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JOB OVERVIEW

The Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) is responsible for providing direct resident care and supervision of direct resident care of non-licensed team members in the skilled nursing operations and other areas throughout the community as appropriate. Responsible for leading and demonstrating the Mission for Sunrise Senior Living, “to champion quality of life for all seniors” in accordance with federal, state/provincial, and local laws, standards, and Sunrise Senior Living policies to promote the highest degree of quality care and services to our guests/residents.

RESPONSIBILITIES & QUALIFICATIONS

Essential Duties

As a part of the Sunrise team, supporting our Mission, Principles of Service and Core Values is a fundamental part of this job. Our foundational belief is the sacred value of human life. The unique responsibilities for this role include but are not limited to the essential functions listed as follows:

Clinical Care

• Assist the Leadership Team in supervising the nursing team members.
• Assist with the development and leadership of the Designated Nursing Assistants (DNA)/Certified Nursing Assistants (CNA) and follows the Resident Centered Care model.
• Assist with providing clinical care and not limited to urinary catheterization, tube feedings, applying/changing dressings, Accu-checks, medication management/administration, admission, and transfer and discharge of guests/residents.
• Complete timely and accurate documentation of guests/resident’s charts.
• Complete Incident Reports and report to Director of Nursing Services (DNS).
• Review, update, and notate in the electronic health record to learn and document pertinent resident and community information.
• Conduct effective visits/rounds at a minimum twice a day and conduct visits/rounds with physicians as necessary as assigned by DNS.
• Research and document all incidents of abuse, neglect, and misappropriation of funds as assigned by DNS, Executive Director (ED), or Skilled Nursing Administrator (SNA).
• Participate in the Clinical IDT meeting and in the Daily Prospective Payment System (PPS) meetings to obtain information on admissions and discharges for the day/week.
• Assist in monitoring medication records and administration.
• Assist in receiving lab, x-ray, and other test results and communicates appropriately.

Quality Assurance and Regulatory Compliance

• Strive for excellent quality care and service delivery as measured in the Quality Services Review (QSR) process in demonstration and knowledge of standard practices and excellent resident care and services.
• Demonstrate and is knowledgeable in the following key quality improvement areas:
• Skilled nursing transformation and Resident Centered Care Model.
• Sunrise and Federal Quality Indicators.
• Actively participates in Sunrise Quality Indicator Meetings.
• Assists with development of plans for Quality Indicators above the Sunrise threshold.
• Demonstrate and is knowledgeable in the following key regulations:
• All Federal, state/provincial, and Local resident care nursing regulations.
• Resident Rights.
• Resident Assessment Instrument process.
• Actively participates in Federal, state/provincial, and Local surveys.

Restorative

• Follow the documentation guidelines of the Restorative process.
• Train and monitor the DNAs/CNAs in the Restorative program.
• Monitor the documentation for the Restorative program.
• Monitor for resident decline and improvement.
• Refer guest/resident to restorative nursing as indicated.

Clinical Systems

• Demonstrate Sunrise practices and guidelines for care and services surrounding guest/resident’s skin, nutrition, behavior, falls, and bowel/bladder.
• Assist in implementation, training, and monitoring of documentation related to clinical systems weekly.
• Consult with physician as appropriate.
• Ensure guest/resident changes, concerns, and/or solutions are reported to the DNS as appropriate.

Medication Management

• Transcribe physician orders in the Medication Administration Record/Treatment Administration Record (MAR/TAR) accurately and promptly to include initials, date and time ‘noted’, and date faxed to pharmacy.
• Demonstrate and is knowledgeable of the Six (6) Rights of Medication Pass (“Right” resident, medication, dosage, time, route, right to refuse).
• Perform and follow Sunrise and nursing standards for taking orders from physicians and administering medications.
• Ensure current guest/resident photo with dates for all guest/resident on MAR/TAR.
• Complete Med Pass audit as a quarterly minimum.
• Complete MAR/TAR audit each month.
• Monitor the Medication Room, medication carts, and treatment carts for neatness, cleanliness, availability of medications, and expired medications.

Guest/ Resident, Family, and Visitor Relations

• Respond to guest/resident, family, and visitor requests in a timely and professional warm manner.
• Communicate with families regarding the guest/resident medical care and seek new methods to incorporate guest/resident requests into existing nursing standards.
• Maintain confidentiality of all guest/resident information.
• Review, read, notate, and initial the Daily Log to document and learn about pertinent information and any resident’s physical and behavioral changes.

Risk Management and General Safety

• Partner with community team to ensure community follows national/provincial regulations pertaining to occupational health and safety requirements, promoting Risk Management programs and policies and adhering to safety rules and regulations.
• Practice safety procedures at all times including Personal Protective Equipment (PPE), fire extinguishers, Safety Data Sheets (SDS), and Lockout Tagout procedures.

Infection Control

• Understand and follow infection control practices.
• Provide training as needed to support infection control practices.
• Understand and practice the proper method of attending to and disposing of, and the possibility of exposure to, blood borne pathogens, bodily fluids, infectious waste, sharp sticks, and hazardous materials.
• Report occupational exposures to blood, body fluids, infectious materials, sharp sticks, and hazardous chemicals immediately.
• Ensure oxygen tanks are stored safely, exchanges guest/resident tanks when empty, and monitors to make sure liters of oxygen are at prescribed levels.

Supervision

• Assist with staffing and scheduling ensuring staffing is sufficient to meet guest/resident needs.
• Assist with providing team member evaluation feedback, coaching, and counseling on care provided as appropriate.
• Provide leadership for team members during orientation, Sunrise University trainings, and evaluations as appropriate.

Training and Contributing to Team Success

• Participate as a member of a team and commit to working toward team goals.
• Demonstrate in daily interactions with others, our Team Member Credo.
• Commit to serving our residents and guests through our Principles of Service.
• Contribute to the overall engagement programs and processes (customer and team member engagement) including participating in the team member engagement survey and engagement improvement planning workshops.
• Attend regular meetings; Town Hall, Department Team., Cross Over, and others as directed by the Supervisor/Department Coordinator.
• Maintains compliance in assigned required training and all training required by state/province or other regulating authorities as applicable to this role to ensure that Sunrise standards are always met.
• Perform other duties as assigned.

Core Competencies

• Ability to handle multiple priorities
• Ability to delegate assignments to the appropriate individuals based on their skills, roles, and interests
• Possess written and verbal skills for effective communication
• Competent in organizational and time management skills
• Demonstrates good judgment, problem solving and decision-making skills

Experience and Qualifications

• Graduate of approved college/school of nursing
• Maintains a current state/provincial license as a Practical Nurse/Vocational Nurse
• A minimum of one (1) year experience in long term care, assisted living, skilled nursing, hospital, and/or full-service operations
• Maintains CPR certification and ongoing training and re-education as required by Sunrise and state/provincial regulations
• Demonstrated knowledge of nursing practices, techniques, and methods as applied to skilled nursing and resident care
• Demonstration of knowledge of federal, state/provincial, and local long term care regulations
• Understanding of the Resident Assessment Instrument (RAI) and the Care Plan Process
• Demonstration of proficiency in computer skills, Microsoft Office (Windows, Outlook, Excel) and Sunrise applications with the ability to learn new applications
• Ability to work weekends, evenings, and flexible hours to be available for our customers at peak service delivery days and times
• As applicable, all Sunrise team members who drive a Sunrise vehicle must sign the Driver job description and understand the key essential duties for safety and regulatory compliance