Lead Licensed Practical Nurse (LPN)

Primary Purpose:
At the direction of the Regional Vice President and Regional Director of Healthcare Operations the ED and RSD may initiate the hire of a Lead LPN. In the absence of the Residence Director, or at the RSD or Executive Director's discretion, the Lead LPN will assist the Resident Services Director and community by performing designated leadership duties that support clinical operations. The Lead LPN may be required to leave their shift to perform Lead LPN duties, but may not leave if no other LPN is working on the premises at the time. In the case of a personal emergency, the Resident Services Director and the Executive Director of the Community must be notified. The Lead LPN will not leave the premises until properly relieved.
Qualifications/Skills Needed: Education
Graduate of a state accredited Nursing school or course.
Licensed as an LPN in the state in which services are performed.
Must have a current CPR Certification.
Prefer work experience with the elderly in a nursing home or residential setting.
Prefer previous management experience.
Language Skills
Must possess the ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.
Must have the ability to write routine reports and correspondence.
Must have the ability to effectively communicate and follow both written and oral instructions.
Must adhere to and comply with all verbal and written policies and instructions set forth by the Morning Pointe Community.
In general, duties include, but are not limited to the following and the RSD and ED may assign additional duties as deemed appropriate or needed:
Leadership Duties
(may include any or all of the following, but MUST be specifically defined by the RVP, RDHCO, ED and RSD considering the individual community's needs).
Complete pre-assessments as needed for prospective new residents and enter into YARDI
Complete initial or periodic Level of Care assessments as needed and enter into YARDI
Monitoring YARDI completion by LPNs for all monthly and quarterly assigned assessments (Falls Risk, Elopement Risk, Self-Med Administration, Monthly Wellness)
Conduct quarterly Care Conferences with resident and/or Responsible Party as requested
Conduct monthly chart, cart, and MAR audits
Audit and update Resident Assistant task sheets (including Laundry, Shower, cleaning schedules)
Assist with Resident Assistant assignment sheets
Update monthly any H and P/Physician's Plan of Care's due for annual renewal
Manage Hot files and Emergency Contact lists to maintain current
Purge, file, and maintain all clinical paper documents/records
Assist with RA and Nurse time scheduling and filling call outs
Assume on-call responsibilities for clinical concerns when RSD is not available (upon approval of ED and RVP) with on-call pay stipend
Audit clinical supplies for ordering
Participate in interviewing for LPN, CNA and Resident Assistant open positions as requested
Assist with New Hire Orientation for LPNs and Resident Assistants
Monitor clinical associates for completion of monthly Relias training assignments
Make recommendations regarding appropriate associate counseling and disciplinary actions to be conducted by the RSD and Executive Director
Attend daily standup meetings in absence of RSD
Assist with Wellness clinics/visits (Podiatrist, Flu Shot Clinic, etc.)
Count narcotics at the beginning and end of each shift.
Signs out for all narcotics when dispensed to resident. (If the resident refuses routine narcotic or the narcotic is not given after being pulled, it must be disposed of by the nurse and witnessed by a second person.) Any narcotic wasted must be witnessed and signed by two persons. Any full or partial bubble packs of narcotics will be disposed of by the Resident Services Director and another licensed nurse, returned to the pharmacy or family as directed.
Medications are to be given by either the LPN or the Resident Services Director.
Each medications is to be cross-checked for accuracy between the packaging information and the MAR before dispensing to the residents. Any medication not given is to be circled on the MAR sheet and explained on back of the MAR. Refusal of medications should be reported on the 24-hour log and escalated to the RSD if refusals continue.
All medication records are to be signed and initialed on the back of the MAR sheet.
The medication room is to be locked at all times.
The keys to the medication room are to be given only to the nurse or medication technician or locked in the designated lockbox if no nurse is scheduled.
Medications are to be reordered as needed.
Manage the health care of all residents including providing information to the families and staff in the absence of the Resident Services Director and the Executive Director of the Community.
Perform ongoing assessments of resident's physical and psycho-social needs and advises the Resident Services Director and the Executive Director of the Community of changes in status.
Observes and records significant condition changes and reactions. Notifies the Resident Services Coordinator and the Executive Director of the Community of these changes or reactions, especially to drug treatments and significant other incidents.
When appropriate, explain procedures and treatments for the resident to gain cooperation and understanding thereby relieving possible apprehension.
Perform duties as a team-leader which may involve supervising Resident Service Assistants.
Respond to life saving situations based on current standards, policy, procedures and protocol.
Follow and adhere to The Nursing Practices Act as set forth by the State in which licensed to provide services.

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