ASSESSMENT Duties: Adhere to state rules and regulations concerning delivery of care and assure that effective quality nursing care is delivered which is outcome focused through utilization of the nursing process. Effectively interview the resident/responsible party to obtain information required for developing and implementing a plan of care. Demonstrate ability to perform physical assessment through observation, inspection, palpation, percussion and auscultation.
PLAN OF CARE Duties: Develop individualized plan of care in collaboration with the resident/responsible party and interdisciplinary care team by documenting problems, statements, goals and approaches in collaboration with other members of the interdisciplinary care team. Seek Care Specialist input when developing plan of care. Define realistic and obtainable long and short term goals for the residents. Initiate appropriate nursing interventions with time frames for outcome evaluations and document appropriately in medical record. Revise plan of care with input from resident/responsible party and interdisciplinary care team. Implement teaching with resident/responsible party consistent with interdisciplinary plan of care.
PLAN OF CARE Duties: Implement plan of care consistently, effectively and cost efficiently with focus on resident centered outcomes. Identify rationale and anticipated outcomes for each nursing intervention. Assume responsibility for care interventions consistent with skill level and professional standards of care. Utilize time efficiently to assure completion of duties and responsibilities in allotted time frame. Utilize professional and sound judgment in delivery of care that is cost efficient but does not jeopardize safe, effective care delivery. Follow the company’s policies and procedures to ensure a safe, caring, comfortable and clean environment. Utilize all appropriate, available resources for resident/family/responsible party counseling and discharge planning. Keep physician and/or other health care professionals (Nurse Practitioner, Physician Assistant, podiatrist, dentist, etc.) informed of resident’s condition; and notify physician and/or other health care professionals immediately of significant changes of condition. Work in collaboration with physician and/or other health care professionals by sharing information relevant to changing plan of care. Question and seek clarification of unclear orders.
PLAN OF CARE Duties: Evaluate team and make changes as needs are recognized. Critique and take responsibility for evaluating nursing care delivered. Utilize the expertise of Nurse colleagues to evaluate plan of care. Elicit feedback from individual being served and/or family or responsible party to determine that their needs are being met. Evaluate effectiveness of the plan of care in conjunction with the interdisciplinary care plan team.
CARE Duties: Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices. Transcribe physician and/or other health care professionals’ orders appropriately and accurately. Ask for clarification of questionable orders from the ordering physician and/or other health care professionals. Perform only those activities that are within the scope of RN nursing practices. Notify physician and/or other health care professionals if orders are not carried out and document even appropriately. Follow company, facility and departmental policies and procedures, and appropriately utilize nursing judgment. Ensure accurate documentation of all medical records and reporting forms. Promptly respond to call lights and other resident needs.
SERVICE Duties: Provide compassionate resident care service. Establish and maintain positive interaction with internal and external customers, including co-workers and direct reports. Take responsibility for resolving Care Specialist, Nurse, and other customers’ issues and concerns striving for a win-win outcome. Customers include residents, families, vendors, and other employees.
RIGHTS Duties: Demonstrate strong ethical practices regarding individual/resident rights as stated in company policy. Support resident autonomy and choice. Demonstrate both sensitivity and appropriate responsiveness to each resident’s “end of life” wishes.
COMFORT & SAFETY Duties: Demonstrate safe practices in regard to resident’s comfort and safety by applying knowledge of proper body alignment for self and resident. Practice and promote adherence to institutional safety codes. Promote a restraint-free environment.
REPORTING Duties: Responsible for reporting Department of Health (DOH) reportable incident and/or events as required per the Department of Health requirement and/or regulations. Responsible for initiating an investigation for a reportable incident and/or even immediately upon reporting.
KNOWLEDGE Duties: Maintain an updated knowledge base in pharmacology. Demonstrate knowledge of policies governing medication administration and documentation. Demonstrate knowledge of drug reactions and sensitivities and nursing interventions. Assure that narcotics are accounted for properly. Apply adult learning principles when educating individuals, family members or responsible party regarding the resident’s medication regimen.
LAB VALUES Duties: Recognize normal and abnormal lab values and communicate same in appropriate same in appropriate manner to physician and other interdisciplinary team members as appropriate.
INFECTION CONTROL Duties: Demonstrate working knowledge of infection control practices.
EDUCATION Duties: Recognize self-evaluation and self-development as important tools in maintaining high standards of care and professionalism. Seek and provide peer support and consultation. Participate in facility/department in-services. Attend continuing education programs. Attend facility/department/staff meetings as required.
SAFETY Duties: Comply with, support and enforce company policies involving all safety and infection control procedures to include the proper use of mechanical lifts, gait belts, and personal protective back supports.
RELATIONSHIPS Duties: Understand, comply with and promote all rules and regulations regarding residents’ rights; promote positive relationships with residents, visitors, and regulators, to include presenting a professional appearance.
OTHER JOB FUNCTIONS:
DEVELOPMENT Duties: Attend and participate in educational activities, in-service training, and staff meetings; assist in orientation and training other staff.
QUALITY IMPROVEMENT Duties: Participate in Quality Improvement activities as assigned.
OTHER DUTIES Duties: Other duties as assigned or needed.
Will work 5-1030pm or 5pm-130am assisting the day charge and the overnight charge with assements, treatments, and medications. This nurse will work as an extra set of hands to all charge nurses. Duties could cary depending on the needs of that day. Basic RN/LPN skills required.
- Must hold and maintain a current license as a Registered Nurse in practicing state.
- Related clinical experience, education, or specialty skills specific to geriatrics.
- Demonstrate understanding that state and federal rules and regulations govern the practices within the facility.
- Ongoing pursuit of Continuing Education Credits in clinical subjects, management, personal growth and development.
- Demonstrate working knowledge of infection control principles and practices.
- Proven ability to communicate effectively and positively with staff, residents and family members.
- Basic computer knowledge and ability with an aptitude to learn company software.
- Must be capable of maintaining regular attendance.
- Must meet all local health regulations and pass post-employment physical exam, if required. This requirement also includes drug screening, criminal background investigation and reference inquiry.
- Must be capable of performing the essential job functions of this job, with or without reasonable accommodation.
We conduct drug and alcohol testing as allowed by applicable state law.