelchairs, bed pans and water pitchers.

Room 19 – 24

FRIDAY — Clean wheelchairs, bed pans and water pitchers.

Room 25 – 30

6. 2:00 a.m. rounds – all residents.

7. Finish assigned duties.

8. 4:00 a.m. rounds – all residents.

9. Take routine BP’s and V.S. as indicated by Nurse.

10. Freshen water pitchers, pass ice.

11. 6:00 a.m. rounds, get up designated residents as indicated by Nurse.

12. At the end of the month assist Nurse with paper work.

13. Routine duties:

Make sure bedpans, urinals, wheelchair, water pitchers, are labeled.

Clean all refrigerators at least weekly.

Change soap solution in Johnny Mop containers at least once each week. Leave break room and utility rooms in good order.

FLOATER

1. Responsible for all V.S. – Answer lights when rounds are being done.

Responsible for incontinent rounds on residents 13 – 30.

Job Type: Full-time

Pay: $24.72 – $26.27 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Medical specialties:

  • Geriatrics

Physical setting:

  • Long-term care

Supplemental schedule:

  • Holidays
  • Overtime

Weekly schedule:

  • 5×8
  • Monday to Friday
  • Weekends as needed

License/Certification:

  • LVN (Required)

Work Location: In person

The Army Residence Community is not a Government or Civil Service Facility.

We offer a competitive salary and benefits package. Must pass a pre-employment drug screen, and background check.

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