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
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
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Lead and manage day-to-day clinical care delivery for residents under RN/Nurse Manager oversight.
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Serve as the first point of contact for routine clinical issues, changes in condition, and care coordination needs.
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Conduct routine and ongoing resident assessments, including vital signs, condition monitoring, and post-hospital evaluations.
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Identify and escalate changes in resident condition(s) to the RN/Nurse Manager in a timely and appropriate manner.
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Ensure completion and follow-through of all daily clinical tasks and assignments.
Care Planning & Coordination
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Update care plans in real time based on observed changes and RN/Nurse Manager direction.
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Ensure execution of care plans
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Translate physician orders and RN direction into actionable care tasks for staff.
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Coordinate and track all medical appointments, lab work, and specialist consultations, ensuring documentation is obtained and filed.
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Support admission and discharge processes, including assessments and service coordination.
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Arrange and follow up on referrals (home care, therapy, behavioral health, etc.).
Medication Management & Oversight
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Oversee and execute daily medication administration processes, including ordering, storage, inventory, and documentation.
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Ensure accurate and up-to-date Medication Administration Records (MAR/eMAR).
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Monitor and report medication effectiveness and report concern(s) to the RN and providers.
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Oversee and validate medication administration performed by trained staff to ensure accuracy and compliance.
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Proactively identify and resolve discrepancies in medication systems.
Training & Competency Coordination
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Lead and manage monthly in-service training programs, including identification, development, scheduling, and documentation.
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Track and monitor staff certifications (CNA, medication administration, CPR/BLS).
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Ensure all staff remain compliant with certification and training requirements.
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Follow up with staff who miss required training to ensure completion.
Documentation & Regulatory Compliance
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Maintain documentation in an audit-ready state; resident records, assessments
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Identify and correct documentation gaps in real time.
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Maintain compliance with Connecticut Department of Public Health (DPH) requirements and organizational policies.
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Review logs, reports, and documentation regularly and take corrective action as needed.
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Prepare documentation to support regulatory reviews and audits.
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Ensure timely filing and tracking of physician orders, assessments, and clinical records.
Staff Support & Clinical Guidance
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Provide day-to-day guidance and task directions to CNAs and care staff during shifts.
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Reinforce proper care techniques, documentation standards, and medication practices.
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Support staffing needs, including assisting with schedule gaps when necessary.
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Serve as a resource and mentor to direct care staff, promoting accountability and quality care.
Communication & Collaboration
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Maintain consistent communication with the RN/Nurse Manager regarding:
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Changes in resident condition
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Medication concerns
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Compliance risks or documentation gaps
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Collaborate with residents, families, physicians, and external providers to ensure coordinated, high-quality care.
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Communicate clearly and professionally across all levels of staff and stakeholders.
Emergency Response/Other
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Respond to clinical emergencies with calm, sound judgment and appropriate action.
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Initiate necessary interventions and escalate to RN/Nurse manager or emergency services as required.
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May be required to work different shifts, per direction from the RN/Nurse Manager, based on business needs.
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May be required to perform other related duties as required and/or assigned.
Knowledge, Skills and Abilities:
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Strong knowledge of gerontology, chronic conditions, and mental health care.
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Solid understanding of clinical documentation and regulatory compliance standards.
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High attention to detail and accuracy in medication and documentation processes.
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Strong organizational and task ownership mindset.
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Ability to prioritize, multitask, and drive completion of responsibilities independently.
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Strong organizational and interpersonal skills.
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Excellent communication skills, both verbal and written with residents, families, staff members or members of the community in a respectful, patient manner.
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Ability to build and maintain positive relationships with healthcare providers and community members.
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Ability to work in a fast-paced, changing environment.
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Flexibility to work extended hours as needed.
Minimum Education/Experience Requirements:
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High school diploma required; Associates Degree preferred
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Minimum of four (4) years’ LPN experience is mandatory; two (2) of which are in managerial roles are strongly preferred.
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Experience in geriatric, behavioral health, and/or residential care settings strongly preferred.
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Active Connecticut Licensed Practical Nurse (LPN) license required.
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Current CPR certification is required.
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Proficiency in electronic medical records and Microsoft Office (Word, Excel, Outlook) is mandatory.
Additional Requirements:
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Ability to work flexible hours, including extended shifts as needed.
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Valid driver’s license.
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Successful completion of all pre-employment screenings, including reference checks, physical, drug screening, and background checks.
