Licensed Practical N

Job Title:

Licensed Practical Nurse (LPN)

Reports to:

Unit Manager

Department:

Nursing Services

Job Classification:

Non-Exempt

Job Code

Direct Reports:

GNA and CNA

Salary Grade

Effective Date 11/01/25

Position Summary:

The Licensed Practical Nurse (LPN) is responsible for the coordination, implementation, evaluation, and documentation of nursing care for assigned residents in accordance with Federal CMS guidelines, Maryland Board of Nursing regulations, OHCQ expectations, facility policies, and evidence-based nursing standards.

The LPN collaborates closely with the Registered Nurse and interdisciplinary team to promote resident safety, dignity, choice, quality of life, infection prevention, timely medication administration, and early recognition of decline.

Education and Experience Requirements:

• Requires graduation from an accredited Licensed Practical Nurse program
• Active Licensed Practical Nurse licensure without disciplinary infractions by the Maryland Board of Nursing.
• Current AHA HCP BLS certification required.
• At least 1 year of experience in long-term care preferred. New graduates will be considered.

Knowledge, Skills, and Abilities:

• Knowledge of nursing practice and principles; applicable laws and regulations governing long-term and/or sub-acute care; diseases, conditions and treatment therapies for the patient population of the unit; pain management; drug interactions, side effects and incompatibilities; patients’ rights and the nursing role in helping protect and enhance those rights; principles and processes related to ethical issues in the chronically and acutely ill; principles and concepts of restorative nursing care; principles and requirements for documentation and medical record management; computerized healthcare systems and medical records systems. Must be able to read, write, speak, and understand the English language; Recognizing/responding to emergent changes & ADR/near misses; Fall prevention strategies & safety rounding; QAPI participation & improvement monitoring; and Interdisciplinary collaboration (therapy, dietary, social work).
• SKILL IN: operating equipment including lifts, scales, whirlpool tubs, vital sign equipment, wheelchairs, electric beds, monitoring systems, nurse call system and other appropriate medical equipment; communicating with other care providers; making timely nursing decisions regarding nursing care needs of patients; effective listening and critical observations and utilizing the information for effective problem solving; relating to and working with elderly, ill, disabled, recovering, emotionally upset and at times hostile people with tact and sensitivity; showing empathy and compassion; interpersonal, verbal and written communication; dealing tactfully with residents/patients, family, staff, sponsors, visitors, government agencies/personnel and the general public; critical thinking, time management, and organizational skills; supervisory skills in teaching others, discipline, conflict management and resolution; working harmoniously with professional and non-professional personnel as part of care-delivery team; independently pursuing training and continuing education in addition to required in-service programs; maintaining patient confidentiality. Nursing process: evaluates, planning, intervention, evaluation; safe medication administration & IV therapy monitoring; Infection prevention & isolation protocols; Delegation & supervision of GNAs/CMAs per Maryland BON; Accurate electronic documentation & time management; and Customer service & trauma-informed communication.

Essential Duties:

• Performs head-to-toe care evaluation and identifies changes in condition promptly.
• Assists with ADLs as needed & ensures resident dignity and voice in care.
• Responds to emergent situations per facility protocol (e.g., stroke/MI/sepsis).
• Functions as Charge Nurse when assigned.
• Delegates care tasks to GNAs/CMAs based on competency & Maryland scope of practice.
• Conducts 2-hour safety rounds & skin rounding to prevent decline.
• Collects, documents, and reports resident history.
• Initiates admission checklist & medication reconciliation.
• Educates residents/families & ensures safe transitions of care.
• Transcribes provider orders accurately using eMAR.
• Administers medications safely following 5 + 1 Rights (Right Documentation added).
• Monitors IV fluids, ADR, side effects & reports concerns immediately.
• Follows STOP & WATCH tool for early change detection.
• Documents care evaluations, weights, vitals, behaviors, intake/output, MAR, PRN follow-ups.
• Ensures all documentation is accurate and within required timeframes.
• Participates in state surveys and plans of correction as required.
• Implements prevention strategies based on Braden & Morse scales.
• Ensures turning schedules, pressure relief devices & off-loading are followed.
• Reports all falls immediately and assists with root cause analysis (RCA).
• Must be able to safely respond to rapid changes in resident condition
• Uses validation & calm tone.
• No restraint/no punitive language approach.
• Reports sudden confusion, sundowning, hallucination, or agitation.
• Gives clear hand-off reports (SBAR format preferred).
• Collaborates with therapy, social work, dietary & pharmacy.
• Contacts provider for condition change or abnormal results.
• Ensures HIPAA compliance & protects privacy.
• Reports abuse, neglect, or exploitation immediately.
• Encourages resident choice, advance directives & autonomy.
• Adheres to PPE & isolation guidelines.
• Educates GNAs and CNAs on prevention & hand hygiene compliance.
• Ensures cleaning of shared equipment between residents.
• Perform other related duties as required

Work Environment

• Exposure to communicable diseases, toxic substances, and conditions common to a health care clinical environment requires the use of personal protective equipment and adherence to standard precautions policy.

Physical Demands:

(Describe physical requirements to complete the essential duties: hearing, seeing, speaking, walking, standing, lifting, dexterity, etc.)

• Work is performed in a healthcare environment and involves frequent standing, bending, walking and sitting throughout the day.
• Requires heavy physical effort, including the ability to lift or carry up to 50 pounds using approved techniques and lift devices. Adheres to established protocol for lifting objects and moving patients.
• Frequent need for walking, kneeling, bending, push/pull motions, and patient repositioning, reaching with the hands or arms, and use of hands to finger, handle, or feel.
• Constant use of computer keyboard and monitor.
• Requires the ability to talk, hear, and smell. Requires close vision, distance vision, depth perception, color vision, and the ability to adjust focus.
• May experience emergency situations and/or multiple demands from patients, families, and staff.
• Some local travel may be requested. May be required to work weekends, holidays, evenings, and/or nights, and during emergent situations such as extreme weather conditions or disasters.

Job Description: Team Member Acknowledgement

CORPORATE COMPLIANCE STATEMENT

Incumbents are expected to promote Corporate Compliance policy by demonstrating ethical actions and report any suspected conflict of interest to the appropriate Keswick management team member.

I have received, reviewed, and fully understand the job description for this position. I further understand that I am responsible for the satisfactory execution of the essential functions described herein.

______________________________________ ______________________ Team Member Signature Date

This position description identifies the general nature, performance factors, and expectations of the position. This description is not to be considered as the total or exhaustive list of tasks, duties, and responsibilities required of an incumbent.

3p-11p 0.2 FTE EOW