PRN LPN

• Ensure that all nursing personnel assigned to you comply with the written policies and procedures including the safety program.
• Admit, transfer, and discharge residents with documentation regarding care and service provided.
• Participate in the orientation of new residents/family members to the facility.
• Make rounds with health care provider.
• Utilize nursing personnel qualifications according to the resident’s care plan, wishes, and health care provider orders.
• Complete daily clinical and environmental rounds to evaluate resident care being provided and report significant events.
• Meet and resolve issues with residents and/or family members. Report significant issues to the supervisor.
• Participate in facility surveys (inspections) as requested by management.
• May be responsible for clinical programs as directed, e.g. dementia, wound care, quality assurance, infection control, admissions.

• Update, review, and transcribe the care plan that identifies the goals, problems, approaches, and revisions based on nursing needs and new health care provider orders.
• Communicate with health care provider to review treatment plans, complete orders, progress notes, etc., in accordance with established policies.
• Review the resident’s medical record for specific treatments, medication orders, diets, labs etc., as for implementation and follow up.
• Requisition and arrange for diagnostic and therapeutic services, as ordered by the health care provider, and in accordance with our established procedures.
• Communicate the department’s policies and procedures to personnel, residents, and visitors.
• Communicate with written (24 hour report) and oral reports/recommendations concerning any changes in resident condition and other activities of your shift to nursing management.
• Fill out and complete accident/incidents involving residents or staff and submit to Director of Nursing.
• Complete and file assessments and all other medical record documentation as required to provide care services.
• Provide resident and family information for care conferences or other meetings.
• Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the supervisor.
• Complete clinically accurate documentation according to policy.
• Review the resident medical documentation and progress notes from the interdisciplinary team to determine if the care plan is being followed. Report any concerns to your supervisor.
• Inform nursing personnel of new admissions and the resident’s care needs. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission.
• Notify the resident’s attending health care practitioner and family when there is a change in the resident’s condition.
• Meet with your assigned support personnel (Housekeeping, Dining Services, Nursing Assistants, etc.) to plan the shift’s services, programs, and activities and monitor tasks are completed as directed.
• Coordinate services with other members of the disciplinary team (Housekeeping, Dining Services, Nursing, etc.) to ensure that the resident’s total regimen of care is maintained.
• Assist in arranging transportation for residents and other third party services.

• 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 supervisor.
• Review medication administration record for completeness of information, accuracy in the transcription of the health care provider’s order. Report concerns to your supervisor.
• Dispose of drugs and narcotics as required, and in accordance with established procedures.

• Assist to develop work assignments, schedule duty hours, and assist and supervise nursing staff to ensure that all personnel are performing their work assignments in accordance with acceptable nursing standards.
• Assist in staff development. Formally and informally monitor performance of personnel and ensure adjustments/corrections are made by using coaching, counseling, and discipline methods.
• Work with the Director of Nursing to resolve staff performance issues including those that may lead to termination.
• Review complaints and grievances, complete investigations, and work with the Director of Nursing for a plan of action and resolution..
• Participate in the planning, conducting and scheduling of timely in service and orientation training classes that meet state and federal requirements.

• Maintain nursing service work areas (i.e., nurses' stations, medicine preparation rooms, etc.), resident rooms, and treatment areas in a clean and sanitary manner.
• Recommend to the Director of Nursing the equipment and supply needs of the nursing department. Ensure that a stock level of medications, medical supplies, equipment, etc., is maintained on the premise at all times to adequately meet the needs of the residents.

Innovative Staffing Montana