RN or LPN, C.N.A, Casual (Per Diem)

Type

Contractor

Contact Information

Contact: Wisconsin Dells Health Services Administration
Phone: 608-254-2574
Fax: 608-253-7411
Email: HKilburg@nshorehc.com
Website: wisconsindellshs.com

Description

Purpose of Your Job Position

The primary purpose of your job position is to plan, organize, and supervise care of the residents in order to meet the total nursing needs of the facility%u2019s residents and to provide medical treatment as prescribed by the attending physician.

Delegation of Authority

As LPN, you are delegated the responsibility and accountability necessary for carrying out your assigned duties.

Job Functions

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Miscellaneous Information

Information explaining the Essential function, Safety Factors, and the Competency Evaluation columns, as well as the Risk Exposure Category legend is provided in the %u201CJob Position Analysis Information%u201D section located on the last page of this job description. (Note: The number assigned to each individual column corresponds to that same number in the %u201CAnalysis%u201D section.) Risk Exposure Potential to Blood and/or Body Fluids Essential Function (%uF0D6%uF020=NO) Safety Factors Performance Evaluation

Function Requires Repetitive Motion (%uF0D6%uF020= YES) MINIMUM Weight Lifting Requirements Apply to Task (%uF0D6%uF020= YES) Function Requires Prolonged Sitting, Standing, Bending, etc. (%uF0D6%uF020= YES) Performs Function Satisfactorily (%uF0D6%uF020= NO) Needs In-Service Training

(%uF0D6%uF020= YES)

Duties and Responsibilities

Administrative Functions (1) (2) (3) (4) (5) (6) (7)

Receive report from the previous shift. 3

Check attendance of CNAs scheduled to work that shift. 3

Designate special care to be given by CNAs verbally at the shift report. (i.e. ROM, B & B Retraining, ambulation, change of position, treatments, temperature, use of gait belts, training in self care, any cleaning duties that shift, etc.) 3

Supervise serving of meals in resident rooms and dining rooms being sure all residents are being given assistance, if necessary, and noting any changes in eating habits. 2 %uF0D6

Responsible for setting up, administering, charting, and reordering medications for residents. 2 %uF0D6 %uF0D6

Make meaningful nursing observations on residents%u2019 progress notes at least monthly according to facility schedule. Including descriptive admission narrative and discharge summary, residents response or lack of response to medications and treatments, Anticipated short/long term goals, restorative nursing techniques, activity functions, ADL independence, etc. 3 %uF0D6 %uF0D6

Duties and Responsibilities (continued)

Risk Exposure to Blood/Body Fluids Essential Function Repetitive Motion Weight Lifting Requirements Prolonged Sitting, Standing, Bending, etc. Performs Function Satisfactorily Needs Training

Administrative Functions (continued)

(1) (2) (3) (4) (5) (6) (7)

Admit, transfer, and discharge residents according to procedures. 2

Responsible for the supervision and continuity of resident care on assigned unit. 2

Supervises, directs, and instructs CNAs. 3

Informs DON of any pertinent changes or information concerning residents, their families, and/or staff members as those changes occur. 2

Responsible for assisting in maintenance of resident care plans, correlating physician orders with the care plan. 3

Make out diet requisitions and changes according to physician orders. Sends forms to Dietary Department. 3

Make rounds with Doctors; discuss possible modalities of treatments, chemotherapy, and restorative nursing techniques. 3 %uF0D6

When an employee is injured, gives first aid, if necessary, and assist employee in filling out incident report and states whatever first aid and/or recommendations given. 3

Check residents receiving treatments to determine effectiveness of current medication and treatment plan, making adjustments under the guidance of the attending physician. 2

Make out resident accident reports in duplicate according to established procedures. One copy to the DON and one copy to the Administrator, being sure to notify physician and family. Notation made on resident%u2019s clinical record vital signs, condition of resident, response, etc. 3

Notify families and/or responsible party regarding change in condition, accidents, injuries, or medical appointments. 3

Attend in-services and shares knowledge gained with staff. 3

Evaluate nursing staff under your supervision with the assistance of the DON and discusses evaluation with employee. 3

Cooperate fully with the Activity, Nursing Rehabilitation, Dietary, and Social Service departments so that thee areas, along with the nursing department, may function together for the benefit of the resident. 3

Give a meaningful report to the oncoming shift including such pertinent information as new admissions, condition of critically ill patients, elevated temperatures, and any other significant knowledge necessary for continuity of care. 3

Evaluated by the DON / ADON at any time. 3

Check resident medical records frequently to be sure:

%u2022 Doctors orders are current and signed

%u2022 Doctor has visited resident as frequently as prescribed by law

%u2022 Rehab permission forms are current and signed by the Doctor

%u2022 Resident progress notes are current, signed, and contain all pertinent information

%u2022 Effectiveness of medications prescribed 3 %uF0D6 %uF0D6

Make sure all restorative nursing techniques and procedures are being executed, understood, and documented. (i.e. ROM, B & B Retraining, ambulation, change of position, treatments, temperature, use of gait belts, training in self care, any cleaning duties that shift, etc.) 2

Contact Doctor and/or pharmacy when necessary. 3

Make frequent rounds to all residents and areas noting the following:

%u2022 Appearance and condition of the resident and their room

%u2022 Evaluation of the resident%u2019s physical, mental, social, psychological, and religious needs/complaints.

%u2022 Any breakdown in procedure is noted, immediate intervention is to follow by explaining procedure and rationale to the party involved.

%u2022 Ensure restorative nursing techniques are being carried out.

%u2022 In the bathing area, evaluate bathing procedures and the condition of the resident%u2019s skin, scalp and nails.

%u2022 Cleanliness of utility rooms, unnecessary supplies, tidiness, and locked cabinets.

%u2022 Personal appearance of unit personnel.

%u2022 Necessary supplies for treatment care, paper supplies, utensils, medical, and nursing supplies are well stocked.

%u2022 Empty rooms are clean and ready for new residents. 2 %uF0D6 %uF0D6

Assist in ensuring nursing staff attends in-services when needed. 3

Any other duties as assigned. 1-3

Resident Rights

Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. 3

Ensure that the resident%u2019s rights to file a complaint are well established and maintained at all times. 3

Working Conditions

Works in office areas as well as throughout the facility and its premises.

Moves intermittently during working hours.

Is subject to frequent interruptions.

Is involved with residents, family members, personnel, visitors, government agencies/personnel, etc., under all conditions/circumstances.

Is subject to hostile and emotionally upset residents, family members, personnel, and visitors.

Attends and participates in continuing educational programs.

Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants.

Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

May be subject to the handling of and exposure to hazardous chemicals.

Communicates with the medical staff, nursing personnel, and other department supervisors.

Education

Must have a current Licensed Practical Nurse license in good standing with the State of Wisconsin. Cardiopulmonary resuscitation (CPR) training specific to adults, which include a demonstration of the individual%u2019s ability to perform CPR, and has current certification in CPR.

Experience

None required.

Specific Requirements

Must be at least 18 years of age.

Must be able to read, write, speak, and understand the English language.

Must possess the ability to make independent decisions when circumstances warrant such action.

Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.

Must possess the ability to work harmoniously with other personnel.

Must have excellent organizational skills.

Must have patience, tact, cheerful disposition and enthusiasm, as well as must be willing to handle residents, staff, and visitors, based on whatever maturity level at which they are currently functioning.

Must be able to maintain good personnel relations and employee morale.

Must be able to communicate policies, procedures, regulations, reports, etc., to personnel, residents, family members, visitors, and government agencies/personnel.

Must not pose a direct threat to the health or safety of other individuals in the workplace.

Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices)

Must be able to move intermittently throughout the workday.

Must be able to cope with the mental and emotional stress of the position.

Must possess sight/hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met.

Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.

Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.

Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.

Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

May be necessary to assist in the evacuation of residents during emergency situations.

Acknowledgment

I have read this job description and fully understand the requirements set forth therein. I hereby accept the position of LPN and agree to perform the identified essential functions in a safe manner and in accordance with the facility's established procedures. I understand that as a result of my employment, I may be exposed to blood, body fluids, infectious diseases, air contaminants (including tobacco smoke), and hazardous chemicals and that the facility will provide to me instructions on how to prevent and control such exposures. I further understand that I may also be exposed to the Hepatitis B Virus and that the facility will make available to me, free of charge, the hepatitis B vaccination. I understand that I may not release/disclose protected health or facility information without proper authorization.

I understand that my employment is at-will, and thereby understand that my employment may be terminated at-will either by the facility or myself, and that such termination can be made with or without notice.

Date: Signature- LPN:

Date: Signature- Employer Representative/Supervisor:

Job Position Analysis Information

1 Risk Exposure to Blood/Body Fluids Column:

Numbers entered into this column indicate the risk potential of your exposure to blood or body fluids. Established procedures identify the appropriate personal protective equipment that you should use when performing this task. The following numbers indicate your risk potential:

1 = It is highly likely that while performing functions assigned to this task you will be exposed to blood or body fluids.

2 = This task does not involve contact with blood and/or body fluids but while performing this task it may be necessary for you to perform a Category 1 task.

3 = This task does not involve any risk of exposure to blood or body fluids.

2 Essential Function Column:

A %uF0D6 mark in this column indicates that you will not be required to perform this task.

3 Repetitive Motion Column:

A %uF0D6 mark in this column indicates that it will be necessary for you to perform some functions of this task repeatedly. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used.

4 Minimum Weight Lifting Requirement Column:

A %uF0D6 mark in this column indicates that it will be necessary for you to perform functions of this task that require some lifting, moving, pushing, or pulling. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used when performing this task. Minimum weight lifting requirements that you must perform are located in the "Physical and Sensory Requirements" section of this Job Description.

5 Prolonged Sitting, Standing, and Bending Column:

A %uF0D6 mark in this column indicates that some functions of this task require you to sit, stand, or bend for an extended period of time. When such tasks are not performed properly, injury can result. Established procedures identify the precautions and/or equipment that should be used when performing this task.

6 Competency Evaluation Column:

Competency evaluations are required for this position. Your supervisor will notify you when your evaluation is to be conducted. A check %uF0D6 in this column indicates that you did not perform this task satisfactorily and/or in accordance with the facility's policies and procedures.

7 In-Service Training Column:

A %uF0D6 mark in this column indicates that you need additional training to better understand the performance requirements of this task. In-service training classes will be scheduled and your attendance at such classes is mandatory.

Updated on July 6, 2017