Registered Nurse

Key Responsibilities: Resident Care Provides resident care in the form of treatment, medication, and diagnostic procedures as delegated by the Director of Nursing or designate physician Completes purposeful rounds throughout the Health Center, Assisted Living and Memory Support Assisted living neighborhoods. Addresses issues noted to include safety/infection control with licensed staff for follow up. Makes rounds on all residents. Ensure that action is taken on clinical, environmental and safety issues. Follows up with the charge nurses, physicians, and other departments as necessary in resolving issues pertaining to the residents and/or staff. Ensures that medications are distributed and additional treatments to all residents within the Nursing Center and Assisted Living Units. Ensure staff on assigned units follow infection control standards set by Ingleside, CDC and jurisdictional guidelines. Maintain alertness to clinical signs and symptoms that indicate progress or indicate adverse reactions to prescribed treatments. Reports changes in resident condition to Unit Coordinator, physician and residents responsible party according to facility policy and appropriate rules and regulations. Initiates follow-up action as necessary. Observes, evaluates, and documents resident condition changes. Documents resident care provided and residents response or lack of response to care provided. Identifies resident problems in emergency situations and initiates immediate measures as appropriate to the situation. Administers and documents medications, enteral/parenteral nutrition, treatment as prescribed by the physician, administers PRN medications and treatments per facility policy. Counts narcotics and follows emergency kit procedures. Assists with admission/transfer/discharge procedures, coordinating with other departments, physicians, and ancillary service providers. Supervises delivery of meals/proper diet, distribution of nourishment, application of postural supports and restraints. Assists nursing assistants with resident care as needed/assist with feeding residents during meal times. Accepts responsibility for the safety of residents under his/her supervision. Receives reports from personnel at shift changes. Makes initial rounds for individual assessments of residents. Confer with immediate supervisor on an ongoing basis with special problems of care, resident transfers, management of work load, etc. Make round with physicians. Communicate resident needs and problems with physicians. Assume responsibility of execution of physician's orders. Review MAR's for completeness and accuracy in the transcription of physician orders and adherence to stop orders. Acts as house charge nurse in absence of nursing administration. Demonstrates knowledge of emergency policies and procedures. Performs all duties in a safe and efficient manner; assures that safety regulations are followed at all times by all staff. Interprets facility policy and procedures, rules and regulations to subordinate nursing staff, residents, families and appropriate medical and ancillary personnel. Plans daily work assignments and schedules based on resident's needs and available resources, effectively communicating to staff and monitoring staff compliance with assignments and schedules. Provides corrective instruction to nursing staff concerning quality of care and quality of life issues, and customer service. Assumes responsibility for unit or shift compliance with facility policy and procedure, rules, regulations and standards of practice. Assures that residents receive needed nursing care and services to meet their needs according to the established plans of care and physician's orders and instructions. Customer Service Interacts with residents, families, staff, and other visitors to the center in a pleasant, respectful, and courteous manner. Acts as a positive representative of the facility at all times. Create and maintain an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the unit. Performs incidental housekeeping and maintenance tasks as may arise during the course of regular duties, in order to maintain a clean, safe, pleasant environment for residents, visitors and staff. Residents/Patients’ Rights Provides privacy and maintains the confidentiality of all resident care/information Ensures care and security of residents' personal possessions. Reports all complaints and grievance made by residents, family members, and visitors to the supervisor. Ensures that residents are free from abuse (physical, mental, and sexual), mistreatment and neglect, and reports any such instances to appropriate facility staff. Medical Reporting Completes and distributes nursing reports to the Director of Nursing and the designate physician within the given time requirement. Reviews the 24-hour report. Follows up on outstanding actions to ensure completion prior to the end of shift. Provides upcoming shift nurses with the obtained resident report and any follow up or special care necessary. Documents in daily assignment report any orders given to nurses or assistants in regards to care of resident. Reviews electronic medical record (EMAR/ETAR) to ensure completion of medication administration, treatments and assigned care prior to the end of the shift. Ensure proper staffing ratios are in place in adherence to jurisdiction, federal and state requirements. Reviews all incident reports for completeness. Ensures new interventions are added as needed and that the documentation is accurate. Admissions Functions Performs review of charts and resident information with all new admissions to the Nursing Center or Assisted Living Units. Participates in/receives report from transferring facility of resident to be admitted to the care of Ingleside. Validates completion of admission assessments pertinent to resident care are completed. Verifies all orders with the current physician before placing order with the designated pharmacy. Follows community admissions procedures and communicates resident admission to all proper staff, physicians, and service providers. #J-18808-Ljbffr Ingleside