Long Term Care LPN
Girard, Pennsylvania
Pleasant Ridge Manor

LPN/LVN (License Practical Nurse)

Location: Fairview, Pennsylvania Setting: Long-term care (LTC/SNF), 300 beds Contract Length: 15 weeks Shift: Evenings, 2:45p-11p, 4 days/week Hours: 8 hours per day, 38 hours per week (8.25-hour shifts including a 30-minute unpaid lunch break)

Required Qualifications

• BLS certification
• Pennsylvania MSL/Compact exception approved
• 1 year of LTC experience within the last 3 years
• Experience measuring wounds (measuring only; NPs stage wounds weekly)
• Must include driver's license in submittal

Units and Patients

• Unit/Department: Floor Nurse (RN/LPN)
• Units (6 total, 300 beds):

  • A: 47 beds
  • C: 50 beds (COVID unit, currently closed)
  • G: 59 beds
  • H: 40-bed secure dementia unit
  • J: 59 beds
  • K: 45 beds
• Currently using 5 of 6 units. If 6 nurses are assigned, one floor nurse splits between the two largest units (J and K) on nights.
• Accepts LTC, skilled, rehab, and dementia residents aged 18+
• Hospice care accepted in house, with 2 dedicated hospice rooms
• Majority of floor nurses are LPNs

Staffing

• Days: 3 nurse managers cover 2 units each, Monday through Friday. On weekends, 1 nurse manager oversees all units. Each unit has a charge nurse and a med/treatment nurse, with a possible third nurse if staffing allows.
• Evenings: RN supervisor plus floor nurses (LPN or RN). Each unit has a charge nurse and a med/treatment nurse.
• Nights: RN supervisor as staffing allows, plus 1 floor nurse (RN or LPN) per unit.
• DON and RN supervisors serve as charge/house supervisors.
• Physician coverage after hours: House MD and NP available by phone. Contact goes through the DON, manager, or RN supervisor.
• Interdisciplinary team: PT, OT, SLP, case managers, social workers, and dietitians.

Job Duties

• LPN and RN (shared duties): Medication and treatment administration, blood glucose monitoring, insulin administration, IV medications (mostly IV antibiotics, Lasix, and Bumex), TPN, tube feedings, wound care (including measurement), lab draws and specimen collection, Foley/catheter care, trach care, ADL assistance, assessment charting, incident reports, vital signs monitoring, oxygen administration and management
• RN only: Central line care, chest tube care and management, IV starts, admission orders, fall assessments

Clinical Environment

• IVs or titratable drips: Lasix, Bumex, and antibiotics only
• No telemetry monitors on the unit
• No respiratory therapy staff on site. Accepts CPAP, BiPAP, O2, nebulizers, INH, and trach with or without humidifier mister. Ventilators are not accepted.
• Pharmacy on site Monday through Friday during business hours. Medications are administered from pill bottles; no current medication dispensing system. RN supervisor has access to an emergency drug closet when pharmacy is unavailable.
• RNs may participate in care plan meetings (most common for short-term stay residents).

Scheduling and Policies

• Weekends: Every other weekend, with the option to work more
• Holidays: Required, with no set rotation. Schedule is made 2 weeks in advance, and holidays are worked if they fall on a scheduled day.
• Call/standby: None. Staff work scheduled shifts and are not sent home early.
• Floating: Nurses are kept in consistent areas when possible but may be assigned to any area as needed.
• Shift changes: Not permitted until the extension is complete
• Self-scheduling / block scheduling: Not stated in the source
• Dress code: Any color clean, professional scrubs except camo
• Orientation: Unit/department-specific orientation of 3 days, held on Tuesday only. Clearance must be completed by 4 PM EST the Friday before the start date.
• Health items: Must be collected within 48 hours
• Offer response: 24 hours to accept
• Timekeeping: Must use the facility timeclock
• Badge policy: Forgetting a badge results in progressive discipline: verbal warning, written warning, second written warning, then termination on the fourth occurrence.
• Duos: Not permitted