LPN Team Leader
Posted on: March 20, 2023
Morningstar - Job Summary: Assists in planning and implementing
the nursing care of residents within the skilled nursing setting
with the supervision of a Registered Nurse. Responsible for
ensuring continuity of care of the residents between shifts by
providing direct care as well as supervising the care given by CNAs
and supportive staff members. Participates in resident and family
teaching. Maintains role as resident advocate with a focus on the
DUTIES AND RESPONSIBILITIES:
- Documentation: Documents accurately per policy on residents in
a change in condition or on 24 hr report, on an ordered
documentation such as behavior, pain, sleep, functionally mobility,
stop and watch, medicare look back as well as required admission,
lateral transfer, or discharge documentation.
- Change in Condition: Observes for changes in the resident's
condition and suggests nursing needs. Obtains vital signs, lung
sounds and other needed clinical data, notifies on duty facility
supervisor and medical on any new changes in condition with also
having appropriate documentation in resident record so that
appropriate action can be taken.
- Pain Management: Ability to adequately monitor, treat and
report resident pain whether physical or emotional, verbal or
nonverbal. Demonstrates knowledge of symptoms of pain and
depression. Utilizes appropriate pain management techniques checks
for available prn's and administers appropriately as well as
monitors for and documents/reports effectiveness. Reinforces
education with resident and family regarding pain management.
Ensures the quality of life for residents by advocating and
assisting them to with pain relief
- Medication Administration: Administers medications safely and
per policy, follows the medication rights and reduces the potential
for medication errors. Demonstrates competency in medication
administration per regulations. Utilizes prn medication when
- Documentation 2: Meets current skilled nursing documentation
standards and policies.
- Time Management Skills: Notes and carries out physician's
orders in a timely manner. Completes shift work of med pass,
treatments and documentation in timely manor. Demonstrates adequate
organizational skills to complete job duties.
- Communication Skills: Gives a thorough report to oncoming shift
by documenting appropriately in resident record and documenting on
24 hr report. Communicates resident or family concerns to Inter
- Follow Through: Follows up on information given by shift
report, resident or family regarding resident concerns. Notifies
physician of changes in resident's condition and follows through
until appropriate action is taken.
- Care Plan Compliance: Implements plan of care of the resident
based on assessments and goals established by the interdisciplinary
care team. Ensure care plans are followed.
- Customer Service: Treats residents and their families with
respect and dignity. Identifies and addresses psychosocial,
cultural, ethnic and religious/spiritual needs of residents and
their families. Demonstrates good customer service skills with
internal and external staff as well as any outside services that
may be associated with resident care or facility. Represents
facility in a professional manor.
- End of Life Care: Ensures residents at end of life or on
hospice services are kept clean, dry and comfortable. Provides
frequent checks for comfort and reports to supervisor or medical
any sx of discomfort such as labored breathing, moaning or
groaning, facial grimacing or restlessness. Administers pain
management meds appropriately, timely and as ordered, obtains
increases in pain management orders as needed by continuous
observation of resident comfort level and communicating with
medical team when need for med increases are observed in a timely
manner. Oral care: uses mouth swabs throughout shift for residents
no longer taking anything by mouth, uses a&d to lips for
moisture. Comforts and gives extra support to residents and family.
Treats resident and family with compassion and respect. Provides
postmortem care as needed, notifies supervisor and medical of
deceased resident and documents appropriately, contacts family,
funeral home or medical examiner per supervisor direction enters
release of body MD order and emails team time of death and when
resident body has left the building.
- Resident Dining: Assists in a positive dining experience for
the residents. Uses proper hand hygiene when handling food, passes
trays in compliance with policy of checking items on ticket and
ensuring correct diet and consistency is provided, passes trays in
a timely manner, passes one table at a time, offers fluids to
residents waiting an extended amount of time for food while others
are eating, removes items from tray, uses place mat, assists
resident who need help with eating, sits at eye level, engages with
residents, ensure's all aspiration precaution residents are
upright, out of bed and supervised with meals. Observes, documents
and reports any residents who are not eating adequately, coughing
with meals, or have noticed changes in their ability to eat or
self-feed. Assists in cleaning and emptying dining room immediately
following meal. Provides nursing supervision during mealtime in
designated or assigned resident dining areas as well as overseeing
that resident nourishment pass is complete.
- Infection Control: Is competent in: use of PPE (mask, gloves,
gown, goggles), sharps safety (sharps boxes, where they are and
what they are used for), Respiratory hygiene and cough etiquette,
assists in the cleaning and disinfecting of environment surfaces
and shared objects on units. Is competent with sterile and aseptic
technique for appropriate nursing procedures. Disinfects equipment
between use of residents such as stethoscope, BG machines, BP
cuffs, and pulse oximeters.
- Infection Control: Maintains all isolation precautions as
ordered. Ensures red stop sign is present, isolation carts are
stocked, isolation garbage or linen bins are emptied every shift.
Understands droplet, contact, airborne and universal
- Call Bells: Answers residents' call lights in a timely manner,
anticipates residents' needs and makes rounds on unit. Does not use
"that is not my job" approach, demonstrates the willingness to
assist all residents and staff in need when requested.
- Assistive Devices: Ensures residents have their assistive
devices and they are clean and in good working order as care
planned such as: dentures, glasses, contact lenses, hearing aids
and prosthetic devices, walker, wheelchair ect. Reports and broken
or missing items to social work and supervisor.
- Transportation of Residents: Assists in transporting residents
to and from meals, therapy, activities inside appointments as
needed or requested. Uses leg rests when transporting residents for
- Accidents and Incident Reporting: Reports to supervisor all
incidents or injuries such as: skin tears, bruises, falls, choking,
resident wandering in nonresident areas, confused resident
attempting to leave facility, resident attempts or threats of
suicide to hurt self or others, resident to resident verbal or
physical aggression and any other incidents observed or heard of
that could potentially cause harm to a resident.
- Abuse Reporting: Understands and follows the policy on abuse
reporting, reports any questionable signs or observations of abuse
whether verbal, physical, emotional, sexual of resident to
resident, staff to resident, or visitor to resident. Reports any
and all resident accusations or suspicion to immediate supervisor
and removes resident from any potential harm.
- Skin Care and Skin Protocol: Follows skin protocol policy.
Participates in providing proper skin care keeps residents skin
clean, dry and intact. Uses moisturizers on dry skin and barrier
creams on incontinent residents as instructed. Follows pressure
prevention care plans ensure turning and positioning, bed to chair
schedules, incontinence rounds, heel booties, floats heels are
completed as instructed per care plan. Observes for and reports any
skin issues or concerns immediately to supervisor, medical and in
- Supervision and Leadership Skills: Demonstrates adequate
supervision of certified nursing assistants. Ensures POC
documentation and quality resident care is provided on assigned
residents. Functions as a leader for the CNAs; delegates in a
manner that contributes to the excellence of the nursing unit to
which LPN is assigned.
- Clinical Competencies: Demonstrates competence in technical and
manual skills according to scope of practice for LPNs. Stays
current with completing annual nursing competencies in Employee
Education. Demonstrates daily competence and follows regulatory
guidelines in nursing clinical skills such as wound care, foley
care, respiratory treatments, vital signs, lung sounds, bowel
sounds, apical heart rate and safe medication
- Residents Preferences and Choices: Functions as a resident
advocate by protecting the resident's rights and honors residents'
preferences and choices.
- Participates in Performance Improvement Plans: Demonstrates
creativity in solving problems and looking at situations in new and
innovative ways. Works with management in problem solving unit,
facility or resident issues. Participates in accident incident
- Promotes Positive Environment: Interacts with residents,
families, co-workers, managers and other departmental staff in a
kind, knowledgeable, professional and friendly manner. Demonstrates
good customer service skills. Promotes a positive environment for
residents and staff. Supports and maintains a culture of safety and
quality for residents and staff.
- Medication Safety: Demonstrates competency in proper med
storage keeps med cart locked and clean up to regulatory standards,
follows policy with the handling of narcotics medications, shift
narcotic count and narcotic lock boxes, med room and med
- Professionalism: Demonstrates ability to remain calm and
professional in emergency and/or stressful situations and gives
everyone a feeling of confidence that station is under control.
Acts as a role model to others.
- Educates/Supports: Participates in orientation of new staff and
assists in performance evaluations when needed. Plays a role in
staff development provides on going education and support to
- Stop and Watch: Has knowledge of stop and watch, attends shift
huddles/report, responds to and reports on any resident change in
- Manages Medical Orders: Confirms and transcribes all new
medical orders on assigned unit prior to end of shift. Demonstrates
ability to accurately transcribe/confirm/enter all orders: lab and
diagnostic orders, therapy orders, outside and inside appointments,
dietary orders, admission, discharge orders, sending resident to
hospital, release of body orders. Checks orders pending nursing
confirmation through out shift and at end of shift to ensure no
delay in care takes place. Calls pharmacy when medications are
needed or missing, faxes long orders when indicated in PCC that do
not go through electronically such as sliding scale insulins or
other treatment orders.
- Immunizations: Demonstrates competence in administering and
accurately documenting immunizations, signing EMAR and Immunization
tab in resident record. Assists facility to stay in compliance with
CDC recommended guidelines on immunizations, ensures the safety and
wellbeing of residents.
- Adheres to dress code, wears name badge, appearance is
professional, neat and clean. No long artificial nails, no large or
long dangling jewelry, no large dangling earrings.
- Completes annual education requirements.
- Maintains regulatory requirements and active NYS
- Maintains resident confidentiality at all times.
- Reports to work on time and as scheduled, completes work within
- Wears identification while on duty, uses computerized punch
time system correctly.
- Completes education/in-services in a timely fashion. Monthly
and annually and as requested.
- Attends annual review and department inservices, as
- Attends staff meetings such as shift huddles/reports.
- Represents the organization in a positive and professional
- Actively participates in performance improvement and continuous
quality improvement (CQI) and QAPI activities.
- Complies with all organizational policies regarding ethical
- Communicates the mission, ethics and goals of the
- Makes eye contact, smiles and greets others by name
- Make an effort to get to know team members, residents and their
- Learn about and deliver on the needs of the residents
- Do what you say you will do
- Follow up in a timely manner
- Take time to listen to and understand others
- Recognize and share successes of our Life in Balance culture in
- Be willing to help others
- Reach out and ask for help when needed
- Speak positively about our care center and the people who live
& work here
- Bring positivity and fun to the work environment
- Accept and learn from mistakes
- Be flexible and adaptive to changes in the work
- Seek to find solutions to problems
- Take responsibility for the quality of your work
- Seek out information you need to be your best
- Share your knowledge and expertise to help others
- Be knowledgeable and enthusiastic about our care center and
what we do
- Communicate and work together across departments
- Graduate of an accredited LPN program.
- Current Licensed Practical Nurse in State of New York.
- Current CPR certification.
- Basic computer knowledge.
- For physical demands of position, including vision, hearing,
repetitive motion and environment, see following description.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions of the position
without compromising resident care.
Keywords: Morningstar, Syracuse , LPN Team Leader, Healthcare , Oswego, New York
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