RN
Randolphhome
Must be available to work weekends. RN Purpose of this position The purpose of this position is to supervise, provide and coordinate nursing care in compliance with facility policies and procedures as well as to assess resident care needs and take appropriate action. Qualifications Licensure as registered or Practical/Vocational nurse by state. Follow established standards of nursing practices and implement facility policies and procedures. Interpret existing policies and procedures to nursing assistants, restorative nursing assistants, residents, families and physicians. Supervise and evaluate all direct resident care. Initiate corrective action as needed. Obtain report from nurse being relieved and record sufficient information to implement appropriate follow-up action as necessary. Provide report to nurse coming on duty, including sufficient information for follow-up action as necessary. Take appropriate action to ensure adequate staffing to meet resident needs. Conduct resident rounds, reporting problems to nursing supervisor and initiating corrective action. Identify safety hazards and initiate corrective action immediately. Identify resident problems and emergency situations and initiate emergency care and life-saving measures in the absence of a physician. Follow, supervise and evaluate implementation of the Resident Rights Program. Participate in facility education and in-service programs. Provide supervision to Nursing Assistant providing direct resident care. Provide resident care as necessary. Attend staff meetings, interdisciplinary team meetings, rehabilitation meetings and committee meetings as assigned. Follow staffing guidelines and make nursing assignments according to qualifications of staff and characteristics of the resident population. Assume responsibility for compliance with federal, state and local regulations within the assigned unit. Counsel Nursing Assistants and recommend disciplinary action to the Director of Nursing as necessary. Participate in the employee evaluation process by providing information on the performance of Nursing Assistants. Provide instruction for appropriate nursing care to licensed nurses and Nursing Assistants. Perform comprehensive assessment of residents as assigned. Document comprehensive assessment of residents as assigned. Develop and implement an accurate comprehensive care plan based on each resident's needs and his/her comprehensive assessment. Promptly report changes in resident conditions to the physician, Director of Nursing and responsible party. Take follow-up action as necessary. Follow facility admission procedures and communicate resident admission to other departments, physicians and ancillary service providers. Competently perform nursing tasks. Follow facility discharge /transfer procedure and coordinate discharge/transfer with other departments, physicians and ancillary service providers. Complete documentation related to the resident's discharge/transfer. Supervise response to resident's call for assistance. Listen to resident, family or physician concerns and initiate corrective action and/or report concerns to Nursing Supervisor. Count narcotics, check emergency kit and exchange keys. Check meal trays and nourishment to ensure proper diet is served and residents are assisted as necessary. Supervise the application and removal of all restraints and devices used to position and enable residents to function as independently as possible. Order, receive and store medications appropriately. Notify physician, when necessary, of changes in resident conditions, weight, medication errors, medication not available, abnormal laboratory/X-Ray results and any other unusual observations. Record resident progress notes as required. Record daily notes on unstable residents, Medicare residents and recently admitted residents. Consistently work cooperatively with residents, nursing staff, physicians, families, consultant personnel, community agencies and ancillary service providers. Obtain continuing education required to maintain licensure. Be responsible for the safety of residents under his/her supervision. Observe all facility safety policies and procedures. Report for work in a clean, neat uniform and consistently present an appropriate professional appearance. Report for work as scheduled and consistently demonstrate dependability and punctuality. Assume accountability for data contained in the employee handbook. Perform all duties assigned in an effective, cooperative, timely and professional manner. Follow infection prevention and control procedures at all times. Follow Resident Rights policies at all times. Be responsible for the safety of residents under his/her supervision. Observe all facility policies and procedures. Perform other related duties as directed by his/her supervisor. Consistently work cooperatively with residents, residents' representatives, facility staff, physicians, consultants and ancillary service providers. Ensure that feeding assistants are adequately supervised. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations, as needed for revisions. Meet with assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, activities and changes in routine or policies. Agree not to disclose assigned user ID and password for accessing resident/facility information. Promptly report suspected or known violations of such disclosure to the Supervisor. Agree not to disclose resident's protected health information and promptly report suspected or known violations of such disclosure to the Supervisor. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Notify the Nurse Supervisor of all drug and narcotic discrepancies. Report all accidents/incidents to your supervisor no matter how minor they may be. Report such occurrences on the shift in which they occur. Ensure that department computer workstations left unattended are properly logged off or the password protected screen saver activates within established facility policy guidelines. Ensure that all medications and treatments are administered as ordered and in a timely manner in accordance with state, federal and facility policies. Record all care provided. Assist visiting physicians with rounds. Draw blood and obtain fluids for lab work as directed. Report suspected resident abuse immediately to the Administrator. Report any known or suspected unauthorized attempt to access facility's information system. Communicate with resident families/ representatives regarding the status of the resident. #J-18808-Ljbffr
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