Successful completion of a pre-employment local and national criminal records check using fingerprints, a drug screening test and a physical examination including a physical abilities assessment which evidences the ability to safely lift and push/pull objects weighing up to 50 pounds with grip strength of 65 pounds.
Under the direction of a Registered Nurse, and/or designee, and in compliance with state statutes and regulations governing the practice of nursing, incumbents provide direct, hands-on, personal, high quality nursing care in accordance with established policies, policies, and practices of Douglas County Health Center. Incumbents may also provide supervision of subordinate nursing staff.
Primary Duties & Responsibilities:
Perform direct resident care in accordance with nursing standards of care utilizing the principles of nursing and basic physical assessment skills in the development, documentation, and implementation of individualized, interdisciplinary care plans to ensure the needs of the residents are met.
Participate in developing, implementing, and evaluating resident’s plan of care; and conduct resident care conferences, as needed.
Assess residents, initiate physician orders, administer medication, and complete procedures and treatments in accordance with resident needs, physician orders, and procedures.
Accurately record resident care and observations on their medical record.
Work cooperatively and respectfully with team members, residents, residents’ families, visitors, and volunteers to create a positive and pleasant “home” environment within their neighborhood.
Complete nursing rounds, provide follow-up supervision, assist/consult with nursing/medical staff, inform team members of the care needs of the residents, conduct change-of-shift reports, and assign team members based upon their level of training.
Serve as a resource person to others, promote a positive work environment, and assist in resolving disputes and/or redirecting negative behaviors.
Maintain confidentiality of department, resident, employee information, communication, and documentation as well as compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
Inform a Nurse Manager, House, Supervisor, Registered Nurse, resident’s Guardian, and resident’s Physician of any change in residents’ condition in a timely manner; initiate follow-up to promote resident safety/care; and immediately report any suspicion/allegation of resident abuse/neglect to supervisor.
Assist in the admission, transfer, and dismissal of residents; complete all related documentation; and assist with the care of the residents.
Treat residents, coworkers, and the public with dignity and respect at all times.
Serve as a mentor/preceptor to coworkers and agency/outside personnel; follow-up to ensure that they function within the scope of practice; and help others learn by teaching and being a positive role model.
Encourage, empower, and support resident’s, whenever possible, in maintain or regaining their independence, accommodating their individual choices, assisting them in directing their own daily life, and in helping residents maintain their own personal belongings according to their wishes.
Investigate complaints and/or suggestions from residents, coworkers, or the public; and take steps to remedy problems.
Take steps to promote and maintain a clean and safe work environment, and ensure that malfunctioning equipment is immediately removed from service, and tagged for repairs.
Respond to and assist with medical and psychiatric emergencies and codes at a level of competence.
Observe, adhere to, and promote emergency/safety protocols and measure related to hazardous waste, chemical use, fire, weather, internal disasters, wandering residents, community disasters, and other safety matters.
Other Duties and Responsibilities
Attend and participate in staff development programs and other education programs to increase personal knowledge and abilities, promote professional growth and development, and maintain certificates.
Assist in orientation of new employees and pool personnel.
Participate in quality improvement activities, as assigned.
Provide and promote a positive image of Nursing Services and DCHC; and serve as a Health Center representative for community agencies, nursing schools, and the general public.
Perform related duties as assigned.
Must be a Licensed Practical Nurse with current nursing license from Nebraska or a compact state recognized by the Nebraska Board of Nursing at the time of hire, and maintain the license in good standing throughout the course of employment.
Must be certified in basic life support/cardiopulmonary resuscitation (CPR) or complete certification within required time frames after employment; and once certification is achieved it must be maintained throughout the course of employment.
Successful completion of pre-employment local and criminal records check.
Successful completion of pre-employment health review including drug testing and physical abilities assessment.
Physical Requirements & Working Conditions:
The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work is performed indoors in a health care facility with long-term care and assisted living residents. The incumbents will be assigned to specific shifts; however, schedules may include varied days, hours, weekends, overtime, holidays, and emergency call-in. Noise level is usually moderate but could at times be extreme. Work may be fast-paced when dealing with multiple priorities and/or emergency situations.
Incumbents in this position may be exposed to infectious/communicable diseases, blood borne pathogens, and potential risk of injury from distraught residents. Incumbents must occasionally be able to independently lift up to 50 pounds and push/pull up to 50 pounds of force with grip strength of 65 pounds.
Work requires physical activity including extended periods of standing, walking, and bending with occasional periods of sitting, kneeling, climbing, stooping, crouching, and balancing. Work also requires constant reaching between knee and shoulder level as well as frequent reaching below knee level. Frequent fine motor movement of fingers and wrists as well as gross motor movement of elbows and arms is also required.
Vision abilities, correctable to normal ranges, include close, distance, color, and peripheral vision as well as depth perception and the ability to adjust focus. Communication abilities include the ability to talk and hear within normal ranges.