Job Purpose :
To provide nursing care to residents as prescribed by the physician and in accordance with standards
of nursing practices and regulations.
Essential job Duties and Responsibilities :
Nursing Care :
Prepare and review medical records and nurse’s notes, and assess residents to observe and evaluate their physical and emotional status. Monitor resident activity, evaluate nursing care in accordance with professional standards, and provide nursing care according to physician’s orders, care plans, established standards and facility policies. Coordinate and assist or prepare for new admissions,
transfers, and discharge of residents. Transcribe physician’s telephone orders. Communicate with Residents, family members, other interdisciplinary team members and management regarding resident status.
Drug Administration and Documentation :
Prepare and administer medications as ordered by the physician; in accordance with nursing
standards and facility policies. Sign, date and perform all charting and record keeping in accordance with established policies and procedures.
Direct Patient Care :
Lead and monitor licensed and other professionals. May schedule job assignments and set priorities. Assist and coach as needed. Provide feedback as to their effectiveness; may serve as team leader in
this function.
Resident Rights :
Understand, comply with and promote all rules regarding Residents’ rights.
Other Job Functions :
Care Plans :
Assist and participate in developing and implementing a written care plan for individual residents that
addresses the needs of the resident.
Staff Development :
Participate in in-service training, assist in implementing orientation programs and job skills training, maintains professional competence
Safety and Sanitation :
Monitor environment and care practices of nursing personnel to ensure compliance of established safety, fire and disaster, infection control and ensure all other departmental policies and procedures are followed; and to ensure cleanliness and safety of work and treatment areas
Other Duties :
Other duties as assigned
Physical and Sensory Requirements (with or without the aid of mechanical device) :
Works in a climate-controlled and well-lighted environment..
Lvn Staff Nurse • Bowie, Texas