Registered Nurse
Maryland Masonic Homes
Job TitleAs an employee of Maryland Masonic Homes, this position shall be committed to working in accordance with the Mission, Vision, Values and Guiding Principles of the Maryland Masonic Homes. In addition, this position shall be committed to providing "Meaningful Living" for its residents and their families.Provide direct oversight of staff on Healthcare to ensure continuity of care. This position reports to the Director of Nursing or designee.Schedule: 7:00am-3:30pmWeek1: SundayWeek2: SaturdayCandidates must hold an active CPR and First Aid certification issued by the American Heart Association (AHA) or an AHA-approved training provider.Essential Duties/Major Accountabilities:• Assists with direct day-to-day functions of the nursing assistants, certified medicine aides, medication techs in accordance with current rules, regulations, and guidelines that govern the long term care facility• Cooperates with other resident services to ensure that the resident's total regimen of care is maintained.• Assesses and ensures that all GNA's are following their respective job descriptions.• Performs administrative duties such as completing medical forms, reports, evaluations, disciplinary tools, studies, charting, etc., as necessary.• Participates in the development, maintenance and implementation of the facility's Quality Improvement program for the Nursing Department.• Participates in surveys (inspections) made by authorized government agencies.• Makes written and oral reports/recommendations concerning the activities of your shift as required to your supervisor.• Periodically reviews the department's policies, procedure manuals, job descriptions, etc., makes recommendations for revisions to the supervisor.• Meets with nursing staff as well as support personnel, in planning the shifts services, programs, and activities.• Admits, transfers, and discharges residents as required, in accordance with policy.• Fills out and completes accident/incident reports, per policy.• Completes 24 hour report daily per established procedures.• Charts all accidents/incidents involving the residents and follows established procedures.• Educates resident/family to promote compliance to treatment plan.• Interacts with attending physicians in reviewing treatment plans, records and signs their orders, progress notes, etc., in accordance with established policies.• Charts nurses' notes in a n informative, complete and descriptive manner that reflects resident status, the care provide to the resident, the resident's response to the care per policy.• Monitors resident fluid balance per policy.• Completes required record keeping forms/charts upon the resident's admission, transfer, and/or discharge.• Records and processes new/changed diet orders per protocol.• Transcribes physician's orders per facility protocol.• Reports all discrepancies noted concerning physician's orders, diet change, charting error, etc., to the Supervisor.• Performs routine charting duties as required and in accordance with established Charting and Documentation Policies and Procedures.• Signs and dates all entries made in the resident's medical record.• Prepares and administers medications as ordered by the physician, per policy.• Completes monthly turnover process per policy and as assigned by supervisor.• Orders prescribed medications, supplies, and equipment as necessary, and in accordance with our established policies.• Ensures that an adequate supply of floor stock medications, supplies, and equipment are on hand to meet the needs of the residents.• Completes the narcotic records and necessary documentation as required by regulation and policy.• Disposes of drugs and narcotics as required, and in accordance with established procedures.• Reviews medications kardex for completeness of information, accuracy in the transcription of the physician's order, and adherence to stop order policies.• Notifies the Supervisor of all drug and narcotic discrepancies noted on your shift.• Informs the Supervisor of staffing needs when assigned personnel fail to report to work.• Assists in development of work assignments, and/or assist in completing and performing such tasks.• Makes several rounds of the Nursing unit per shift.• Reviews complaints and grievances made or filed by subordinates. Makes appropriate reports to the supervisor as required or as may be necessary.• Develops and maintains a good working rapport with inter-departmental personnel, as well as other departments within the facility to assure that Nursing services and activities can be adequately maintained to meet the needs of the residents.• Creates and maintains an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift.• Meets with shift's nursing personnel, on a regularly schedule basis, to assist in identifying and correcting problem areas, and/or the improvement of services.• Reviews and evaluates the performance of subordinates as directed and makes recommendations to the supervisor.• Gives/receives the nursing report upon reporting in and ending shift duty hours.• Makes rounds with physicians as necessary.• Implements and maintains established nursing objectives and standards.• Makes periodic checks to evaluate the resident's physical and emotional status.• Reviews the Maryland Masonic Homes Nursing Policy Procedures Manual as catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, giving massages and range of motion exercises, care of the dead/dying, etc. as required.• Reviews MMH Intravenous Policy and Procedure Manual, perform IV therapy per policy.• Requests and arranges for diagnostic and therapeutic services, as ordered by the physician and in accordance with established procedures.• Meets with residents, and/or family members, as necessary. Reports problem areas to the supervisor.• Carries out restorative and rehabilitative programs, to include self-help and care.• Checks foods brought into the facility by the resident's family/visitors to assure that it is within the resident's dietary allowances. Discusses dietary restrictions with family. Notifies Supervisor of any potential non-compliance.• Inspects the Nursing treatment areas daily to ensure that they are maintained in a clean and safe manner.• Notifies the resident's attending physician, Supervisor, and Responsible Party when there is a change in the resident's condition.• Works with the facility's consultants and implement those changes authorized by the Director of Nursing.• Monitors seriously ill residents as necessary.• Notifies physician, Nursing Administration and the Responsible party upon the death of a resident.• Participates in the development, planning, and conducting of in-service training classes.• Participates in the orientation programs for new employees to your shift, its policies and procedures, and to his/her job position and duties.• Attends and participates in continuing educational programs to keep abreast of change in the profession as well as to maintain required licensure.• Monitors assigned area's compliance to the facilities safety regulations established for the use of equipment and supplies.• Ensures that assigned work areas (i.e., nurses' stations, medicine, rooms, etc.) are maintained in a clean and sanitary manner.• Ensures that assigned unit's resident care areas, treatment areas, etc., are maintained in a clean, safe, and sanitary manner.• Ensures that assigned unit's nursing personnel follow established departmental policies and procedures, including dress codes.• Ensures that assigned unit's personnel follow established infection control procedures when isolation precautions become necessary.• Participates in the development, and maintenance of the procedures for reporting hazardous conditions or equipment.• Ensures that assigned unit's personnel follow established hand washing techniques in the administering of nursing care procedures.• Recommends to the supervisor equipment and supply needs of assigned unit.• Assures that a stock of medications, medical supplies, equipment, etc., is maintained on assigned unit at all times to adequately meet the needs of the residents.• Participates in the application of the developed procedures for the safe operation of all Nursing equipment. Reports malfunctioning equipment promptly.• Ensures that only trained and authorized personnel operate your unit's equipment.• Ensures that
$42.65 - $50.75 per hour
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