LPN - Premium Per Diem

Sullivan County; Unity (NH); On-site; USD 52,000 - 73,000; Full time

Job summary

Sullivan County Health Care in New Hampshire seeks a Licensed Practical Nurse to join an award‑winning team dedicated to high‑quality care. You will administer medications, develop care plans, supervise LNAs, and ensure treatment and documentation align with state and federal regulations.

The role emphasizes collaboration with physicians and nursing staff, participation in rounds and shift handovers, and adherence to safety and infection control procedures.

Qualifications

• High school diploma or equivalent.
• Current NH Licensed Practical Nurse license without restrictions.
• Graduate of a School of Nursing program accredited by the American Nurses Association.
• 1–3 years’ experience in an acute or long‑term care facility preferred.
• Current CPR certification; IV therapy certification may be required.

Responsibilities

• Administer medications and treatments as ordered and document in MAR/TAR.
• Assess residents, develop and update care plans and assessments within required timeframes.
• Supervise LNAs and coordinate nursing staff and patient care on assigned units.
• Attend rounds with physicians and communicate patient needs and changes to the team.
• Ensure compliance with facility policies and federal/state regulations; maintain infection control.

Education

Licensed Practical Nurse - New Hampshire

Graduate of School of Nursing program

Tools

Electronic MAR/TAR system

Job description

Join our team as a Licensed Practical Nurse here at Sullivan County Health Care. Come be a part of our award-winning team that works hard to uphold our motto. "ALL DAY, EVERY DAY, WE MAKE LIFE BETTER". (See Supplemental Information below for requirements)

Scope of Position

This is a specialized and administrative position with responsibility to ensure the delivery of appropriate high quality nursing and restorative care within the facility's policies and procedures and to ensure through supervisory and other practices that the assigned unit(s) is/are managed in conformance with the philosophy and policies of the facility and in accordance with Federal and State Regulations.

• Attendance is a fundamental tenant of Sullivan County. All employees are obligated to report to work for each and every scheduled shift on time and depart from the work place only when permitted to do so by the County.
• Accurately receives, transcribes and carries out physician’s orders.
• Administer medications and treatments as ordered by the physician and make proper documentation and notifications; order and maintain all pharmaceuticals for the units.
• Assess residents, developing and updating Care Plans, MDS’s, and quarterly assessments within the mandated time frame as assigned and evaluated by the Unit Manager; observe each resident on a continuing basis alert to changes in mental and physical well-being and in conjunction with an RN, make assessments and notifies Supervisor; receive Resident Status Report from off-going shift, and give on-coming shift a detailed report of each resident’s current status and events of the shift.
• Supervise LNAs in accordance with licensing requirements under the New Hampshire Board of Nursing. Assign and measure nursing staff resident care consistent with abilities, job description and scope of practice and supervise the care given; and assist direct-care staff with nursing care as necessary and as time allows.
• Administer the provision of oxygen in accordance with facility guidelines and procedures. Administer gastrostomy/jejunostomy feedings in accordance with policy and procedure. Perform wound care and have knowledge of wound vacs.
• Accompany physician on resident rounds, on their assigned unit(s), to address residents medical needs and to facilitate communication during 60 day review and update 24 hour report sheets to keep APRN/ physician informed.
• Perform regular duties on the unit such as checking appointments for the day and alert staff, checking Physical Therapy, Occupational Therapy appointments, and alert staff, checking activity board and alert staff, reminding staff of ambulation list, weights, blood pressures: monitoring LNA documentation; oversight of infection control practices on the unit; ensure that unit is clean and hazard-free, and following the chain of command, report any problems to the Nurse Manager/Nursing Supervisor; and encourage LNA observations and include them when documenting and reporting.
• Admit, discharge and transfer residents, completing documentation and notifications as necessary. Administer medications and treatments and document such via electronic MAR/TAR and documentation system. Monitoring and reordering medications from the pharmacy as necessary.
• Complete 24 hour report for his/her assigned unit(s); check new orders; complete list of residents on antibiotics, precautions, etc.; maintain consistent communication with the Nursing Supervisor or Unit Manager regarding resident issues or concerns with staff; differentiating between acute and non-emergency problems; and attend all mandatory staff/educational meetings and non-mandatory meetings as assigned.
• Communicate with residents’ families in order to resolve resident concerns and problems to notify family members of new orders, and to obtain consent when necessary.
• Assume responsibility for the management of assigned unit(s) during his/her shift under the direction of the Nursing Supervisor, Unit Manager, or Director of Nursing Services. Follow State and Federal Regulations regarding the storage, usage and documentation of controlled medications including counting at the change of shift; notifies appropriate Supervisor if discrepancies are present.
• Assist Staff Development Coordinator (SDC) with the orientation of new nursing employees on their assigned unit(s); communicate with SDC regarding continuing education needs of the nursing staff, and assists in the delivery of staff education and training as needed; encourage and assign staff to attend in service education meetings; and evaluate assigned nursing staff members according to facility policy and procedure. Initiate or effectively recommend disciplinary action as necessary.

Requirements

• A high school diploma or equivalent
• A current license in the State of New Hampshire as a Licensed Practical Nurse without restrictions or sanctions of any kind
• A graduate of a School of Nursing program accredited by the American Nurses Association
• One to three (1 - 3) years’ experience in an Acute or Long Term Care facilitypreferred
• Hold a current certification for CPR and may be required to obtain certification to administer IV therapy

Premium Per Diem employees must

• Commit to a 12 week term with a consistent schedule
• Work at least 56 hours per pay period
• Work every other weekend (16 hours/2 shifts per weekend)
• Be available to work either Thanksgiving or Christmas
• Be included in the Mandatory Stay list
• Can convert to regular staff

Shift Differential

• $2/hour - 2nd shift
• $2/hour - 3rd shift
• 20% of base rate of pay for all Weekend shifts

Equal Employment Opportunity

Mandatory post offer physical, drug testing and Criminal records check required (County paid).