Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) at STG International

STGi is seeking a Licensed Practical Nurse/Licensed Vocational Nurse to provide services to our Georgia War Veterans Home in Milledgeville, GA.

JOB SUMMARY:

The primary purpose of the LPN/LVN is to provide direct nursing care to the residents.

ESSENTIAL FUNCTIONS:

+ Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as required.

+ Ensure that each resident who experiences a significant change in status is assessed using the Resident Assessment Instrument (RAI) process.

+ Assist to develop a dementia care program involving an interdisciplinary approach with a holistic focus on the needs of the resident living with dementia.

+ Verify resident census accuracy and report new admissions, discharges, leaves of absence and bed-holds per facility policies; document census as established for billing and clinical purposes.

+ Assist with safe and orderly resident transfers and discharges in accordance with facility policies.

+ Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and

+ commercial insurance payers.

+ Interpret the department's policies and procedures to personnel, residents, visitors and government agencies as required.

+ Participate in developing, maintaining, and updating written facility policies and procedures that govern the day-to-day functions of the nursing services department.

+ Participate in facility surveys (inspections) made by authorized government agencies as requested.

+ Audit nursing documentation in the clinical record for appropriate and relevant entries.

+ Attend and contribute in facility "triple check" process for reviewing coding for accuracy.

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

+ Periodically review the department's policies and procedures manuals, job descriptions, etc., and make recommendations for revisions to the Director of Nursing.

+ Coordinate the completion of resident billable charge sheets in accordance with billing policies.

+ Provide licensed nursing care to residents that is consistent with the written plans of care.

+ Communicate with primary care physicians and members of the comprehensive care planning team regarding the status of residents; follow up on critical labs, order requests and physician notifications.

+ Arrange for an interpreter or translation services in accordance with facility policies for those with limited English proficiency (LEP).

+ Obtain orders to provide essential care to the resident consistent with the resident's mental and physical status upon admission to the facility.

+ Ensure that all residents are treated with dignity, respect and consideration and have the right to exercise their choice and self- determination.

+ Ensure that residents receive culturally competent trauma-informed care in accordance with professional standards of practice.

+ Evaluate residents' response to care.

+ Coordinate nursing care to accommodate resident's person-centered plan of care including sleep schedule, social activity, and participation in other resident-directed activity; minimize interruption of activities as much as possible.

+ Ensure that residents are free from physical or chemical restraints imposed for the purposes of discipline or convenience that are not required to treat the residents' medical symptoms.

+ Assist in coordinating nursing services with other resident services to ensure the continuity of the residents' plan of care.

+ Identify the learning needs of residents and families and provide individualized and comprehensive resident/family education.

+ Educate residents and families on the risk and benefits of a treatment or choice when consent is needed.

+ Monitor residents for patterns of decreased social interaction or signs of distress.

+ Implement individualized approaches to dementia care including meaningful activities addressing the resident's customary routines, interest preferences and choices.

+ Carry out restorative and rehabilitative programs including restorative nursing, activities of daily living (ADLs) teaching, bowel and bladder retraining and education for self-help as appropriate.

+ Provide pain management for residents in accordance with established pain management protocols.

+ Complete accident/incident reports as necessary.

+ Assist the interdisciplinary team (IDT) with establishing nutrition, hydration and body weight parameters for residents; help facilitate the responsibilities of the food and nutrition services department.

+ Keep the Director of Nursing informed of the status of residents and other related matters through written/oral reports, document reportable events and notifications in accordance with facility policies.

+ Cooperate with and coordinate social and activity programs with nursing services schedules.

+ Periodically review the resident's written discharge plan; participate in updating the resident's written discharge plan as required.

+ Ensure that the discharge needs of each resident are identified and result in the development of a discharge plan for each resident

+ including regular re-evaluation to identify changes that require modifications.

+ Make periodic checks to ensure that Certified Nursing Assistants (CNAs) are properly administering prescribed treatments and to evaluate the resident's physical, psychosocial and emotional status.

+ Report problem areas to the Director of Nursing; assist in developing and implementing corrective action.

+ Arrange for diagnostic and therapeutic services as ordered by the physician and in accordance with established facility procedures.

+ Provide information to the QAPI Committee as requested.

+ Coordinate transfer or discharge of residents including arranging transportation, compiling the discharge summary, reconciling medication and reviewing upcoming appointments with resident in a language understood by the resident with the goal of a safe discharge.

+ Complete and file required recordkeeping forms/charts upon the resident's admission, transfer and/or discharge; provide notifications to the ombudsman and responsible party per requirements.

+ Document reports of accidents/incidents involving residents; follow established procedures.

+ Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures.

+ Audit clinical record for appropriate consents and assessments including advance directives, living wills and other documents required for the delivery of person-centered care with respec