Tucker House Nursing and Rehabilitation is seeking a RN Unit Manager. Please read description below:
The Unit Manager assumes 24-hour responsibility and accountability for the nursing care of all residents on an assigned unit. Supervises licensed nurses and other nursing personnel in the delivery of care and services according to each resident''s comprehensive resident assessment and plan of care. Manages unit in accord with facility philosophy, in compliance with standards of professional nursing practice, and with all state and federal laws and regulations. Utilizes resources in an efficient and economic manner to ensure that each resident achieves the highest practicable physical, mental and psycho-social well-being.
RN License and LTC experience required.
Makes daily rounds on unit to supervise, observe, examine, interview residents, to evaluate staffing needs, to monitor regulatory compliance, to achieve the care environment and to evaluate staff interactions and clinical skills competency.
Audits 24 hour report as completed by Charge Nurses and reviews clinical records to identify problems, to ensure timely responses to residents'' needs, to evaluate documentation skills of unit nursing staff, and to evaluate regulatory compliance with documentation requirements.
Listens to verbal shift report making special note to follow up on significant changes in condition, admissions, transfers, discharges, initiation or use of physical or chemical restraints, unnecessary use of any drug, incidents, unexplained injuries, medication errors, loss of resident property or evidence of resident or family dissatisfaction.
Analyzes data gathered from rounds and record reviews and acts promptly to resolve problems and to continuously improve quality. Participates in formal quality assessment and assurance activities as directed by the Quality Assurance Committee.
As the nurse with responsibility for the residents on the unit, conducts or coordinates the resident assessment process including accurate completion of the state-approved Resident Assessment Instrument.
Participates as member of interdisciplinary team in development of plan of care for each resident that assists the resident to attain or maintain the highest practicable physical, mental and psycho-social well-being. Plans of care are developed with the participation, to the extent practicable, and consent of the resident and/or resident''s interested family member, legal representative. Plans of care include measurable objectives and timetables and accommodate residents needs and preferences including choices about preferred intensity of medical treatment.
Attends interdisciplinary conferences to plan care. Elicits input from direct care staff on all three shifts and provides opportunities to attend and participate in interdisciplinary care conferences.
Supervises nursing staff in the implementation of plans of care to assist residents to attain or maintain highest practicable physical, mental and psycho-social well-being.
Maintains ongoing communication with other disciplines to evaluate resident responses to interventions, to suggest alternative approaches when indicated and to revise and update plans of care to reflect progress toward goals. Facilitates interdepartmental communication to meet residents'' needs.
Informs the resident in advance about care and treatment and any changes to the plan of care.
Immediately informs the resident, consults with the resident''s physician and notifies the designated family member and/or the residents legal representative when there is an accident involving an injury which has potential for requiring physician intervention; a significant change in the residents physical, mental or psycho-social states; a need to alter treatment significantly or a decision to transfer or discharge the resident from the facility. Promptly notifies the resident, designated family member and/or resident''s legal representative when there is a change in room or roommate.
Interacts with residents, family members, legal representatives, surrogates to answer questions, resolve concerns. Makes prompt attempts to resolve all resident grievances, seeking consultation or assistance from other departments or administration as appropriate.
Educates and develops unit nursing staff members by observing practice, interpreting facility policies and procedures, identifying learning needs and taking advantage of opportunities to teach on the unit.
Monitors unit nursing staff for correct, consistent application of infection control procedures. Consults with Assistant Director of Nursing on questions related to infection control.
Assists Charge Nurses with the assignment of nursing staff to ensure sufficient number of staff. Evaluates staffing patterns based on unit census, resident acuity, and other resident needs. Adjusts staffing pattern accordingly. Communicates difficulty meeting resident needs and maintaining regulatory compliance promptly to Director of Nursing.
Adjusts own work schedule to maintain direct contact with and to evaluate performance of nursing staff on all three shifts.
Conducts performance evaluations of unit nursing staff based on demonstrated competency to perform essential functions of the job. Conducts skills observations of nurse aides.
Actively participates in long term care survey process. Accompanies surveyors at all times while on unit. Provides or offers supplemental information to ensure accurate survey results. Responds to surveyor questions. Records actions of survey team members and reports to Director of Nursing at end of each survey day. Consults with Director of Nursing about undertaking corrections while survey is in progress.
Completes required documentation of care and services delivered during shift including subjective findings, objective symptoms, interventions and resident responses to interventions. Completes required documentation of special circumstances including accident/incident reports m compliance with state and federal laws and regulations.
Reports relevant information to the Director of Nursing Services including interdisciplinary team functioning and communication, regulatory compliance issues, resident risk factors, sudden changes in resident behavior, expressed dissatisfaction by resident or family, reviews of treatment unexplained injuries, staff behavior (positive and negative), staffing needs, equipment and supply needs, opportunities to revise policies, procedures, improve quality.
Monitors staff for compliance with OSHA mandates on workplace safety including hazard communication and blood borne pathogens. In cases of workplace exposure, provides immediate first aid and refers employee to appropriate facility staff member for post-exposure follow-up.
Supervises performance of unit clerk in all essential functions of that position, if applicable.
Reports all injuries to self or others to supervisor immediately.
Takes job actions with staff members under appropriate circumstances. Applies facility policies about progressive discipline correctly. Removes staff member from unit if necessary to avoid endangerment to health or safety of residents or other staff members. Reports all job actions taken to Director of Nursing promptly.
Attends continuing professional education programs and in-service education. Applies information to job responsibilities.
Participates in fire and disaster drills. In the event of an emergency carries out assigned duties to assure resident safety.
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