Licensed Practical Nurse

104 Randolph Road
Worcester, MA 01606-2465

Facility Phone
Facility Fax
Hours Full Time, Part time
7am to 3pm
Mariam Eastman
Contact Phone
Contact Fax
Contact Email

Department: Nursing
Reports To: Nursing Supervisor and/or
Charge Nurse

This job description, defining qualifications, primary (essential) and secondary (non-essential) functions, responsibilities and duties, is intended as a guideline for the employee and manager. The duties listed here are not considered to be all inclusive. The employee in this position performs these and other duties as required, although not listed, which may be assigned by his supervisor or facility Administrator/designee.


Management Function Requirements:

Supervises and evaluates all direct resident care and initiates corrective action as necessary.

Provides clinical supervision of nursing assistants providing direct resident care.

Follows staffing guidelines and makes nursing assignments according to qualifications of staff and characteristics of the resident population.

Assumes responsibility for compliance with federal, state and local regulations within the assigned unit.

Counsels nursing assistants and recommends disciplinary action, when necessary, to the Director of Nursing Service.

Instructs nursing assistants in proper, preventive safety measures and use of adaptive equipment to meet the needs of each resident.

Controls supplies and equipment within the unit.

Collaborates with interdisciplinary team to ensure that high quality resident care is maintained.

Prepares nursing assistants' assignments and explains all pertinent resident care.

Supervises the application and removal of all postural supports and restraints.

Supervises distribution of nourishments.

Orders, receives and documents medication received according to facility procedure.

Supervises response to residents' calls for assistance and responds to call lights as necessary.

Insures that all physician renewal orders and physician documentation is timely and appropriate.

Plans and conducts unit staff meetings as needed and records problems and recommends action. Suggestions for change are referred to appropriate person.

Patient Care Requirements:

Obtains report from nurse he/she is relieving and records sufficient information to implement appropriate follow-up action as necessary.

Provides report to nurse coming on duty, including sufficient information for follow-up action if necessary.

Conducts resident rounds, reporting problems to nursing supervisor and initiating corrective action.

Identifies resident problems and emergency situations, and initiates immediate "life saving" measures within the scope of nursing practice and in accordance with advance directives.

Administers and documents medications, enteral nutrition, and treatments per the physician's order and accurately records all care provided and observations daily.

Performs comprehensive assessment of each resident.

Documents comprehensive assessment of each resident with review by Registered Nurse.

Develops an accurate comprehensive care plan based on each resident's comprehensive assessment.

Assesses on a weekly basis the skin condition, stage, size (measurements), site, depth, color, drainage and odor of condition.

Obtains physician's orders and any revisions for all treatments and medications needed.

Renders immediate assistance to any resident in need.

Provides intravenous therapy according to facility policy and procedures.

Provides respiratory care according to facility policy and procedures.

Assists physician during treatments and examination of residents.

Checks meal trays to assure proper diet is served and residents are assisted as necessary.

Observes, evaluates and documents all changes in residents conditions.

Notifies physician, when necessary, of changes in residents conditions, weight, medication errors, medication not available, abnormal laboratory/X-ray results and any other unusual observations.

Administers PRN medications and treatments as necessary.

Documents resident care provided and resident's response or lack of response to care provided.

Reports changes in residents' conditions to a physician, Director of Nursing Service and responsible party promptly and to take follow-up action as necessary.

Follows facility admission procedures and communicates resident admission to other departments, physician and ancillary service providers.

Knowledgeably and competently performs basic nursing skills.

Follows facility discharge/transfer procedures and coordinates discharge/transfer with other departments, physician and ancillary service providers.

Assesses residents' needs and initiates development of individualized plans of resident care.

Provides direct resident care and gives instruction to nursing assistants related to resident care.

Listens to residents', families, or physicians' concerns and initiates corrective action and/or reports concerns to Nursing Supervisor.

Safety & Health Requirements:

Identifies safety hazards and initiates corrective action immediately.

Observes infection control policies and procedures.

Assumes responsibility for the safety of residents under his/her supervision.

Observes all facility fire, safety, and evacuation policies and procedures.

Counts narcotics/signs for count, checks emergency kits and exchange keys.

Maintains and monitors medication room and med cart in clean, safe and secure manner.

Maintains utility room and treatment cart in clean, safe and secure manner.

Records and destroys non-countable meds with another nurse.

Follows facility procedures related to control of equipment and supplies within the unit. Assures that work assignment areas are clean and equipment and supplies are stored before leaving care area on breaks and at end of shift.

Professional Development Requirements:

Participates in facility education programs and coordinates student activities with the Staff Development Coordinator.

Attends staff meetings, in-service classes and committee meetings as assigned.

Personally obtains continuing education in the field of nursing relating to specific needs of resident population.

Comes to work in a clean, neat uniform and consistently present an appropriate professional appearance in accordance with facility dress code.

Comes to work as scheduled and consistently demonstrate dependability and punctuality.

Accepts assigned duties in a cooperative manner.

Documentation Requirements:

Reviews and revises resident care plan when documenting progress notes.

Assists in maintaining of residents' clinical records.

Monitors all forms of documentation and edits appropriately. i.e. monthly physician orders, treatment sheets, etc.

Completes assigned sections of the MDS.

Completes monthly nursing summary notes as assigned.

Documents individual nursing progress notes according to needs and condition of residents.

Completes documentation related to the residents' discharge/transfer.

Reviews and revises resident care plans as necessary and as required by regulations.

General Requirements:

Demonstrates knowledge and understanding of the impact of disability upon an individual's, as well as families' physical, emotional, social, economic, and vocational status, taking into consideration age-related issues, and developmental levels over the life span (i.e., the adolescents' need to develop their own identity and cope with life changes; and the geriatrics' need to maintain their integrity and independence and adjust to the physiological aspects of aging), and meets competency requirements for the population served (adolescent through geriatric), as applicable to the job description.

Follows established standards of nursing practice and implements facility policies and procedures.

Interprets existing policies and procedures to nursing assistants, restorative nursing assistants, residents, families and physicians.

Follows, supervises and evaluates the implementation of the Resident's Rights Program, including privacy, confidentiality and dignity.

Assumes responsibility for compliance with federal, state and local regulations within the assigned unit.

Maintains calm and professional manner.

Consistently works cooperatively with residents, nursing staff, physicians, families, consultant personnel, community agencies, ancillary service providers, and administration.

Assumes accountability for data contained in the personnel policy manual.

May be assigned to specific area of nursing home at the discretion of management.


Participates in the employee evaluation process by providing information on the clinical performance of nursing personnel to the Director of Nursing Service.

Compiles information to complete report for facility committees as assigned.

Participates in resident care conferences as scheduled.


1. Graduate of an accredited LPN school of nursing.

2. Current license in Massachusetts as LPN.

3. Knowledge of Geriatric Nursing required.

4. Current certification in Basic Cardiac Life Support in accordance with American Heart
Association or American Red Cross standards required.

5. Knowledge of growth and development across the life span required.

6. Scale of General Education Development:

Reasoning Development Level 5
Mathematical Development Level 3
Language Development Level 4


Position: Licensed Practical Nurse
In an 8-hour workday on the job the physical activities of the position involve:
Not at all 0 - 25% 26 - 50% 51 - 75% 76 - 100%
Balancing X
Bending X
Carrying X
Climbing Ladders X
Climbing Stairs X
Controls X
Crawling X
Crouching X
Fingering X
Simple Grasp X
Power Grasp X
Sustained Grasp X
Kneeling X
Lifting X
Pulling X
Pushing X
Reaching below knees X
Reaching forward X
Reaching waist to chest X
Reaching chest to shoulder X
Reaching above shoulder X
Sitting X
Standing X
Stooping X
Twisting upper trunk X
Twisting lower trunk X
Repetitive movement X
Walking X

Weight Limitation and Time Frequency

Position: Licensed Practical Nurse
An individual in this position will be required to carry or lift weights in these ranges of hours per day when performing essential functions.
Never Seldom
0 - 2.5 hrs. Occasionally 2.5 - 4 hrs. Frequently
4 - 6 hrs. Always
6 - 8 hrs.
Up to 10 lbs. X
11 - 24 lbs. X
25 - 34 lbs. X
35 - 50 lbs. X
51 - 74 lbs. X
75 - 100 lbs. X
Weight in excess of 100 lbs. X

Overall Strength Factor

 Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

 Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

 Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work.

* Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work.

 Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.

Position: Licensed Practical Nurse
Sensory and communicative activities essential to the performance of the position:
0 - 2.5 hrs. Occasionally
2.5 - 4 hrs. Frequently
4 - 6 hrs. Always
6 - 8 hrs.
Feeling/Touching X
Finger Dexterity X
Manual Dexterity X
Hearing X
Phone Work X
Seeing X
Depth Perception X
Color Vision X
Field of Vision X
Far Acuity (20+ ft.) X
Near Acuity
(20 inches or less) X
Computer Displays X
Smelling X
Speaking X
Tasting X
Never Seldom
0 - 2.5 hrs. Occasionally
2.5 - 4 hrs. Frequently
4 - 6 hrs. Always
6 - 8 hrs.
Inside Environment X
Outside Environment X
Extreme Cold
(Temp. below 0º) X
Extreme Heat
(Temp. above 90º) X
Bloodborne Pathogens X
Chemical Hazards X
Respiratory Hazards
(Fumes/Dust) X
Constant Vibrating Motion X
Heights X
Confined Spaces X
Wet/Damp Surfaces X
Uneven Terrain X
Noise (>85 dB) X
Operate Moving Equipment X
Physical Hazard
(i.e. electrical current) X
Latex Exposure X

Exposure Classification

The position of Licensed Practical Nurse includes tasks that involve:

*Category I: Exposure to blood, body fluids. or tissues. All procedures or other job related tasks that involve an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or a potential for spills or splashes of them, are Category I tasks. Use of appropriate protective measures are requited for every employee engaged in Category I tasks.

Category II: Exposure to blood, body fluids, or tissues, but employment may require the performance of unplanned Category I tasks. The normal work routine involves no exposure to blood, body fluids, or tissues, but exposure or potential exposure may be required as a condition of employment. Appropriate protective measures (i.e. gloves, masks, gowns, etc.) are readily available to every employee engaged in Category II tasks.

Category III: Exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined or reasoned under which anyone, anywhere, might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way as part of their employment. Tasks that involve handling of implements or utensils, use of public or shared bathroom facilities or telephones, and personal contacts such as handshaking are Category III tasks.