Employment - Licensed Practical Nurse

Job Description:

Reports To:    Assistant Director for Health Services

Primary Function:

Responsible for implementation of medication administration and nursing plans, procedures, and protocols for assigned individuals. Assume all responsibilities of Support Staff job description (# and LPN job description (#2.4.10). Coordinate nursing operations with, and communicate health issues including scheduling and planning actions to, Assistant Director of Health Services and other management.



1.         Serves as a resource person to Comcare, to the teams, and to program facilities as requested. When not involved with medical responsibilities, or when other staff need immediate assistance or as requested by management the LPN will engage in direct individual support.

2.         Acts as individual's advocate, when necessary, to facilitate the promotion, maintenance and achievement of health.

3.         Follows doctor’s orders as written for each individual. Communicates physician’s orders to Supervisor, Health Services Coordinator and, as indicated, to staff and oncoming nurses.

4.         Represents agency in relating to medical personnel in a professional and courteous manner.

5.         Utilizes opportunities to educate individuals in health care.  Educate staff and family as appropriate.

6.         Sees that medical appointments are scheduled and kept within required time frames. Maintains log of when appointments are due.

7.         Maintains medical and/or adaptive equipment in a safe working condition.  Immediately reports unsafe conditions to the Supervisor for the area served.  Safely operates all equipment used in job setting.

8.         Uses supplies in a cost effective and efficient manner.  Assists in the ordering of supplies.

9.         Orders medications and supplies from the pharmacy in order have available for administration/use.

10.       Demonstrates a knowledge of, and utilizes, the agency's infection control policies, including good hand washing.  Utilizes the designated medical waste containers appropriately.

11.       Assesses individuals and their health needs on a daily basis, reviews status of individuals with the on-coming nurse and reports any changes or concerns to the Supervisor and/or directly to the physician.

12.       Disposes of contaminated syringes in the medical waste containers provided.

13.       Initiates and maintains accurate each individual's records.

14.       Documents nursing observations and actions and individual’s progress toward goals in individual’s permanent record using Nursing Notes, Medical Monthly Progress Report and other forms as indicated.

15.       Assists with development, review and modification of nursing plans and the ISP for individuals.

16.       Assures that nursing actions are consistent with the recorded nursing plan, ISP and physician’s orders.

17.       Provides or assists in direct care of individuals using independent nursing actions when warranted.

18.       Provides weekly foot and nail care to individuals who have special needs.

19.       If necessitated by situation, returns to residence to assess and assist with the health care of the individuals during off duty hours.

20.       Maintains communication with Legal Representatives, Independent Support Coordinators and State personnel as appropriate.

21.       Provides first-aid and other medical treatments to individuals as appropriate.

22.       Completes diagnostic testing as appropriate.  Uses diagnostic equipment or supplies accurately.  (Includes blood glucose monitor, blood pressure cuff, etc.)

23.       Maintains knowledge about special needs of individuals’ diets, modified diets, textures, special feeding instructions and American Diabetics Association diet.

24.       Follows Policy 4.4.1 Medication Administration.

25.       Updates Health Passport, Medication Administration Plan and other medical protocols as needed.

26.       LPN's may be moved to different programs to meet individual needs.

27.       Attends weekly staff meetings, monthly nursing meetings and, as appropriate, meetings related to individual programming (ISP, Circle of Support).

28.       Assumes other responsibilities as requested by management.

29.       Is flexible in location assignments which may be made on a temporary basis to meet individual needs.


Education:       High School Diploma or equivalent required; Graduate of  a Licensed Practical Nurse program; Currently licensed as an LPN in Tennessee.


Experience:     Minimum one year of  LPN clinically relevant experience preferred.  Experience with intellectual and developmental disabilities preferred.


Knowledge:    Must have knowledge of, and technical skills at, medical nursing procedures, first aid and basic principles of nursing, C.P.R.  Must know or learn about intellectual and developmental disabilities and seizures.


Ability to be insured as a vehicle driver by agency's insurance program.

A valid driver's License.

Good knowledge of basic English sufficient to read instructions, keep records and write reports.

Successful completion of background and reference check.

Successful completion of a drug screen and TB test.

Successful completion of medical examination that documents that employee is free of communicable disease and is capable of performing the physical requirements of the job with or without reasonable accommodations.


Physical Requirements:

Ability to intervene physically on an occasional basis with aggressive and violent individuals including, but not limited to, the ability to engage in quick and exertive holding, stooping, bending, twisting, and turning.

Ability physically assist individuals in daily activities, including, but not limited to, assistance in transfers, eating, bathing, dressing, and toileting.

Ability to perform repetitive bending and exertion movements daily including, but not limited to, those found in bed making, lifting laundry, and mopping.

Ability to perform small hand movements daily including, but not limited to, those involved in the hand assembly of small manufacturing parts.

Mobility sufficient to climb stairs daily and easily, enter and exit vans daily, and occasionally engage in running.

Ability to engage in physical exercise several times a week with individuals including, but not limited to walking, shooting basketball and pool exercise.

Visual and auditory ability to meet individuals' needs and assure their safety.


Emotional Requirements:

Ability to handle appropriately the stress which is created by job situations including, but not limited to, noise, conflicting demands for time and attention, and physically and/or verbally aggressive/combative individuals.

If you are interested in this employment opportunity, please contact us:

Comcare Inc.
100 Pennsylvania Ave.
Greeneville, TN 37743
Voice: 423-638-3926
Fax: 423-638-1105