Careers in

Nursing

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Licensed Practical Nurse

Licensed Practical Nurses (LPNs) fill an important role in providing skilled services and valued relationships. Caring really is job one.

LPNs care for the sick, injured, convalescent, and disabled under the direction of physicians and registered nurses. Most LPNs provide basic bedside care, taking vital signs such as temperature, blood pressure, pulse, and respiration. They also prepare and give injections, monitor catheters, apply dressings, treat bedsores, and give alcohol rubs and massages. LPNs monitor their patients and report adverse reactions to medications or treatments. They collect samples for testing, perform routine laboratory tests, feed patients, and record food and fluid intake and output. To help keep patients comfortable, LPNs assist with bathing, dressing, and personal hygiene.

In addition to providing routine bedside care, LPNs in skilled nursing facilities help to evaluate residents’ needs, develop care plans, and participate in the care provided by aides.

Education & Experience:

Licensed nurses practice in accordance with the Nursing Practice Act, LPN Rules, and rules provided by the NC Board of Nursing.

Salary Average
$46,675

Next Steps
Registered Nurse

Registered Nurse

 

Registered Nurses (RNs) practice in an autonomous environment where nursing assessment, judgment, and delegation skills are utilized on a continuous basis. Working in a skilled nursing facility offers an opportunity to develop long term relationships with a patient population second to none in sincere appreciation.

RNs perform basic duties that include treating patients and providing advice and emotional support to patients’ family members. RNs record patients’ medical histories and symptoms, help to perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation.

Education & Experience:

Registered nurses are licensed to practice in accordance with the NC Board of Nursing.

NCHCFA encourages Registered Nurses to become credentialed in Gerontological Nursing by the American Nurses Credentialing Center (ANCC). Advancement opportunities to administrative nursing positions are not uncommon as well as to positions requiring unique skills such as the federally mandated Resident Assessment Coordinator.

Nurse Supervisor (RN)

 

The Nurse Supervisor is responsible for supervising the nursing staff (RNs) on an assigned unit to ensure continuity and quality of resident care while promoting an environment of learning and independence.

Education & Experience:
A Unit Manager must be licensed to practice by the NC Board of Nursing.

Salary Average
$63,050

Next Steps
Assistant Director of Nursing
Director of Nursing

MDS Coordinator

An MDS coordinator (also known as Resident Assessment Coordinator) promotes the emotional and physical well-being of residents. They use resident assessment instruments, to gather information from facility residents and families during periodic interviews. The coordinator focuses on areas such as patient behavioral patterns, moods, cognitive abilities, and nutritional needs. Data gathered from periodic assessments helps caretakers assemble care plans including support from medical staff, dietitians, and rehabilitation specialists. The MDS coordinator implements these plans and monitors them for effectiveness while assuring compliance with ethical standards and regulatory requirements.

Education & Experience:
An MDS coordinator must complete a Registered Nurse (RN) or LPN (Licensed Practical Nurse) program and receive on-the-job training, or they must complete a formal training program.

Salary Average
$65,900

Next Steps
Assistant Director of Nursing
Director of Nursing

Assistant Director of Nursing

The Assistant Director of Nursing (ADON) is responsible for supervising clinical staff (CNAs, LPNs, RNs) to help insure continuity and quality of resident care. In the Director of Nursing’s absence, the ADON assumes responsibility for the nursing department.

Education & Experience:
An ADON must meet the registered nurse education requirements and typically possess at least five years experience in a clinical setting with some management experience.

Salary Average
$72,665

Next Steps
Director of Nursing

Director of Nursing

The Director of Nursing (DON) is responsible for supervising all nursing staff, ensuring there is adequate nursing staff, and ensuring that the staff’s skills remain current in order to meet the needs of the residents and state and federal regulations. The DON oversees development and implementation of nursing policy and procedure and communication of the needs of the residents to the physicians.

Education & Experience:
A director of nursing must meet the registered nurse education requirements and typically possess a minimum of five years experience in a clinical setting with some management experience.

Salary Average
$91,100

Quality Assurance Nurse

The Quality Assurance (QA) Nurse looks for ways to improve procedures within a skilled nursing or assisted living community, with the goal of improving resident care. To meet the continued regulatory changes, the QA Nurse participates in the development, evaluation, and implementation of policies and procedures and in continuing education related to professional standards of the nursing practice. QA Nurses are sometimes facility based but oversee multiple facilities.

Education & Experience:
QA Nurses must meet the registered nurse licensure requirements and have at least five years of experience in a clinical setting with some management experience included.

Salary Average
$80,000

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