The Licensed Practical Nurse (LPN) is responsible for providing quality nursing care, clinical support, and health-related services to individuals residing at Tranquility PCH, LLC. The LPN works under the supervision and direction of the Director of Nursing and within the scope of the LPN's professional license.
The LPN is responsible for monitoring residents' health conditions, administering medications and treatments as authorized, maintaining accurate medical documentation, communicating changes in residents' conditions, and ensuring that nursing services are delivered in a safe, respectful, and compassionate manner.
The LPN plays an essential role in promoting residents' overall health, dignity, independence, and quality of life while ensuring compliance with applicable state regulations, nursing standards, and Tranquility PCH, LLC policies and procedures.
Nursing Care and Clinical Oversight:
- Provide nursing services within the scope of LPN licensure and applicable Georgia nursing regulations.
- Monitor residents' health status and identify changes in physical or medical conditions.
- Obtain and document vital signs as ordered or clinically indicated.
- Observe residents for signs and symptoms of illness, injury, infection, or medical complications.
- Notify the Director of Nursing and appropriate healthcare providers of significant changes in residents' conditions.
- Assist with coordination of physician appointments, follow-up care, and medical recommendations.
- Implement physician orders and nursing interventions as authorized.
- Promote infection prevention and proper sanitation practices.
Medication Administration and Management:
- Administer medications in accordance with valid physician orders, applicable regulations, and facility policies.
- Ensure medications are administered to the correct resident, at the correct dosage, by the correct route, and at the correct time.
- Maintain accurate Medication Administration Records (MARs).
- Monitor residents for medication effectiveness, adverse reactions, and potential side effects.
- Ensure medication errors, omissions, and adverse reactions are reported immediately according to policy.
- Monitor medication supplies, expiration dates, and proper storage.
- Communicate medication changes and prescription needs to the appropriate personnel.
- Maintain medication security and confidentiality.
Resident Safety and Rights:
- Promote the health, safety, dignity, and well-being of all residents.
- Respect residents' privacy, choices, personal preferences, and individual rights.
- Report suspected abuse, neglect, exploitation, or mistreatment immediately in accordance with reporting requirements.
- Support residents' independence and participation in daily activities.
- Monitor for safety concerns and communicate identified risks to management.
- Ensure residents receive care free from discrimination, intimidation, and unnecessary restrictions.
Medical Documentation and Recordkeeping:
- Maintain accurate, timely, and complete nursing documentation.
- Document medication administration, treatments, observations, incidents, and changes in condition.
- Review medical records and ensure documentation is consistent with physician orders.
- Maintain confidentiality of resident medical information in accordance with HIPAA requirements.
- Assist with maintaining organized and up-to-date resident medical records.
- Participate in audits, quality assurance reviews, and regulatory inspections as assigned.