Licensed Practitioner Nurse

**Reports To:**Nurse Manager **Department:** Scofield Manor **FLSA Status:** Non-Exempt (Full-Time) **Shift:** 9:00 AM to 5:30 PM (Monday – Friday) **Date Adopted:** September 13, 2024 **Revision Dates:** January 1, 2027, October 18, 2017, June 12, 2026 # Position Summary: The Licensed Practical Nurse (LPN) serves as the primary day-to-day clinical operator under RN/Nurse Manager direction within the Residential Care Home. The LPN ensures that all care delivery, documentation, and communication meet state regulatory standards, while supporting a safe, organized, and resident-centered environment. Responsible for executing and maintaining high- quality resident care and ensuring clinical systems run efficiently and compliantly. Acts as an extension of the RN/Nurse Manager, the LPN assumes ownership of daily clinical operations, including medication management, care plan execution, documentation, appointment coordination, and staff guidance. This role plays a critical part in reducing operational burden on the RN by proactively managing routine clinical workflows; identifying issues early and ensuring timely follow-through. **Essential Duties and Responsibilities:** **Daily Clinical Operations & Execution** - Lead and manage day-to-day clinical care delivery for residents under RN/Nurse Manager oversight. - Serve as the first point of contact for routine clinical issues, changes in condition, and care coordination needs. - Conduct routine and ongoing resident assessments, including vital signs, condition monitoring, and post-hospital evaluations. - Identify and escalate changes in resident condition(s) to the RN/Nurse Manager in a timely and appropriate manner. - Ensure completion and follow-through of all daily clinical tasks and assignments. **Care Planning & Coordination** - Update care plans in real time based on observed changes and RN/Nurse Manager direction. - Ensure execution of care plans - Translate physician orders and RN direction into actionable care tasks for staff. - Coordinate and track all medical appointments, lab work, and specialist consultations, ensuring documentation is obtained and filed. - Support admission and discharge processes, including assessments and service coordination. - Arrange and follow up on referrals (home care, therapy, behavioral health, etc.). **Medication Management & Oversight** - Oversee and execute daily medication administration processes, including ordering, storage, inventory, and documentation. - Ensure accurate and up-to-date Medication Administration Records (MAR/eMAR). - Monitor and report medication effectiveness and report concern(s) to the RN and providers. - Oversee and validate medication administration performed by trained staff to ensure accuracy and compliance. - Proactively identify and resolve discrepancies in medication systems. **Training & Competency Coordination** - Lead and manage monthly in-service training programs, including identification, development, scheduling, and documentation. - Track and monitor staff certifications (CNA, medication administration, CPR/BLS). - Ensure all staff remain compliant with certification and training requirements. - Follow up with staff who miss required training to ensure completion. **Documentation & Regulatory Compliance** - Maintain documentation in an audit-ready state; resident records, assessments - Identify and correct documentation gaps in real time. - Maintain compliance with Connecticut Department of Public Health (DPH) requirements and organizational policies. - Review logs, reports, and documentation regularly and take corrective action as needed. - Prepare documentation to support regulatory reviews and audits. - Ensure timely filing and tracking of physician orders, assessments, and clinical records. **Staff Support & Clinical Guidance** - Provide day-to-day guidance and task directions to CNAs and care staff during shifts. - Reinforce proper care techniques, documentation standards, and medication practices.…