Registered Nurse (RN)

1 Full time RN Supervisor 3-11 and 11-7 with experience in supervising in a skilled facility.

General Purpose:

Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to maintain the highest degree of quality care at all times.

Essential Job Functions:

This facility expects their employees to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list of duties is not all-inclusive:

Administrative Functions
Direct the day-to-day functions of the nursing assistants in accordance with rules, regulations, and guidelines that govern the long-term care industry
Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility
Meet with your assigned nursing staff, as well as support personnel, in planning the shift's services, programs and activities
Verify that all nursing personnel comply with the procedures set forth the in the Nursing Policies and Procedures Manual
Make written and oral reports/recommendations concerning the activities of your shift, as required
Cooperate with other resident services when coordinating nursing services be certain that the resident's total regimen of care is maintained
Verify that all nursing service personnel are in compliance with their respective job descriptions
Participate in the development, maintenance, and implementation of the facility's quality assurance program for the nursing department
Participate in surveys (inspections) made by authorized government agencies
Periodically review the resident's written discharge plan. Participate in the updating of the resident's written discharge plan, as required
Assist in planning the nursing portion of the resident's discharge plan, as necessary
Admit, transfer, and discharge residents, as required
Complete accident/incident reports, as necessary

Charting and Documentation
Complete and file required forms/charts upon resident's admission, transfer, and/or discharge
Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies
Receive telephone orders from physicians and record on the Physicians' Order Form
Transcribe physician's orders to resident charts, cardex, medication cards, and treatment/care plans, as required
Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to care
Record new/changed diet orders. Forward information to the Dietary Department
Report all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Nurse Supervisor
Fill out and complete transfer forms in accordance with established procedures
Enter appropriate documentation concerning unauthorized discharges in the resident's medical record in accordance with established procedures
Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures
Sign and date all entries made in the resident's medical record
Write nurses' notes to reflect that the care plan is being followed when administering nursing care or treatment

Medication Administrative Functions
Prepare and administer medication as ordered by the physician
Responsible for IV medication/fluid administration
Verify the identity of the resident before administering the medication/treatment
Verify that prescribed medication for one resident is not administered to another
Verify that adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Nurse Supervisor
Order prescribed medications, supplies, and equipment as necessary, and in accordance with established procedures
Verify that narcotic records are accurate for your shift
Notify the Nurse Supervisor of all drug and narcotic discrepancies noted on your shift
Review medication cards for completeness of information, accuracy in the transcription of the physician's order and adherence to stop order policies
Notify the attending physician of automatic stop orders prior to the last dosage being administered
Immediately notify the Nurse Supervisor and attending physician of any medication administration errors

Nursing Care Functions
Perform physical assessment through observation, inspection, palpitation, percussion and auscultation
Deliver and maintain optimum resident care and comfort by demonstrating knowledge and skills of current nursing practices
Promptly respond to call lights and other resident needs
Make rounds with physicians, as necessary
Consult with the resident's physician in providing the resident's care, treatment, rehabilitation, etc., as necessary
Review the resident's chart for specific treatments, medication orders, diets, etc., as necessary
Make periodic checks to confirm that prescribed treatments are being properly administered by CNAs and to evaluate the resident's physical and emotional status
Notify the resident's attending physician when the resident is involved in an accident or incident
Notify the resident's attending physician and responsible party when there is a change in the resident's condition
Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required
Monitor seriously ill residents, as necessary
Review care plans daily to confirm that appropriate care is being rendered
Confirm that CNAs are aware of the resident care plans. Verify that the CNAs refer to the resident's care plan prior to administering daily care to the resident

Other Duties
Attend in-service education programs in order to meet facility educational requirements
Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information
Maintain confidentiality of resident and facility records/information
Protect residents from neglect, mistreatment, and abuse
Protect the personal property of the residents of the facility
Others as directed by the supervisor or administrator

Minimum Qualifications:

Registered Nurse with current state license
Excellent technical, assessment and documentation skills
Good Leadership qualities
Organized and detailed in work performance
Good communication skills with excellent self-discipline and patience
Genuine caring for and interest in elderly and disabled people in a nursing facility
Comply with the Residents Rights and Facility Policies and Procedures
Perform work tasks within the physical demand requirements as outlined below
Perform Essential Duties as outlined above

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