Description

The Town’s nursing facility, Our Island Home, seeks a 40-hour per week LPN to assist in providing direct patient care to the residents of Our Island Home.

40-hour per week Union position.

The Town of Nantucket offers a retirement pension through Barnstable County Retirement, 90% employer-sponsored health insurance plan options and a diverse selection of supplemental insurance policies.

Under the general direction of the Director of Nursing, the employee 
plans and carries out the regular work in accordance with standard practices and previous training, 
with substantial responsibility for determining the sequence and timing of action and substantial 
independence in planning and organizing the work activities, including determining the work 
methods. The employee is expected to solve through experienced judgment most problems of 
detail or unusual situations by adapting methods or interpreting instructions to resolve the 
particular problem. Instructions for new assignments or special projects usually consist of 
statements of desired objectives, deadlines and priorities. Technical and policy problems or 
changes in procedures are discussed with supervisor, but ordinarily the employee plans the work, 
lays it out and carries it through to completion independently. Work is generally reviewed only for 
technical adequacy, appropriateness of actions or decisions, and conformance with policy or other 
requirements; the methods used in arriving at the end result are not usually reviewed in detail.
Supervisory Responsibility: Employee, as a regular and continuing part of the job, leads other 
workers in accomplishing assigned work and also performs non-supervisory work that is usually 
of the same kind and levels as is done by the group led. The LPN is responsible to his/her 
supervisor for assuring that the work assignments of other workers are carried out by performing 
duties which typically consist of most of the following: distributes and balances workload among 
employees in accordance with established workflow and job specialization; assures timely 
completion of work; instructs employees in specific tasks or explains work methods to be 
employed and indicates applicable reference material and guidelines; checks work progress and 
reviews completed work to see that instructions have been carried out; answers questions and 
resolves problems that arise in the work; provides on-the-job training to new employees; reports 
to the supervisor on disciplinary problems, performance and training needs of employees; resolves 
simple, informal complaints of employees and refers others to the supervisor; may approve leave 
for a few hours or for emergencies. 

Essential Functions:
The essential functions or duties listed below are intended only as illustrations of the various type 
of work that may be performed. The omission of specific statements of duties does not exclude 
them from the position if the work is similar, related, or a logical assignment to the position.
• Follows and interprets for co-workers, physicians, community agencies, consultants, 
ancillary staff and all other service providers as well as ensures all existing policies, 
procedures and performance standards are followed. 
• Delegates daily duties as a work leader for ancillary and other nursing staff to ensure 
proper resident care is performed. Ensures that residents remain at the front of the care 
process and involved in their care.
• Provides Director of Nursing with information on CNA work performance and makes 
appropriate recommendations for improvement. 
• Receives and provides a thorough report when coming on duty and off duty as well as 
ensures all actions requiring follow-up are performed.
• Contacts physicians when necessary; takes verbal or telephone orders and/or transfer 
orders from doctors’ order book to necessary documentation sheets in the medical record.
• Consults with RNs or Director of Nursing on specific nursing problems and/or 
interrelating department situations. Performs rounds during assigned shift(s)

• Contacts Resident, next of kin, or sponsor and clergy when warranted, concerning changes 
in residents’ condition, transfer or admission.
• Transfers Residents and prepares Resident care referral forms and all other required 
transfer or discharge paperwork.
• Prepares and maintain residents’ clinical records, including medical and nursing treatments 
and related services provided by the nursing staff.
• Assists in the completion of resident summaries, care plans, and other required 
documentations surrounding resident care.
• Completes daily reports on staff hours worked, care and condition of Residents;
investigates and adjusts complaints or refers same to Director of Nursing. Fills out all 
required investigative or incident reports sections, as indicated and required, for staff and 
resident events.
• Medications: administers medications safely according to policy and procedures while 
adhering to State and Federal regulations, within clinical scope of practice, and in 
accordance with physician orders.
o Orders medications and E-kits as needed. Prepares and distribute medications and 
charts medications administered appropriately in the medical record, drug order 
book, flow sheets, narcotic record log, and all other required means of 
documentation.
o Ensure all medication and vaccines of the facility are properly stored and secured.
o Ensures the medication room, carts, refrigerator, and other storage areas are clean, 
free from items or food, and properly stocked.
o Review of resident medication orders, sheets, and administration for discrepancies, 
errors, drug reactions, etc.
• Treatments: performs all necessary treatments and other nursing care when ordered by a 
physician. 
o Ensures proper infection control procedures are followed including sterilization of 
all instruments and other equipment used.
o Keeps record of resident heights, weights, and blood pressures.
o Wound treatments and proper documentation.
o Follows all quarterly assessment performed with RN oversight (ex. bladder, 
pressure sore risk, restraints, skin tear/rashes, etc.
• Attends all facility meetings as required (ex. care plan, safety, departmental, etc.)
• Maintains appropriate attendance records; arrives on time for work and is ready to perform 
assigned tasks.
• Meets facility hygiene and dress code standards of appearance.
• Follows necessary infection control and proper hand washing techniques.
• Maintains safe work practices and follows facility safety procedures.
• Follows facility conduct standards and policies and procedures performing all work 
alcohol and drug free.
• Meets requirements for in-service education and meeting attendance per facility policy and 
state and federal requirements.
• Maintains all required licenses, certifications, qualifications and associated standards.
• Performs other duties as assigned in accordance with job functions

Requirements

Education and Experience: Licensed Practical Nurse currently licensed in Massachusetts; if 
licensed by a waiver, she/he must comply with regulations of DPH and complete an accredited 
nurse licensure program or license that complies with all appropriate DPH regulations; prior work 
experience in healthcare field is preferred; minimum of three to five (3-5) years experience as an 
LPN preferred, or any equivalent combination of education, training and experience which 
provides the required knowledge, skills and abilities to perform the essential functions of the job.
Special Requirements: LPN License; must be in good physical and mental health. CPR/AED 
certified. Pass all required background checks.

Knowledge, Abilities and Skill
Knowledge: Working knowledge of long-term care including local, State and Federal laws, 
policies, practices and procedures of nursing homes and office operations; laws and regulations 
pertinent to communicable diseases, infection control, HIPAA, ethics, scope of nursing practices 
and clinical skills.
Abilities: Ability to manage multiple tasks in a detailed and timely and safe manner with frequent 
interruptions as well as plan and prioritize daily tasks. Decision-making and management ability 
required. Interest in working with the elderly. Works with others in a helpful, respectful, and 
courteous manner; must be able to establish and maintain cooperative working relationships with 
co-workers, supervisors and residents/family members. Able to work in an interdisciplinary team 
environment.
Skills: Proficient personal computer skills, recordkeeping and clerical skills, proficient written 
and oral communication skills; effective customer service skills; effective organizational skills.
Clinical nursing skills. Skill at operating standard type of office equipment including, but not 
limited to computers, copy machine, fax machine, printers and telephone.