medical scribe jobs

Licensed Practical Nurse - LTC

Good Shepherd Rehabilitation Allentown, PA

JOB SUMMARY Promotes and restores residents' health by completing the nursing process. Collaborates with physicians, RNs, and interdisciplinary team members. Provides physical and psychological support to residents, friends, and families. Delegates and evaluate care assigned CNAs to meet resident care needs. ESSENTIAL FUNCTIONS IDENTIFIES RESIDENT CARE REQUIREMENTS Utilizes the Nursing Process as framework to deliver care by establishing or contributing to a plan of care with the resident Establishes and contributes to prioritization of goals with the resident and interdisciplinary team Identifies nursing diagnoses Identifies teaching objectives appropriate to care standards Evaluates effectiveness of nursing interventions and resident progress toward goals as resident condition changes Continuously identifies actual and potential problems after implementation of nursing interventions Communicates plan of care and residents’ progress to interdisciplinary team Delegates plan of care to other licensed and unlicensed associates within their scope of practice Establishes rapport with potential and actual residents and other persons in a position to understand care requirements Assures CNAs comply with resident care policies and procedures ESTABLISHES A COMPASSIONATE ENVIRONMENT Provides emotional, psychological, and spiritual support to residents and families PROMOTES RESIDENT INDEPENDENCE Establishes care goals with residents Educates residents, family members, and friends to understand condition, medications, and self-care skills ASSURES QUALITY OF CARE Adheres to therapeutic standards Measure health outcomes against resident goals and standards Continually recommends appropriate adjustments to resident plan of care Complies with organizational and nursing division’s philosophies and standards of care set by State Board of Nursing, State Nurse Practice Act, an other governing agency regulations Participates in performance improvement activities by directing and assessing care provided to residents by CNAs, students, and other associates RESOLVES RESIDENT PROBGLEMS & NEEDS Utilizes interdisciplinary team strategies Utilized established communication methods to ensure resolution of resident problems and needs Communicates resident status to interdisciplinary team members Receives and records physician orders DOCUMENTS RESIDENTS CARE SERVICES Documents delivery of service, changes in resident condition, and resident response to nursing interventions in the resident medical record and other departmental records according to policies and procedures Ensures documentation of care rendered by other staff members MAINTAIN CONFIDENTIALITY Maintains all aspects of HIPAA requirements Ensures that all organizational information is kept confidential MAINTAINS SAFE & CLEAN WORKING ENVIRONMENT Complies with Infection Control policies, procedures, and regulations Complies with policies and procedures on storage and disposal of controlled substances, toxic and non-toxic chemicals, and other wastes Coordinates with health care support personnel as deemed appropriate ENSURES RESIDENT SAFETY Demonstrates skills and knowledge in compliance with the policies and procedures on medication and treatment administration Ensures CNAs and other staff members’ compliance on resident appropriate transfers, feeding, and personal hygiene Responds to resident medical and psychological concerns, potential or actual injury and or distress Complies with the policies and procedures on handling resident abuse ENSURES OPERATION OF EQUIPMENT Demonstrates knowledge and skills on appropriate usage of equipment according to manufacturer’s instructions necessary in the delivery of care to residents. This includes troubleshooting malfunctions and requesting maintenance orders for repairs Participates in evaluation and recommendation of new equipment DEMONSTRATES FINANCIAL ACCOUNTABILITY Ensures availability and inventory of stock supplies Utilizes equipment and or supplies as needed to accomplish job results Demonstrates time management skills through prioritization and delegation of tasks Complies with nurses’ roles on reimbursement for resident care services MAINTAINS PROFESSIONAL & TECHNICAL KNOWLEDGE Identifies professional education needs and opportunities Attends educational workshops Completes mandatory educational requirements Review professional publications Participates in professional organizations Shares new knowledge and learned skills with team members Attends unit meetings Participates in committees, projects, and performance improvement activities Adheres to professional code of ethics MAINTAINS COOERPATIVE RELATIONSHIPS AMONG HEALTH CARE TEAMS Demonstrates knowledge in the organizational structure through compliance with the chain of command to present issues and concerns regarding resident care Participates in team problem- solving methods Holds each team member accountable for resident and team outcomes Demonstrates positive conflict resolution skills with all associates Participates in team meetings and recommends suggestions for improvement Treats all associates with dignity and respect Reviews and provides end of shift report in a timely manner Demonstrates the ability to effectively work with persons from diverse cultural and spiritual backgrounds Demonstrates self awareness and emotional maturity CONTRIBUTES TO ORGANIZATIONAL TEAM EFFORT Accomplishes relates results as needed Attends meetings as requested by organizational leaders Represents positively, the profession and organization at work and outside the facility Promotes and participates in organizational goals By responding to change in a consistent and positive manner QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Graduate of an accredited program required Work Experience 2-4 years of LTC or Rehab experience preferred Licenses / Certifications LPN license required Basic Life Support / CPR, as a healthcare provider, per the American Heart Association required NAPNES certification preferred.