LPN/RCM

Assist the Director of Nursing Services in planning, developing, organizing, implementing, evaluating, and directing the day to day functions of the nursing service department, in accordance with current rules, regulations, and guidelines that govern the long term care facility.

Participate in developing, maintaining, and updating our written policies and procedures that govern the day to day functions of the nursing service department.

Facilitates the resolution of issues and concerns associated with resident / patient care including family issues.

Ensure that reference material (i.e., PDR'S, regulations, professional standards of practice, etc.) maintained at the nurses' stations is current.

Recommend to the Director written material that will assist the nursing service department in meeting the day to day needs of residents.

Ensure that the Nursing Service Procedures Manual is current at all times and reflects the day to day nursing care procedures used by this facility.

Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing service department.

Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Makes nursing diagnoses that serve as the basis for the delivery of care.

Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards.

Report findings to the Director.

Performs nursing assessments regarding the health status of the resident / patient.

Develops a plan of care and implements nursing care based on assessment.

Inform the Director when physician visits are not made in a timely manner.

Review nurses' notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident's response to the care, and that such care is provided in accordance with the resident's wishes Authorize the use of restraints when necessary and in accordance with our established policies and procedures.

Provides health education to patients and their families.

May assist the In service Director/Educator in developing annual facility in service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.).• Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident.

Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers.

Participate in the development of a written care plan (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care Encourage the resident and his/her family to participate in the develo...