Lpn/Rn 7Pm-7Am Baylor Weekends

Essential Duties

1.Contributes to Facility quality assessment and improvement initiatives.

2.Develops and updates instant and comprehensive Care Plans as needed.

3.Transcribes, clarifies, and implements physician's orders.

4.Administers and monitors resident medications and treatments per physician's

orders. Maintains accurate medication administration records and treatment

administration records. Verifies medication cart is secure and clean. Secures

narcotics per Facility policy and state regulations.

5.Communicates status of residents to incoming licensed personnel according to

established procedures at shift change. Performs medication inventory at the

beginning and end of the shift with another licensed nurse and immediately

notifies supervisor of discrepancies.

6.Documents residents change in condition; develops, documents, and implements

appropriate nursing interventions; and notifies physician and appropriate persons

as needed.

7.Updates and maintains accurate resident clinical files.

8.Conducts personal physical examination of residents for skin breakdown upon

admission and as assigned.

9.Supervises, trains, and delegates job tasks to certified nursing assistants and unit

clerks.

10. Communicates status of residents, new admissions, scheduled appointments,

assigned baths, restorative instructions, changes in specialized diets, and other

individualized patient instructions to certified nursing assistant staff at shift

change.

11. Verifies resident rooms, therapeutic equipment, and nursing areas are clean and

organized.

12. Responsible for managing resident meal times and providing appropriate

supervision.

13. Verifies supplements, snacks, and fluids are passed per protocol and schedule.

14. Makes rounds and verifies completion of job tasks assigned to certified nursing

assistants.

15. Responsible for accurate documentation of resident information including, but not

limited to:

a. Resident skin condition;

b. Diet and supplements;

c. Special equipment needs;

d. Continence and protection used;

e. Weight gain or loss;

f. Side rail use and reason for use;

g. Assistance required by resident

16. Completes employee and resident incident report forms.