Charge Nurse LVN LPN

apartment BrightSpring Health Services location_onCorsicana, TX

LVN / LPN

Our Company ResCare Community Living Overview Works under the supervision of a Registered Nurse. Duties include providing routine care, general observation of client’s health status, assists the RN and physician in treatments and communicating with clients and their families/guardians. Reports changes in condition and/or additional client needs to supervisor. Responsibilities Communicates health/nursing needs and/or recommendations to RN supervisor Coordinates admissions, discharges, and follow-up as needed Assists in medical/health appointments as needed Ensures the provision of nursing/health services under the direction of the RN and as ordered by the physician, provides direct care as outlined in the Service Plan/Nursing Care Plan Takes and records vital signs, weights, wound measurements, etc. Identifies trends outside of parameters, or in need of attention and communicates to RN/physician Reports pertinent information and changes in individual health status to attending physician/health professionals and to the Team as needed in a timely manner Ensures the provision of needed adaptive equipment Medication Administration: Administers medications, verifying the correct medications are administered (per the six “rights” of medication administration), and that client’s response to medications is noted and documented along with any noted side effects Works closely with home/facility/pharmacy staff in consulting on psychotropic medications, side effects, and medication reviews Orders, reviews, monitors, and discontinues medications as ordered by physician. Dispose of unused medication per policy Assures that monthly Medication Administration Records (MAR’s) are accurately transcribed in each individual’s record Checks the medication cabinet on a weekly basis to ensure medications are administered as ordered, appropriately documented on the MAR, and that missed medications are documented, and required follow-up occurs Returns completed med cards at the end of each month, along with expired and unused medications as applicable Checks program/service areas on a frequent but not less than a monthly basis to ensure the necessary medical/nursing/medication supplies are available and in ample supply Reports client illness, potential communicable diseases or infections and works closely with RN, direct care staff, other programmatic and health care professionals, and family in maintaining a safe environment for clients and staff. Implements isolation precautions as needed Ensures health status, care and services are documented accurately and timely per company and state requirements Provides supervision and education for non-licensed staff in the provision of care and services and reports any changes Complete a quarterly nursing evaluation/review of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review. Ensures incidents are recorded, the individual is safe, receives required medical care, communicates to RN, operations leadership timely Participates in clinics completed at the operation with PCP, psych, etc. as assigned.Participate in on-call duties to ensure weekend and after-hours access to clinicians by staff and individuals served (participates in on-call rotation as assigned) Participates in quarterly quality improvement activities, weekly team/staff meetings and Interdisciplinary Team meetings (IDT/PDP) Transcribes physician phone orders and other medically related reports Work hours may vary – weekends and evening shifts/visits may be required Qualifications Education: Completion of a state approved training program (e.g., diploma, associate’s degree, etc per state requirement) Qualifications: Must be a Licensed Practical/Vocational Nurse (LPN or LVN, per state licensure requirements) in good standing CPR certification Must have at least 6 months of direct nursing experience Experience in providing services and supports to individuals with developmental disabilities, or related disorders preferred Valid driver’s license, with a satisfactory driving record, as defined by ResCare’s vehicle policy Must have the ability to use a computer utilizing company documentation systems Ability to communicate (verbally and written) with all levels of personnel, internal and external to the company About our Line of Business ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. We provide a comprehensive range of high-quality services, including: community living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For more information, please visit www.rescarecommunityliving.com. Follow us on Facebook and LinkedIn. Salary Range USD $25.00 / Hour

apartment BlueBonnet Rehab at Ennis location_onEnnis, TX

Charge Nurse LVN LPN

Must have current LVN license in the State of Texas. Shifts: 10pm-6am, PRN All Shifts Essential Job Duties: Works using the guidelines established from the Nurse Practice Act, facility Policy and Procedures, use of your nursing judgement. Assess, plan and evaluate nursing care delivered to patients/residents requiring long-term or rehabilitation care. Implement the patient/residents plan of care and evaluate the patient/residents response. Directs and supervises care given by other nursing personnel. Provide input in the formulation and evaluation of standards of care. Maintain knowledge of necessary documentation requirements. Maintain knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.). Maintain confidentiality and patient/resident rights, regarding all patient/resident and personnel information. Provide patient/resident, family/caregiver education as directed. Initiate emergency support measures ( CPR, protecting patients/residents from injury) Assessment: o Admission and routine resident observations/transfer notes are complete and accurately reflect the patient/resident’s status o Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. o Nursing history is present in the medical record for all patients/residents o Assessment identifies changes in the patient/resident’s physical or psychological condition ( Changes in lab data, Vital signs, mental status). Planning of Care: o Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. o Pertinent nursing problems are identified. o Goals are stated. o Appropriate nursing orders are formulated. Evaluation of Care: o The effectiveness of nursing interventions, medications, etc. is evaluated and documented in the progress notes. Care Plans: o Evaluation of care plan is noted monthly or as indicated. o The care plan is revised and indicated by the patient/resident’s status. General Patients/Resident Care: o Patient/Resident is approached in a kind, gentle, and friendly manner. Respect for the patients/residents dignity and privacy is consistently provided. o Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. o Independence by the patient/resident in activities or daily living in encouraged to the extent possible. o Treatments are completed as indicated. o Safety concerns are identified and appropriate actions are taken to maintain a safe environment. o Assist/Grab-bars and height of bed are adjusted. o Patient/Resident call light and equipment is within reach. o Restraints, if ordered by a Physician, are maintained properly. o Rooms are neat and orderly. Functional assignments are completed. Emergency situations are recognized and appropriate action is taken. All emergency equipment can be readily located and operated (Emergency Oxygen Supply, Drug Box, Fire Extinguisher, AED/Crash Cart, etc.) Patient/Resident Education/Discharge Planning: o The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care). o Patient/resident and/or family are provided with information related to all intervention and activities as indicated. o Discharge/Death summaries are complete and accurate. o Transfer forms are complete and accurate o Active participation in patient/resident care management is evident Adherence to Facility Procedures: o Facility procedure manuals or reference materials are utilized as needed. o Procedures are performed according to methods outlined in procedure manual. o Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions. o Safety guidelines established by the facility ( i.e. proper needle disposal ) are followed. Documentation: o The patients/resident’s full name and room number are present on the chart forms. Allergies are noted on the chart cover. o Only approved abbreviations are utilized. o TPR graphic is completed properly and timely o I&O summaries are recorded and added correctly o Blood pressure graphic is completed accurately and timely o Progress notes are timed, dated and signed with full signature and title o Unit flow-sheets are completed properly (i.e, Wound Care Records, Treatment Records, IV Therapy Record, etc) Medication Administrations/ Parenteral Therapy Record o Dates that medications are started or discontinued are documented o Medications are charted correctly with name, does, route, site, time and initials of nurse o Pulse and BP are obtained and recorded when appropriate o Medications not given are circled, reason noted and physician notified if applicable o Appropriate notes are written for medication not given and actions taken. o Name and title of nurse administering medication are documented o Patient/residents medication records are labeled with full name, room number, date and allergies. o The procedure for administration and counting of narcotics is followed o All parenteral fluids are charted with time and date started, time infusion completed, sit of infusion and signature of nurse. o All parenteral fluids are administered according to the ordered infusion rate. o Parenteral intake is accurately recorded on the unit flow sheet or I&O record. o IV sites are monitored and catheters changed according to unit policy o IV bags and tubing are changed according to unit policy o Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc. ) policy Coordination of Care: o Tests are scheduled and preps are completed as indicated o Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit. o Information is relayed to the member of the Health Care Team (i.e. physicians, respitory therapy, physical therapy, social services, etc) o Unit activities are coordinated (i.e. changing patients/residents room for Admission Coordination transfer/discharge forms, etc.) Leadership: o Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs o Staffing needs are communicated to the nursing supervisors o Assistance, direction, and education is provided to unit personnel and families. o Problems are identified, data is gathered, solutions are suggested, and communications regarding the problem is appropriate. o Transcriptions of all orders is checked o All work areas are neat and clean Communication: o Change of shift report is complete, accurate and concise. o Incident reports are completed accurately and in a timely manner. o Staff meetings are attended, if on duty, or minutes read initialed if not on duty. Cost Awareness: o Supplies are used appropriately o Charge stickers (or charge system) are utilized appropriately o Minimal supplies are stored in resident room o Discharged medications are returned to the pharmacy or destroyed in a timely manner o Floor-stock medications are charged and re-stocked o Participates in the identification of staff educational needs. o Serves as a preceptor, as delegated, for new staff o Maintains patient/resident care supplies, equipment and environment o Participates in the development of unit objectives o Participates in the quality assessment and improvement process and activities. Benefits: All Full Time staff is eligible for Insurance Benefits (Health, Visual, Dental) Our Facility offers a Shift Differential pay for the following shifts: o 6am-2pm = Paid at Regular Base Rate o 2pm-10pm = Paid at $0.50 for hours worked during the shift o 10pm-6am = Paid at $1.00 for hours worked during the shift

apartment BlueBonnet Rehab at Ennis location_onEnnis, TX

Charge Nurse LVN LPN

Must have current LVN license in the State of Texas. Shifts: 2pm-10pm, PRN All Shifts Essential Job Duties: Works using the guidelines established from the Nurse Practice Act, facility Policy and Procedures, use of your nursing judgement. Assess, plan and evaluate nursing care delivered to patients/residents requiring long-term or rehabilitation care. Implement the patient/residents plan of care and evaluate the patient/residents response. Directs and supervises care given by other nursing personnel. Provide input in the formulation and evaluation of standards of care. Maintain knowledge of necessary documentation requirements. Maintain knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.). Maintain confidentiality and patient/resident rights, regarding all patient/resident and personnel information. Provide patient/resident, family/caregiver education as directed. Initiate emergency support measures ( CPR, protecting patients/residents from injury) Assessment: o Admission and routine resident observations/transfer notes are complete and accurately reflect the patient/resident’s status o Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. o Nursing history is present in the medical record for all patients/residents o Assessment identifies changes in the patient/resident’s physical or psychological condition ( Changes in lab data, Vital signs, mental status). Planning of Care: o Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. o Pertinent nursing problems are identified. o Goals are stated. o Appropriate nursing orders are formulated. Evaluation of Care: o The effectiveness of nursing interventions, medications, etc. is evaluated and documented in the progress notes. Care Plans: o Evaluation of care plan is noted monthly or as indicated. o The care plan is revised and indicated by the patient/resident’s status. General Patients/Resident Care: o Patient/Resident is approached in a kind, gentle, and friendly manner. Respect for the patients/residents dignity and privacy is consistently provided. o Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. o Independence by the patient/resident in activities or daily living in encouraged to the extent possible. o Treatments are completed as indicated. o Safety concerns are identified and appropriate actions are taken to maintain a safe environment. o Assist/Grab-bars and height of bed are adjusted. o Patient/Resident call light and equipment is within reach. o Restraints, if ordered by a Physician, are maintained properly. o Rooms are neat and orderly. Functional assignments are completed. Emergency situations are recognized and appropriate action is taken. All emergency equipment can be readily located and operated (Emergency Oxygen Supply, Drug Box, Fire Extinguisher, AED/Crash Cart, etc.) Patient/Resident Education/Discharge Planning: o The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care). o Patient/resident and/or family are provided with information related to all intervention and activities as indicated. o Discharge/Death summaries are complete and accurate. o Transfer forms are complete and accurate o Active participation in patient/resident care management is evident Adherence to Facility Procedures: o Facility procedure manuals or reference materials are utilized as needed. o Procedures are performed according to methods outlined in procedure manual. o Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions. o Safety guidelines established by the facility ( i.e. proper needle disposal ) are followed. Documentation: o The patients/resident’s full name and room number are present on the chart forms. Allergies are noted on the chart cover. o Only approved abbreviations are utilized. o TPR graphic is completed properly and timely o I&O summaries are recorded and added correctly o Blood pressure graphic is completed accurately and timely o Progress notes are timed, dated and signed with full signature and title o Unit flow-sheets are completed properly (i.e, Wound Care Records, Treatment Records, IV Therapy Record, etc) Medication Administrations/ Parenteral Therapy Record o Dates that medications are started or discontinued are documented o Medications are charted correctly with name, does, route, site, time and initials of nurse o Pulse and BP are obtained and recorded when appropriate o Medications not given are circled, reason noted and physician notified if applicable o Appropriate notes are written for medication not given and actions taken. o Name and title of nurse administering medication are documented o Patient/residents medication records are labeled with full name, room number, date and allergies. o The procedure for administration and counting of narcotics is followed o All parenteral fluids are charted with time and date started, time infusion completed, sit of infusion and signature of nurse. o All parenteral fluids are administered according to the ordered infusion rate. o Parenteral intake is accurately recorded on the unit flow sheet or I&O record. o IV sites are monitored and catheters changed according to unit policy o IV bags and tubing are changed according to unit policy o Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc. ) policy Coordination of Care: o Tests are scheduled and preps are completed as indicated o Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit. o Information is relayed to the member of the Health Care Team (i.e. physicians, respitory therapy, physical therapy, social services, etc) o Unit activities are coordinated (i.e. changing patients/residents room for Admission Coordination transfer/discharge forms, etc.) Leadership: o Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs o Staffing needs are communicated to the nursing supervisors o Assistance, direction, and education is provided to unit personnel and families. o Problems are identified, data is gathered, solutions are suggested, and communications regarding the problem is appropriate. o Transcriptions of all orders is checked o All work areas are neat and clean Communication: o Change of shift report is complete, accurate and concise. o Incident reports are completed accurately and in a timely manner. o Staff meetings are attended, if on duty, or minutes read initialed if not on duty. Cost Awareness: o Supplies are used appropriately o Charge stickers (or charge system) are utilized appropriately o Minimal supplies are stored in resident room o Discharged medications are returned to the pharmacy or destroyed in a timely manner o Floor-stock medications are charged and re-stocked o Participates in the identification of staff educational needs. o Serves as a preceptor, as delegated, for new staff o Maintains patient/resident care supplies, equipment and environment o Participates in the development of unit objectives o Participates in the quality assessment and improvement process and activities. Benefits: All Full Time staff is eligible for Insurance Benefits (Health, Visual, Dental) Our Facility offers a Shift Differential pay for the following shifts: o 6am-2pm = Paid at Regular Base Rate o 2pm-10pm = Paid at $0.50 for hours worked during the shift o 10pm-6am = Paid at $1.00 for hours worked during the shift

apartment Skilled Healthcare Center location_onTampa, FL

Unit Manager (RN or LPN)

We are looking for a Unit Nurse Manager (RN or LPN) to join our family! We are searching for a Unit Nurse Manager to join our community in Sarasota County that is patient & family focused, team builder, and excited about the opportunity to assist in building a culture. If you are a Unit Nurse Manager that is team-oriented, driven, and excited about the opportunity to build a culture, then we have the perfect opportunity for you! Benefits Pay rate: Competitive pay with generous PTO Access to online learning 24/7 Health insurance, Vision and Dental Insurance Major Responsibilities Managing the staffing needs and providing supervision for nursing staff providing direct resident care to ensure quality resident care on the assigned unit. Assists in staff development. Responsible for providing direct resident care in accordance with established plans. Supervises Clinical Nurses and Nurse Assistants. Conduct and document a complete data collection of each resident's medical status upon admission and throughout the resident's course of treatment. Assist in the development and implementation of an individualized treatment plan for each assigned resident. Assist in recruiting and hiring nursing staff. Monitor compliance with resident record documentation requirements, as directed. Coordinate staffing schedules to ensure adequate coverage. Ensure compliance with resident rights policies and work with families and other staff, as needed, to resolve grievances. Must complete Preceptor Training. Provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results as well as the development of a successful management team. Qualifications Must possess a current, unencumbered, active state license to practice as an RN or LPN. Must have a minimum (3) years nursing experience preferred in a setting serving the same age/type of resident population served by this facility. Minimum one (1) year experience in nursing administration. You must be qualified, compassionate, and dedicated to a job well done. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.