Successful completion of a pre-employment local and national criminal records check including fingerprinting, a drug screening test and a medical exam including a physical assessment which evidences the ability to safely lift and push to 50 pounds.
Under the direction of the Director of Nursing or designee, the incumbent is accountable for the supervision of all nursing and resident care activities while acting in a relief role for the House Supervisor. When not working the relief role for the House Supervisor, the incumbent is responsible for the provision of direct resident care and the supervision of team members in compliance with statutes and regulations governing the practice of nursing and in compliance with Douglas County Health Center policies and procedures.
Primary Duties & Responsibilities:
Function as a Registered Nurse as assigned.
Assume House Supervisor responsibilities as assigned to include but not limited to the following duties:
a. Review staffing requirements and personnel assignments and make necessary adjustments to ensure continuity of resident care. Remain alert to last minute changes and staffing needs and take corrective action as necessary.
b. Supervise and coordinate the work activities of nursing personnel, agency personnel, and other departmental personnel as needed to maintain continuity for around-the-clock nursing care and facility operation. Maintain confidentiality of all resident and employee information.
c. Make rounds throughout the facility to monitor, supervise and evaluate personnel performance and to ensure compliance with established policies and procedures; notify appropriate personnel of performance deficiencies.
d. Provide consultation and direction to Nurse Managers and other nursing personnel concerning areas such as nursing care, staff management, employee discipline, and policies/procedures.
e. Respond to all emergency codes and provide technical and administrative direction as necessary. Act as Disaster Coordinator in absence of the DCHC Administrator.
f. Act as a resource person to answer questions and provide information to personnel, residents, and visitors.
g. Follow up on medication incidents, accident reports, other incidents and complaints as indicated. Provide first aide (in absence of Employee Health Nurse) to staff and visitors in case of accidents or illness; follow up as needed.
Assess physical and mental condition of residents; plan and provide care in accordance with the assessed needs of the residents.
Document resident assessments, treatments, and care in accordance with policies, procedures and documentation standards. Plan resident care for an assigned shift or period of time; document resident needs on the care plan and communicate these needs to staff.
Assist with resident admissions, transfers, dismissals, and referrals.
Perform assigned personnel functions including completing performance appraisals, providing employee counseling and discipline, and assisting with employee training and orientation.
Obtain, document and transcribe physician orders in accordance with established policies and procedures. Communicate physician orders to team members.
Provide and assist with respiratory therapy treatments, venipunctures, and intravenous therapy as needed.
Supervise and coordinate work activities of nursing personnel; ensure that work assignments are given in accordance with staff knowledge and level of training. Take necessary steps to ensure compliance with policies and procedures. Assist in the orientation of new employees and agency personnel.
Maintain resident and employee confidentiality; reinforce requirements for maintaining confidentiality to unit staff and subordinates, in conformance with HIPAA requirements and standards of resident confidentiality.
Assume active role in emergency situations. Participate in all disaster and safety codes and provide necessary supervision, direction and guidance.
Monitor expenditures and inventory. Ensure that resident care items are properly charged. Assist with monitoring expenditures to stay within budgetary limitations. Monitor inventory and requisition supplies as needed.
Monitor compliance with safety policies and procedures. Remove non-functioning items from service and initiate computerized work orders for needed repairs.
Conduct change of shift reports, utilizing professional expertise and focusing on resident/employee needs/concerns.
Prepare, administer, and record ordered medications. Document and report any untoward reaction to prescribed medication or treatment.
Accompany physician on rounds and assist physician with exams and treatments as needed.
Implement and monitor therapeutic groups and behavior modification programs as indicated; monitor effectiveness and provide follow up.
Keep Nursing Administration informed of resident care matters, unit operation, and personnel performance issues.
Serve on DCHC committees as assigned.
Provide and promote a positive image of Nursing Services and Douglas County Health Center. Serve as DCHC representative for community agencies, nursing schools, and the general public as assigned.
OTHERS DUTIES AND RESPONSIBILITIES
Participate in unit based quality improvement activities; attend scheduled meetings to facilitate staff communications and quality improvement monitoring.
Provide and document resident and family education related to disease process, treatment, prevention, and medications.
Attend appropriate continuing education and in-service programs, workshops, seminars, etc., and remain alert to current practices and trends in the health care environment.
Coordinate the transportation of residents to appointments outside DCHC in adherence with established policies and procedures.
Adhere to policies and procedures related to infection control, safe work habits (including hazard communication) and proper lifting and moving techniques.
Assist with in-service training as assigned.
Perform other related duties as assigned.
Registered nurse with a current Nebraska nursing license, or license in a compact state. A Bachelor’s degree in Nursing preferred.
One year of work experience as a registered nurse, one year of which must have been in a supervisory capacity. Work experience in a Long Term Care or Psychiatric facility preferred.
Successful completion of a local and national criminal records check including fingerprinting.
Must successfully complete a pre-employment physical review including a back assessment which evidences the ability to safely lift and push up to 50 pounds.
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 generally performed in a healthcare environment and requires some physical activity, including extended periods of sitting, standing, walking, kneeling, bending, crouching, reaching, stooping and climbing. An incumbent must have the ability to transport themselves to and from various locations throughout the Douglas County Health Center.
Duties also require the ability to tolerate a work environment that may potentially include contact with or exposure to toxic/caustic chemicals/fumes/odors, blood or other bodily fluids and infectious materials. An incumbent must have the ability to frequently lift and/or carry equipment, supplies and other materials weighing up to 25 lbs., push a medication/treatment cart with a push test weight of 30 lbs., and to occasionally lift and/or carry equipment, supplies and other materials weighing up to 50 lbs. Work involves team lifting or mechanically assisted lifting and moving of residents, applying principles of body mechanics to avoid injury to residents and self. An incumbent must also have the strength, agility and physical endurance to perform CPR. Work functions require that the incumbent possess sufficient hand-eye coordination and manual dexterity to use hands and arms to reach, handle, grasp and feel, and to operate medical instruments, gauges, monitors, medical care equipment, and any other equipment that is used to perform the essential functions of the job.
Work hours include day, evening and night hours based on assigned shift. Noise level is usually moderate. Vision abilities, correctable to normal ranges, include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Normal color vision is required. Communication abilities include the ability to talk and hear within normal ranges.