Job Title: Unit Manager - LPN Effective Date: 1/01/2017
Department: Nursing
Supervised By: Director of Nursing Services Supervises: All Nursing Staff
General Description
Under the supervision of the Director of Nursing Services, the Unit Manager has
authority, responsibility and accountability for the overall management of residents on a
designated unit. The Unit Manager is responsible for directing, coordinating, and
supervising the activities of nursing staff engaged in specific nursing practices and is
responsible for transmitting each unit’s staff concerns to the appropriate department
supervisor. Demonstrates ability to perform all physical and mental job functions of a
Certified Nursing Assistant and Licensed Practical Nurse.
Essential Duties
1. Perform various duties to provide quality nursing care to residents to maintain or
attain the highest practical level of functioning as illustrated by the following:
a. Plans effective administration of nursing care in cooperation with other
health related disciplines on each unit.
b. Responsible for observation and reporting of resident needs, development
and implementation of comprehensive Care Plan. Consults with residents’
physician in planning resident care. Periodically reviews and updates
comprehensive Care Plan.
c. Evaluates incidents and determines emergency measures to be used.
Monitors and directs emergency treatment to residents and staff involved
in accidents. If necessary, notifies the attending physicians and
appropriate persons. Completes the incident report with causes
investigated and corrective actions taken and/or suitable recommendations
made to avoid recurrence, for review by Facility Quality Assurance
Committee. Updates the Care Plan with new interventions.
d. Supervises planning of daily assignments for personnel on the unit.
e. Conforms to established policies and procedures and maintains staff
awareness of these in their daily work.
f. Schedules and leads staff conferences to promote initiative and solve
resident care oriented problems.
g. Works with interdisciplinary team members in developing a discharge
plan for individual residents and assists in achieving discharge planning.
HISTORY:
(A) 8/2012
(B) 8/2013
(C) 1/2017
h. Assists in orienting and directing new staff.
i. Maintains accurate, adequate records of resident care and related statistics
as required.
j. Reviews and interprets work performance against accepted standards.
Responsible for completion of performance evaluations of nursing staff.
May review and provide input for performance evaluations for nursing
staff on alternate shifts. Completes proficiency audits for nurses and
assigns and reviews audits for Certified Nursing Assistants.
k. Directs requisitions of equipment and supplies and encourages proper
utilization of same.
l. May provide input to the In-service Coordinator in planning nursing inservice
programs and on-the-unit conferences based upon an assessment
of staff’s learning needs and/or resident care problems.
m. Handles resident or staff grievances and/or refers them to the appropriate
department supervisor.
n. Assists in establishing and maintaining a positive staff and good public
relations.
o. Is available for emergencies and assistance to nursing staff as needed.
p. Communicates and acts as a liaison among residents, family, physicians,
and staff.
q. Accompanies physicians on rounds, examinations and treatments, as
needed.
r. Promotes and maintains safe work performance by staff.
s. Informs the Nursing Supervisor and Director of Nursing Services of
pertinent information concerning resident status, staff actions, employee
attitudes and suggestions.
t. Conducts resident rounds to monitor and/or supervise nursing care,
observe and report on condition of residents, and promote a safe, clean,
comfortable environment.
u. Receives reports from personnel on previous shift and verifies that the
continuity of care continues by staff on next shift.
v. Participates in Nursing Management Meetings, HART Team Meetings,
and Comprehensive Care Plan Conferences.
w. May provide input in formulating nursing policies and procedures.
x. Notifies the resident’s physician, family and/or health care agent of any
change in the resident’s condition.
2. Establishes and maintains resident care systems per standardized procedure that are
consistent throughout the Facility. These include:
a. Unit Management System for group assignments and nursing assistant
responsibilities.
b. Restraint Reduction System to verify restraints are at a minimum, and that
restraints are released at least every two hours, or per Care Plan. Restraint
releases are to occur on the unit at the same time or per Care Plan, and be
observed by a licensed staff member.
HISTORY:
(A) 8/2012
(B) 8/2013
(C) 1/2017
c. Turning and Positioning System to verify schedules are followed every
two hours or per Care Plan.
d. Resident Ambulation System to verify residents adhere to their ambulation
program.
e. Scheduling system to verify scheduling for nurses and CNAs is completed
in a fair and consistent manner.
f. Nourishment/Supplements System to verify nourishments/supplements are
passed according to developed schedule.
g. Cleanliness System to verify that environment is clean, orderly and
organized. Verifies cleaning schedules are in writing and audited daily.
h. Infection Control System to verify that appropriate infection control
protocol is followed.
i. Pharmacy System to verify correct meds are received timely, meds are
discarded timely and properly and costs are appropriate for resident payer
sources; and med room and med carts are monitored for policy
compliance.
j. Lab System to verify labs are drawn timely, and in accordance with
doctors orders.
k. Reviews Change of Condition/24-Hour Report daily and deletes residents
from the report as needed.
Standard Requirements
1. Supports the Mission, Values and Vision of the Facility.
2. Is knowledgeable of resident rights and supports an atmosphere which allows for
the privacy, dignity and well-being of all residents in a safe, secure environment.
3. Supports, cooperates with, and implements specific procedures and programs for:
OSHA and safety, including standard precautions and safe work practices,
established fire/safety/disaster plans, risk management, and security, report and/or
correct unsafe working conditions, equipment repair and maintenance needs.
4. Adheres to:
a. Confidentiality of all data, including resident, employee and operations
data.
b. HIPAA regulations
c. Quality Assurance requirements and compliance with regulatory
requirements.
d. Compliance with current law and policy to provide a work environment
free from sexual harassment and illegal and discriminatory behavior.
e. Code of Conduct and Compliance Program when performing work
functions
5. Supports and participates in common teamwork:
a. Cooperates and works together with all co-workers; plans and completes
job duties with minimal supervisory direction, including appropriate
judgment.
HISTORY:
(A) 8/2012
(B) 8/2013
(C) 1/2017
b. Uses tactful, appropriate communications in sensitive and emotional
situations.
c. Follows up as appropriate with supervisor, co-workers or residents
regarding reported complaints, problems and concerns.
d. Promotes positive public relations with residents, family members and
guests.
e. Completes requirements for in-service training, acceptable attendance,
uniform and dress codes including personal hygiene, and other work
duties as assigned.
f. Participates as assigned in the orientation of new staff and demonstrates a
positive, helpful, and enthusiastic attitude.
6. Immediately reports incidents of alleged resident abuse or neglect or alleged
violations of residents’ rights to Director of Nursing or Executive Director.
7. Knowledgeable of age specific developmental factors specific to adult and
geriatric residents (i.e. physical, cognitive and socialization factors) in planning
delivery of care.
8. Maintains current practice standards or changes by participating in educational
opportunities provided by the Facility and outside resources.
Other Duties
Provides hands on nursing care to residents as needed as a licensed practical nurse,
consistent with the state’s Nurse Practice Act.
Perform tasks which are supportive in nature to the essential functions of the job, but
which may be altered or redesigned depending upon individual circumstances. Performs
other work duties as assigned.
Qualifications
Education/Training: Maintains a current, valid LPN license in good standing. Must
have current CPR certification.
A.D.
