1. Maintain clean and safe environment (Infection Control, Physical Environment, Maintenance and Safety Procedures)
2. Communicate effectively, while following regulations with residents, family, medical team and other authorized persons
3. Vital Signs and Specimen Collection
4. Personal Care Skills and Activities of Daily Living
5. Promote Resident’s Developmental, Mental Health and Social Service Needs
6. Care of Cognitive Impaired Residents
7. Basic Restorative Skills/Services
8. Resident’s Rights
9. Perform Administrative Tasks
10. Resident Positioning
11. Bowel Management Protocol
12. Elimination and Skin Care
13. Respiratory Care
14. Meal Time and Dietary

1. Perform resident care and various nursing duties according to policies/procedure and standards as delegated by Nurse Manager, Clinical Coordinator, Registered Nurse or Charge Nurse
2. Demonstrate appropriate knowledge and technical skills in performing resident care
3. Provide for the emotional and physical comfort and safety of the resident and his/her family/caregiver
4. Observe for changes in clinical and/or functional status and reports changes to Nurse Manager, Clinical Coordinator or Supervisor in a timely manner. Observe residents for specific signs/symptoms as instructed by the Nurse Manger, Clinical Coordinator, Registered Nurse, or Charge Nurse
5. Conduct rounds to monitor, observe and evaluate resident’s general condition
6. Assist residents with all aspects of Activities of Daily Living and any special care needs as indicated by the Nurse Manger, Clinical Coordinator, Registered Nurse, or Charge Nurse for which they are properly educated and trained
7. Assist other staff members with resident care
8. Ensure necessary supplies for resident care are available
9. Recognize and respond to emergent situations efficiently and effectively by managing self, residents, staff and others appropriately

1. Assist with making out daily resident care assignments for assigned team
2. Provide direction to Certified Nurse Assistant, giving and taking reports. Demonstrate the ability to delegate duties. Oversee completion of Certified Nurse Assistant’s assignments
3. Demonstrate ability to problem solve utilizing resources
4. Collect and document data relevant to the resident’s current health status, medical history and discharge plan needs
5. Set priorities for nursing actions according to the resident’s needs
6. Complete 24-hour report for assigned team
7. Monitor dining room during mealtime to ensure residents are safe, fed and/or encouraged to complete meal

1. Participate in completing a portion of the admission paperwork accurately & according to guidelines
2. Document pertinent nursing observations and actions in medical record appropriately
3. Complete all unit specific forms within the Licensed Practical Nurse role accurately and in a timely manner
4. Transcribe physician orders when needed
5. Ensure Certified Nursing Assistant’s complete required documentation

1. Monitor/document resident’s response to medication.
2. Perform resident care treatments and procedures according to polices/procedures
3. Document medication and treatment administration records promptly per policy
4. Possess a sound knowledge base of medication and treatment administration
5. Provide the resident and/or family instruction on medication as it relates to a resident's diagnosis, status or plan of treatment.
6. Order and maintain stock supplies and medications.
7. Stock and clean medicine carts during and upon completion of medication pass
8. Promote an environment for the resident that acknowledges & respects the resident's individuality & rights during both treatments & medication administration

1. Make out daily work assignment fairly utilizing available resources
2. Coordinate unit activities effectively
3. Assure completion of 24-hour report and faxes to supervisor
4. Manage emergency situations effectively – fire safety, resident falls, change/deterioration in resident condition & initiates appropriate follow-up
5. Assist with maintaining the accuracy of the resident care assignment sheets
6. Contact/interact with families as needed
7. Knowledge of Interdisciplinary Team
8. Knowledge of Chain of Command
9. Know Charge Duty responsibilities

1. Observe the health status of residents. Collect and records data from the resident, caregivers/family, health care providers, individuals and/or agencies in the community, and documents appropriately
2. Review the resident's medical record to ascertain that pertinent data is in the record and attempts to retrieve any missing information.
3. Review resident's medications with physician every visit

1. Communicate information intra/interdepartmentally
2. Keep supervisors informed of significant changes in residents’ behavior or condition
3. Notify supervisors promptly of any problems related to any staff members
4. Reinforce resident and family education and training. Observe and report resident and family compliance to the teaching plan
5. Maintain the highest level of customer service when assisting the resident, the resident’s family and visitors

1. Support the team in planning the resident's care by assisting in the development and implementation of realistic, measurable, time-bound goals
2. Cooperate with leadership staff in implementing planned changes and activities to improve resident's care or overall functioning of the clinical unit
3. Assist other staff members with resident care
4. Support orientation process by assigning buddies, if necessary, and follow up with staff to assure assignment is being completed
5. Welcome new staff/float to the unit, and assist with orientation of new staff
6. Accept assignments and adapt to changes in job responsibilities in a professional manner
7. Respond to and handle situations in an appropriate manner following the chain of command for resolution

1. Administration Pass with 1:1 x 3
2. Medication Administration Record (MAR/medex)
3. Treatment Administration Record (TAR)
4. Ordering of medications/stock medications
5. Resources at site for drug information
6. Medication Room - Narcotic cupboard
7. Medication Room - Counting/signing out/disposal of narcotics
8. Medication Room - Narcotic Log Book
9. Medication Room - Medication Keys including Narcotic keys
10. Medication Room - Emergency Drug Box including pharmacy form
11. Medication Room - Omnicell
12. Medicine Cart set-up, cleaning and storage of medications
13. Treatment Cart set up
14. Transcription of new orders to Medication Administration Record/Treatment Administration Record
15. Properly Discharge Orders
16. Medication Order Sheet/Routine and narcotics
17. Physicians’ Order Forms (Updates, Interim, New Admission) including 4 check procedure
18. Physician’s standing orders
19. Routine Narcotic Renewal
20. Calling Doctor and taking telephone order
21. Follows policies and procedures for medication hold, refusal and medication not available
22. Pain Management Documentation
23. Transcription of a Coumadin Order and follow up
24. Pro Re Nata (PRN) Medication/Treatment orders and documentation
25. Parenteral/Enteral Solutions orders and Medication Administration Record transcription
26. Night shift check of all charts for new orders

1. 24-Hour report (who is on report and information required)
2. Employer Emergency Medical Record Documentation
3. Employer Emergency Medical Record, Allergy and Immunology with hard copy
4. Chart Flag System
5. Discharge paperwork
6. Transfer Forms (Internal and External Transfer)
7. Request for Leave of Absence
8. Ophthalmology, Audiology, Dental Form
9. Request for Consultation
10. Shift Documentation and Care Sheets
11. Advance Directive Documentation, wrist band identification, placement and tracking
12. Elder Death and Receipt of Mortician
13. Care Plans
14. Face Sheet & Cumulative Diagnosis Index (CDI) List
15. Medical Orders for Life-Sustaining Treatment (MOLST) Forms

1. Knowledge of all Emergency Codes
2. Procedure for Code Announcement
3. Know when and how to contact Supervisor
4. Fire Observation Review Form
5. Code Cart: Location, use, documentation and replacement of items used
6. Suction Machine set-up and usage
7. Registered Nurse Assessment for falls

1. Adhere to all infection control and safety policies and procedures
2. Adhere to Resident Rights and confidentiality regulations
3. Complete annual competencies
4. Operate patient care equipment in accordance with policy and procedure. Obtain, clean and return equipment. Take appropriate action to ensure broken equipment is repaired
5. Adhere to nursing dress code. Arrive to work on time for assigned shift prepared to work. Adhere to clocking procedures per protocol. Comply with all other facility and management policies, procedures and requirements.

1. Demonstrate understanding of Quality Assurance Performance Improvement process
2. Participate in data collection
3. Actively participate in solving problems identified by Quality Assurance Performance Improvement Program
4. Respond with appropriate performance to results obtained from Quality Assurance/Quality Improvement indicator

1. Responsible for identifying own educational/training needs.
2. Participate in and completing a minimum of 12 hours of in-service annually
3. Participate in staff meetings, communication systems, reads and signs off all self - study in-services and all pertinent education materials in addition to mandatory in-services
4. Bring to annual evaluation ALL required paperwork necessary as directed by re-orientation letter a completed annual health assessment, completed annual reorientation, and completed required annual competencies

1. Know Palliative Care Program and support
2. Knowledge of Hospice and Archcare
3. Ability to communicate with the residents and their family about end of life options and decisions

This includes the history of nursing, the health care system, therapeutic communication, physical assessment and the nursing process including legal and ethical aspects of nursing. An introduction to basic medical terminology is included during this course.

The study of the life cycle of man from infancy to old age with special emphasis on the physical, psychological and emotional changes in adults. Includes nursing implications for health teaching, counseling and patient care.

Includes nursing concepts to guide the student in providing care for the ill child. Growth and development emphasizing developmental stages when assessing, planning care and activities for the child, recognizing the challenges parents and family face prior to the child’s entering adolescence and adulthood.

Topics in this segment include but not limited to: therapeutic communication, sanitary procedures, patient bathing and moving, personal care, patient transfer, intake/output, vital signs and data gathering.

Incorporates more advanced nursing skills and concepts necessary to care for adults with common illnesses, medication preparation and administration, nutrition and diet therapy. Includes concepts and alternatives to hospital care for elderly patients.

Review of pulmonary diseases such as pneumonia, COPD and heart failure. Assess functional health status of patients with cardiac and lung disorders; learn planning and team based professional care of patients.

Includes the collection of glands and organs that regulate and control various body functions and topics related to aging such as hormone levels and decline of endocrine function.

Review of hematologic malignancies including leukemia, lymphoma and myeloma that interrupt normal blood cell development.

Topics in this segment include but not limited to: sterile gloving, tube feeding and irrigation, catheterization, tracheostomy care, physical data collection.

Review of the system relating to the digestion and absorption of food and functions of accessory organs for vital maintenance of patient health.

Includes review of the reproductive and urinary systems, kidney function and abnormalities due to congenital or age-related conditions.

Learn about the integumentary system (skin, hair, nails, and glands), and how the bones, joints, and muscles of the musculoskeletal system function.

Introduces mental health concepts including components of personality, sources of stress and anxiety and major mental disorders.

Includes the care of women during pregnancy, childbirth and recuperative period. Normal physical, emotional and social growth and development from conception to postpartum topics covered as well.

Topics in this segment include but not limited to: medication administration, topical agents, administering oxygen and injections.

The student will be required to demonstrate satisfactory performance of clinical competencies appropriate to each level (Practical Nursing 1 and Practical Nursing 2) and to meet the stated objectives of each clinical experience. Evaluations will be maintained by the clinical instructors. The clinical instructors will maintain evaluations by documenting the student’s performance in meeting clinical requirements.